Sleep, sleepiness, fatigue, and performance of 12-hour-shift nurses
Abstract
Nurses working 12-h shifts complain of fatigue and insufficient/poor-quality sleep. Objectively measured sleep times have not been often reported. This study describes sleep, sleepiness, fatigue, and neurobehavioral performance over three consecutive 12-h (day and night) shifts for hospital registered nurses. Sleep (actigraphy), sleepiness (Karolinska Sleepiness Scale [KSS]), and vigilance (Performance Vigilance Task [PVT]), were measured serially in 80 registered nurses (RNs). Occupational fatigue (Occupational Fatigue Exhaustion Recovery Scale [OFER]) was assessed at baseline. Sleep was short (mean 5.5 h) between shifts, with little difference between day shift (5.7 h) and night shift (5.4 h). Sleepiness scores were low overall (3 on a 1-9 scale, with higher score indicating greater sleepiness), with 45% of nurses having high level of sleepiness (score > 7) on at least one shift. Nurses were progressively sleepier each shift, and night nurses were sleepier toward the end of the shift compared to the beginning. There was extensive caffeine use, presumably to preserve or improve alertness. Fatigue was high in one-third of nurses, with intershift fatigue (not feeling recovered from previous shift at the start of the next shift) being most prominent. There were no statistically significant differences in mean reaction time between day/night shift, consecutive work shift, and time into shift. Lapsing was traitlike, with rare (39% of sample), moderate (53%), and frequent (8%) lapsers. Nurses accrue a considerable sleep debt while working successive 12-h shifts with accompanying fatigue and sleepiness. Certain nurses appear more vulnerable to sleep loss than others, as measured by attention lapses.
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?
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 [216]
Many nurses prefer the compressed working week that results from working fewer shifts.
“there are reports that many nurses prefer the compressed working week that results from working fewer shifts. 7-10”
From Nurses’ Shift Length and Overtime Working in 12 European Countries: The Association With Perceived Quality of Care and Patient Safety (2014) · cites this paper as [10]
Patients in hospitals where a higher proportion of nurses worked longer shifts reported lower satisfaction.
“Patients in hospitals where a higher proportion of nurses worked longer shifts also reported lower satisfaction. 10”
From Nurses’ Shift Length and Overtime Working in 12 European Countries: The Association With Perceived Quality of Care and Patient Safety (2014) · cites this paper as [10]
Overtime has previously been associated with increased nurse turnover.
“Overtime has previously been associated with increased nurse turnover 10,46”
From Nurses’ Shift Length and Overtime Working in 12 European Countries: The Association With Perceived Quality of Care and Patient Safety (2014) · cites this paper as [10]
In the USA, shifts of ≥12 hours have been associated with poorer quality ratings.
“and have been associated with poorer quality ratings. 10,15”
From Nurses’ Shift Length and Overtime Working in 12 European Countries: The Association With Perceived Quality of Care and Patient Safety (2014) · cites this paper as [10]
Cites
Nylund, K. L., Asparouhov, T., & Muthén, B. O. (2007) · Structural Equation Modeling: A Multidisciplinary Journal · doi:10.1080/10705510701575396 · Cited by 11,415 · see citing works
Van Dongen, H. P. A., Maislin, G., Mullington, J. M., & Dinges, D. F. (2003) · Sleep · doi:10.1093/sleep/26.2.117 · Cited by 3,173 · see citing works
Subjective and objective sleepiness in the active individual
Åkerstedt, T., & Gillberg, M. (1990) · International Journal of Neuroscience · doi:10.3109/00207459008994241 · Cited by 3,088 · see citing works
The Role of Actigraphy in the Study of Sleep and Circadian Rhythms
Ancoli-Israel, S., Cole, R., Alessi, C., Chambers, M., Moorcroft, W., & Pollak, C. P. (2003) · Sleep · doi:10.1093/sleep/26.3.342 · Cited by 2,751 · cited 2× · see citing works
“Actigraphy is a reliable and valid measure for detecting sleep in normal, healthy adult populations (Littner et al., 2003), and has been used to study sleep/wake patterns for more than 30 yrs (Ancoli-Israel et al., 2003).”
MethodBehavioral and Physiological Consequences of Sleep Restriction
Banks, S., & Dinges, D. F. (2007) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.26918 · Cited by 1,505 · see citing works
<i>Sleep Deprivation and Vigilant Attention</i>
Lim, J., & Dinges, D. F. (2008) · Annals of the New York Academy of Sciences · doi:10.1196/annals.1417.002 · Cited by 1,213 · see citing works
Keeping patients safe: transforming the work environment of nurses
(2005) · Choice Reviews Online · doi:10.5860/choice.42-2844 · Cited by 1,140 · see citing works
ETHICS AND METHODS FOR BIOLOGICAL RHYTHM RESEARCH ON ANIMALS AND HUMAN BEINGS
Portaluppi, F., Smolensky, M. H., & Touitou, Y. (2010) · Chronobiology International · doi:10.3109/07420528.2010.516381 · Cited by 1,125 · 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 · cited 2× · see citing works
“The risk for patient-care errors and near errors was increased in two studies of 12-h-shift nurses (Rogers et al., 2004; Scott et al., 2006), and was associated with shorter sleep in another (Dorrian et al., 2006).”
BackgroundLittner, 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
Grandner, M. A., Hale, L., Moore, M., & Patel, N. P. (2010) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2009.07.006 · Cited by 602 · see citing works
Keeping Patients Safe: Transforming the Work Environment of Nurses
Series, Q. C. (2004) · Journal for Healthcare Quality · doi:10.1111/j.1945-1474.2004.tb00487.x · Cited by 599 · see citing works
American Time Use Survey: Sleep Time and Its Relationship to Waking Activities
Basner, M., Fomberstein, K. M., Razavi, F. M., Banks, S., William, J. H., Rosa, R. R., & Dinges, D. F. (2007) · Sleep · doi:10.1093/sleep/30.9.1085 · Cited by 564 · see citing works
Sleep duration and cardiometabolic risk: A review of the epidemiologic evidence
Knutson, K. L. (2010) · Best Practice & Research Clinical Endocrinology & Metabolism · doi:10.1016/j.beem.2010.07.001 · Cited by 520 · see citing works
Effects of Critical Care Nurses’ Work Hours on Vigilance and Patients’ Safety
Scott, L. D., Rogers, A. E., Hwang, W.-T., & Zhang, Y. (2006) · American Journal of Critical Care · doi:10.4037/ajcc2006.15.1.30 · Cited by 408 · see citing works
Managing fatigue: It's about sleep
Dawson, D. E., & McCulloch, K. M. (2005) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2005.03.002 · Cited by 339 · see citing works
Winwood, P. C., Winefield, A. H., Dawson, D. E., & Lushington, K. (2005) · Journal of Occupational and Environmental Medicine · doi:10.1097/01.jom.0000161740.71049.c4 · Cited by 318 · see citing works
Sleep, Circadian Rhythms, and Psychomotor Vigilance
Van Dongen, H. P. A., & Dinges, D. F. (2005) · Clinics in Sports Medicine · doi:10.1016/j.csm.2004.12.007 · Cited by 316 · see citing works
Swaen, G. M. H., van Amelsvoort, L. G. P. M., Bültmann, U., & Kant, I. (2003) · Occupational and Environmental Medicine · doi:10.1136/oem.60.suppl_1.i88 · Cited by 316 · see citing works
Trinkoff, A. M., Le, R., Geiger-Brown, J. M., Lipscomb, J. A., & Lang, G. M. (2006) · American Journal of Industrial Medicine · doi:10.1002/ajim.20330 · Cited by 309 · see citing works
Self-citationLuckhaupt, S. E., Tak, S., & Calvert, G. M. (2010) · SLEEP · doi:10.1093/sleep/33.2.149 · Cited by 272 · see citing works
The Relationship between Nurse Work Schedules, Sleep Duration, and Drowsy Driving
Scott, L. D., Hwang, W.-T., Rogers, A. E., Nysse, T., Dean, G. E., & Dinges, D. F. (2007) · Sleep · doi:10.1093/sleep/30.12.1801 · Cited by 242 · see citing works
Sleep on the Night Shift: 24‐Hour EEG Monitoring of Spontaneous Sleep/Wake Behavior
Torsvall, L., Åkerstedt, T., Gillander, K., & Knutsson, A. (1989) · Psychophysiology · doi:10.1111/j.1469-8986.1989.tb01934.x · Cited by 218 · see citing works
Work Schedule, Needle Use, and Needlestick Injuries Among Registered Nurses
Trinkoff, A. M., Le, R., Geiger-Brown, J., & Lipscomb, J. (2007) · Infection Control & Hospital Epidemiology · doi:10.1086/510785 · Cited by 199 · see citing works
Self-citationCONSEQUENCES OF SHIFTWORKING ON SLEEP DURATION, SLEEPINESS, AND SLEEP ATTACKS
Ohayon, M. M., Smolensky, M. H., & Roth, T. G. (2010) · Chronobiology International · doi:10.3109/07420521003749956 · Cited by 195 · see citing works
Lombardi, D. A., Folkard, S., Willetts, J. L., & Smith, G. S. (2010) · Chronobiology International · doi:10.3109/07420528.2010.489466 · Cited by 193 · see citing works
How Long and How Much Are Nurses Now Working?
Trinkoff, A. M., Geiger-Brown, J. M., BRADY, B. A., Lipscomb, J. A., & Muntaner, C. (2006) · AJN American Journal of Nursing · doi:10.1097/00000446-200604000-00030 · Cited by 184 · see citing works
Self-citationShift Work and Inter‐Individual Differences in Sleep and Sleepiness
Dongen, H. P. A. V. (2006) · Chronobiology International · doi:10.1080/07420520601100971 · Cited by 175 · see citing works
The Walter Reed palm-held psychomotor vigilance test
Thorne, D. R., Johnson, D. E., Redmond, D. P., Sing, H. C., Belenky, G., & Shapiro, J. M. (2005) · Behavior Research Methods · doi:10.3758/bf03206404 · Cited by 174 · 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
Psychological, lifestyle and coping contributors to chronic fatigue in shift‐worker nurses
Samaha, E., Lal, S., Samaha, N., & Wyndham, J. (2007) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2007.04338.x · Cited by 146 · see citing works
The effects of extended workdays on fatigue, health, performance and satisfaction in nursing
Josten, E., Ng-A-Tham, J. E. E., & Thierry, H. (2003) · Journal of Advanced Nursing · doi:10.1046/j.0309-2402.2003.02854.x · Cited by 145 · 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
Silva, E. J., Wang, W., Ronda, J. M., Wyatt, J. K., & Duffy, J. F. (2010) · Sleep · doi:10.1093/sleep/33.4.481 · Cited by 114 · see citing works
Edéll‐Gustafsson, U., Kritz, E. I. K., & Bogren, I. K. (2002) · Scandinavian Journal of Caring Sciences · doi:10.1046/j.1471-6712.2002.00078.x · Cited by 112 · see citing works
The impact of work schedules, home, and work demands on self-reported sleep in registered nurses
Geiger-Brown, J., Trinkoff, A., & Rogers, V. E. (2011) · Journal of Occupational & Environmental Medicine · doi:10.1097/jom.0b013e31820c3f87 · Cited by 110 · see citing works
Self-citationPortela, L. F., Rotenberg, L., & Waissmann, W. (2004) · Chronobiology International · doi:10.1081/cbi-200038513 · Cited by 109 · see citing works
A Two-Week Sleep Extension in Sleepy Normals
Roehrs, T., Shore, E., Papineau, K. L., Rosenthal, L., & Roth, T. G. (1996) · SLEEP · doi:10.1093/sleep/19.7.576 · Cited by 108 · see citing works
Factors associated with perceived sleep quality of nurses working on rotating shifts
Chan, M. F. (2008) · Journal of Clinical Nursing · doi:10.1111/j.1365-2702.2008.02583.x · Cited by 108 · see citing works
OBESITY AND HIGH BLOOD PRESSURE OF 12-HOUR NIGHT SHIFT FEMALE CLEAN-ROOM WORKERS
Chen, J., Lin, Y.-C., & Hsiao, S.-T. (2010) · Chronobiology International · doi:10.3109/07420520903502242 · Cited by 105 · see citing works
Focus Group Evaluation of Night Nurse Shiftwork Difficulties and Coping Strategies
Novak, R. D., & AUVIL-NOVAK, S. E. (1996) · Chronobiology International · doi:10.3109/07420529609020916 · Cited by 100 · see citing works
Health, well-being and burnout of ICU nurses on 12- and 8-h shifts
Iskra‐Golec, I., Folkard, S., Marek, T., & Noworol, C. (1996) · Work & Stress · doi:10.1080/02678379608256804 · Cited by 95 · see citing works
PVT Lapses Differ According To Eyes Open, Closed, or Looking Away
Anderson, C., Wales, A., & Home, J. A. (2010) · SLEEP · doi:10.1093/sleep/33.2.197 · Cited by 82 · see citing works
Tucker, P., Barton, J., & Folkard, S. (1996) · Occupational and Environmental Medicine · doi:10.1136/oem.53.11.767 · Cited by 79 · see citing works
Hughes, R. G., & Rogers, A. E. (2004) · AJN American Journal of Nursing · doi:10.1097/00000446-200403000-00017 · Cited by 69 · see citing works
THE INFLUENCE OF CIRCADIAN PHASE AND PRIOR WAKE ON NEUROMUSCULAR FUNCTION
Sargent, C., Ferguson, S. A., Darwent, D., Kennaway, D. J., & Roach, G. D. (2010) · Chronobiology International · doi:10.3109/07420528.2010.488901 · Cited by 45 · see citing works
12-h workdays: current knowledge and future directions
Bendak, S. (2003) · Work & Stress · doi:10.1080/02678370310001643478 · Cited by 43 · see citing works
Clissold, G. C., & Smith, P. M. (2002) · Contemporary Nurse · doi:10.5172/conu.12.3.294 · Cited by 33 · see citing works
Surani, S., Murphy, J., & Shah, A. H. (2007) · Nursing Administration Quarterly · doi:10.1097/01.naq.0000264863.94958.40 · Cited by 28 · see citing works
Phase Advance in Moderately Sleepy and Alert Normals
Roehrs, T., Salin-Pascual, R., Merlotti, L. A., Rosenthal, L. D., & Roth, T. G. (1996) · SLEEP · doi:10.1093/sleep/19.5.417 · Cited by 27 · see citing works
Tanaka, K., Sakata, K., Oishi, M., Morimoto, H., Nakada, S., Uetani, M., Nogawa, K., & Suwazono, Y. (2010) · Chronobiology International · doi:10.3109/07420528.2010.516045 · Cited by 24 · see citing works
CHRONIC SLEEP DEFICIT AND PERFORMANCE OF A SUSTAINED ATTENTION TASK—AN ELECTROOCULOGRAPHY STUDY
Fąfrowicz, M., Ogińska, H., Mojsa‐Kaja, J., Marek, T., Golonka, K., & Tucholska, K. (2010) · Chronobiology International · doi:10.3109/07420528.2010.488981 · Cited by 24 · see citing works
Zhou, X., Ferguson, S. A., Matthews, R. W., Sargent, C., Darwent, D., Kennaway, D. J., & Roach, G. D. (2010) · Chronobiology International · doi:10.3109/07420528.2010.488958 · Cited by 17 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Grandner, M. A. (2017) · Sleep Medicine Clinics · doi:10.1016/j.jsmc.2016.10.012 · Cited by 720 · see citing works
Negative Impacts of Shiftwork and Long Work Hours
Caruso, C. C. (2014) · Rehabilitation Nursing · doi:10.1002/rnj.107 · Cited by 639 · see citing works
Smith, M. T., McCrae, C. S., Cheung, J., Martin, J. L., Harrod, C. G., Heald, J. L., & Carden, K. A. (2018) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.7228 · Cited by 518 · see citing works
Dall'Ora, C., Griffiths, P., Ball, J., Simon, M., & Aiken, L. H. (2015) · BMJ Open · doi:10.1136/bmjopen-2015-008331 · Cited by 408 · see citing works
Monitoring fatigue in construction workers using physiological measurements
Aryal, A., Ghahramani, A., & Becerik-Gerber, B. (2017) · Automation in Construction · doi:10.1016/j.autcon.2017.03.003 · Cited by 404 · see citing works
Griffiths, P., Dall’Ora, C., Simon, M., Ball, J., Lindqvist, R., Rafferty, A.-M., Schoonhoven, L., Tishelman, C., & Aiken, L. H. (2014) · Medical Care · doi:10.1097/mlr.0000000000000233 · Cited by 316 · see citing works
“Long working hours are correlated with fatigue and decreased levels of alertness, potentially resulting in more adverse events.(11,12) However, the point at which longer shifts adversely affect performance is likely to be industry, context, and task specific,(1) and studies in health care have given mixed results.”
BackgroundShift Work and Shift Work Sleep Disorder
Wickwire, E. M., Geiger-Brown, J. M., Scharf, S. M., & Drake, C. L. (2016) · CHEST Journal · doi:10.1016/j.chest.2016.12.007 · Cited by 322 · see citing works
Self-citationSagherian, K., Steege, L. M. B., Cobb, S. J., & Cho, H. (2020) · Journal of Clinical Nursing · doi:10.1111/jocn.15566 · Cited by 254 · see citing works
Posttraumatic stress symptoms of health care workers during the corona virus disease 2019
Yin, Q., Sun, Z., Liu, T., Ni, X., Deng, X., Jia, Y., Shang, Z., Zhou, Y., & Liu, W. (2020) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.2477 · Cited by 237 · see citing works
Nurses and Health‐Promoting Behaviors: Knowledge May Not Translate Into Self‐Care
Ross, A. C., Bevans, M. F., Brooks, A. T., Gibbons, S. W., & Wallen, G. R. (2017) · AORN Journal · doi:10.1016/j.aorn.2016.12.018 · Cited by 235 · see citing works
Burnout Syndrome and shift work among the nursing staff
Vidotti, V., Ribeiro, R. P., Galdino, M. J. Q., & Martins, J. T. (2018) · Revista Latino-Americana de Enfermagem · doi:10.1590/1518-8345.2550.3022 · Cited by 176 · see citing works
Grandner, M. A. (2022) · Sleep Medicine Clinics · doi:10.1016/j.jsmc.2022.03.001 · Cited by 179 · see citing works
Factors affecting working conditions in public hospitals: A literature review
Manyisa, Z. M., & Aswegen, E. J. V. (2017) · International Journal of Africa Nursing Sciences · doi:10.1016/j.ijans.2017.02.002 · Cited by 153 · see citing works
Sun, Q., Ji, X., Zhou, W., & Liu, J. (2018) · Journal of Nursing Management · doi:10.1111/jonm.12656 · Cited by 152 · see citing works
Grandner, M. A. (2020) · Sleep Medicine Clinics · doi:10.1016/j.jsmc.2020.02.017 · Cited by 139 · see citing works
Relation between Burnout and Sleep Problems in Nurses: A Systematic Review with Meta-Analysis
Membrive‐Jiménez, M. J., Gómez‐Urquiza, J. L., Suleiman‐Martos, N., Velando‐Soriano, A., Ariza, T., Fuente-Solana, E. I. D. L., & la Fuente, G. A. C. (2022) · Healthcare · doi:10.3390/healthcare10050954 · Cited by 150 · see citing works
Fatigue, Work Schedules, and Perceived Performance in Bedside Care Nurses
Sagherian, K., Clinton, M. E., Abu‐Saad, H. H., & Geiger-Brown, J. M. (2016) · Workplace Health & Safety · doi:10.1177/2165079916665398 · Cited by 136 · see citing works
Self-citationEffects of circadian misalignment on cognition in chronic shift workers
Chellappa, S. L., Morris, C. J., & Scheer, F. A. J. L. (2019) · Scientific Reports · doi:10.1038/s41598-018-36762-w · Cited by 139 · see citing works
Smith‐Miller, C. A., Shaw‐Kokot, J., Curro, B., & Jones, C. B. (2014) · JONA The Journal of Nursing Administration · doi:10.1097/nna.0000000000000104 · Cited by 132 · see citing works
Nurses' sleep, work hours, and patient care quality, and safety
Stimpfel, A. W., Fatehi, F. K., & Kovner, C. T. (2019) · Sleep Health · doi:10.1016/j.sleh.2019.11.001 · Cited by 132 · see citing works
Factors Associated with Work-Related Fatigue and Recovery in Hospital Nurses Working 12-Hour Shifts
Han, K., Trinkoff, A. M., & Geiger-Brown, J. M. (2014) · Workplace Health & Safety · doi:10.3928/21650799-20140826-01 · Cited by 130 · see citing works
Self-citationDaily circadian misalignment impairs human cognitive performance task-dependently
Chellappa, S. L., Morris, C. J., & Scheer, F. A. J. L. (2018) · Scientific Reports · doi:10.1038/s41598-018-20707-4 · Cited by 120 · see citing works
Anwer, S., Li, H., Antwi‐Afari, M. F., Umer, W., & Wong, A. Y. L. (2021) · Journal of Construction Engineering and Management · doi:10.1061/(asce)co.1943-7862.0002038 · Cited by 119 · see citing works
Fatigue, personnel scheduling and operations: Review and research opportunities
Xu, S., & Hall, N. G. (2021) · European Journal of Operational Research · doi:10.1016/j.ejor.2021.03.036 · Cited by 122 · see citing works
Jones, G., Hocine, M. N., Salomon, J., Dab, W., & Temime, L. (2014) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2014.07.015 · Cited by 115 · see citing works
Recovery between Work Shifts among Emergency Medical Services Clinicians
Patterson, P. D., Buysse, D. J., Weaver, M. D., Callaway, C. W., & Yealy, D. M. (2015) · Prehospital Emergency Care · doi:10.3109/10903127.2014.995847 · Cited by 106 · see citing works
Rayan, A., Sisan, M., & Baker, O. G. (2018) · Journal of Nursing Research · doi:10.1097/jnr.0000000000000291 · Cited by 105 · see citing works
Fatigue and recovery in 12-hour dayshift hospital nurses
Chen, J., Davis, K. G., Daraiseh, N. M., Pan, W., & Davis, L. S. (2013) · Journal of Nursing Management · doi:10.1111/jonm.12062 · Cited by 103 · see citing works
Al-Maamari, Q., Sharour, L. M. A., & Omari, O. A. (2020) · British Journal of Nursing · doi:10.12968/bjon.2020.29.1.28 · Cited by 103 · see citing works
Roskoden, F. C., Krüger, J., Vogt, L., Gärtner, S., Hannich, H. J., Steveling, A., Lerch, M. M., & Aghdassi, A. A. (2017) · PLoS ONE · doi:10.1371/journal.pone.0169983 · Cited by 100 · see citing works
Chin, W., Guo, Y. L., Hung, I. Y., Yang, C., & Shiao, J. S. (2014) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2014.09.003 · Cited by 99 · see citing works
The impact of long work hours and shift work on cognitive errors in nurses
Rhéaume, A., & Mullen, J. E. (2017) · Journal of Nursing Management · doi:10.1111/jonm.12513 · Cited by 92 · see citing works
Hajali, V., Andersen, M. L., Negah, S. S., & Sheibani, V. (2019) · Hormones and Behavior · doi:10.1016/j.yhbeh.2018.12.013 · Cited by 89 · see citing works
Nurses’ experiences and preferences around shift patterns: A scoping review
Ejebu, O., Dall’Ora, C., & Griffiths, P. (2021) · PLoS ONE · doi:10.1371/journal.pone.0256300 · Cited by 90 · see citing works
Lifestyles and Health-Related Outcomes of U.S. Hospital Nurses: A Systematic Review
Priano, S. M., Hong, O. S., & Chen, J. (2017) · Nursing Outlook · doi:10.1016/j.outlook.2017.08.013 · Cited by 85 · see citing works
Querstret, D., O'Brien, K. E., Skene, D. J., & Maben, J. (2019) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2019.103513 · Cited by 92 · see citing works
Sickness absence in healthcare workers during the COVID-19 pandemic
Gohar, B., Larivière, M. A. S., & Nowrouzi‐Kia, B. (2020) · Occupational Medicine · doi:10.1093/occmed/kqaa093 · Cited by 80 · see citing works
Fatigue and recovery in shiftworking nurses: A scoping literature review
Gifkins, J., Johnston, A. N. B., Loudoun, R. J., & Troth, A. C. (2020) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2020.103710 · Cited by 82 · see citing works
Sleep-Related Problems in Night Shift Nurses: Towards an Individualized Interventional Practice
Alfonsi, V., Scarpelli, S., Gorgoni, M., Pazzaglia, M., Giannini, A. M., & Gennaro, L. D. (2021) · Frontiers in Human Neuroscience · doi:10.3389/fnhum.2021.644570 · Cited by 77 · see citing works
Bazazan, A., Dianat, I., Mombeini, Z., Aynehchi, A., & Jafarabadi, M. A. (2018) · Accident Analysis & Prevention · doi:10.1016/j.aap.2018.01.042 · Cited by 76 · see citing works
Decreased psychomotor vigilance of female shift workers after working night shifts
Behrens, T., Burek, K., Pallapies, D., Kösters, L., Lehnert, M., Beine, A., Wichert, K., Kantermann, T., Vetter, C., Brüning, T., et al. (2019) · PLoS ONE · doi:10.1371/journal.pone.0219087 · Cited by 77 · see citing works
Katori, M., Shi, S., Ode, K. L., Tomita, Y., & Ueda, H. R. (2022) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.2116729119 · Cited by 75 · see citing works
Poor dietary behaviors among hospital nurses in Seoul, South Korea
Han, K., Choi‐Kwon, S., & Kim, K. S. (2015) · Applied Nursing Research · doi:10.1016/j.apnr.2015.10.009 · Cited by 70 · see citing works
Impact of 12 h shift patterns in nursing: A scoping review
Harris, R., Sims, S., Parr, J., & Davies, N. (2015) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2014.10.014 · Cited by 69 · see citing works
Policy brief: Nurse fatigue, sleep, and health, and ensuring patient and public safety
Caruso, C. C., Baldwin, C. M., Berger, A. M., Chasens, E. R., Edmonson, J. C., Gobel, B. H., Landis, C. A., Patrician, P. A., Redeker, N. S., Scott, L. D., et al. (2019) · Nursing Outlook · doi:10.1016/j.outlook.2019.08.004 · Cited by 67 · see citing works
Self-citationZhang, Y., Duffy, J. F., & De Castillero, E. R. (2017) · Journal of Psychiatric and Mental Health Nursing · doi:10.1111/jpm.12409 · Cited by 66 · see citing works
Sleep Quality and Vigilance Differ Among Inpatient Nurses Based on the Unit Setting and Shift Worked
Surani, S., Hesselbacher, S. E., Guntupalli, B., Surani, S. S., & Subramanian, S. (2014) · Journal of Patient Safety · doi:10.1097/pts.0000000000000089 · Cited by 65 · see citing works
Geiger-Brown, J. M., Sagherian, K., Zhu, S., Wieroniey, M. A., Blair, L., Warren, J. I., Hinds, P. S., & Szeles, R. (2016) · AJN American Journal of Nursing · doi:10.1097/01.naj.0000482953.88608.80 · Cited by 64 · see citing works
Self-citationChronotype, Sleep Characteristics, and Musculoskeletal Disorders Among Hospital Nurses
Zhang, Y., Duffy, J. F., de Castillero, E. R., & Wang, K. (2017) · Workplace Health & Safety · doi:10.1177/2165079917704671 · Cited by 63 · see citing works
Gurubhagavatula, I., Barger, L. K., Barnes, C. M., Basner, M., Boivin, D. B., Dawson, D. E., Drake, C. L., Flynn‐Evans, E. E., Mysliwiec, V., Patterson, P. D., et al. (2021) · SLEEP · doi:10.1093/sleep/zsab161 · Cited by 63 · see citing works
Fatigue in Intensive Care Nurses and Related Factors
Çelik, S., Taşdemir, N., Kurt, A., İlgezdi, E., & Kubalas, Ö. (2017) · The International Journal of Occupational and Environmental Medicine · doi:10.15171/ijoem.2017.1137 · Cited by 58 · see citing works
Khan, W. A. A., Jackson, M. L., Kennedy, G. A., & Conduit, R. (2021) · Scientific Reports · doi:10.1038/s41598-020-79093-5 · Cited by 56 · see citing works
Gurubhagavatula, I., Barger, L. K., Barnes, C. M., Basner, M., Boivin, D. B., Dawson, D. E., Drake, C. L., Flynn‐Evans, E. E., Mysliwiec, V., Patterson, P. D., et al. (2021) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.9512 · Cited by 65 · see citing works
A Survey on Drowsiness Detection: Modern Applications and Methods
Fu, B., Boutros, F., Lin, C., & Damer, N. (2024) · IEEE Transactions on Intelligent Vehicles · doi:10.1109/tiv.2024.3395889 · Cited by 51 · see citing works
Exploring the impact of 12-hour shifts on nurse fatigue in intensive care units
Yu, F., Somerville, D. J., & King, A. I. I. (2019) · Applied Nursing Research · doi:10.1016/j.apnr.2019.151191 · Cited by 53 · see citing works
Savic, M., Ogeil, R. P., Sechtig, M. J., Lee-Tobin, P. A., Ferguson, N., & Lubman, D. I. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16203821 · Cited by 51 · see citing works
Ahmadi, N., Sasangohar, F., Yang, J., Yu, D., Danesh, V. C., Klahn, S., & Masud, F. N. (2022) · Human Factors The Journal of the Human Factors and Ergonomics Society · doi:10.1177/00187208221085335 · Cited by 51 · see citing works
Chaiard, J., Deeluea, J., Suksatit, B., Songkham, W., & Inta, N. (2018) · Journal of Occupational Health · doi:10.1539/joh.2017-0258-oa · Cited by 50 · see citing works
Zong, H., Yi, W., Antwi‐Afari, M. F., & Yu, Y. (2024) · Safety Science · doi:10.1016/j.ssci.2024.106529 · Cited by 52 · see citing works
Karhula, K., Härmä, M., Sallinen, M., Hublin, C., Virkkala, J., Mika Kivimaki, B., Vahtera, J., & Puttonen, S. (2013) · Ergonomics · doi:10.1080/00140139.2013.837514 · Cited by 50 · see citing works
Work-related self-assessed fatigue and recovery among nurses
Blasche, G., Bauböck, V.-M., & Haluza, D. (2016) · International Archives of Occupational and Environmental Health · doi:10.1007/s00420-016-1187-6 · Cited by 49 · see citing works
Wolf, L. A., Perhats, C., Delao, A. M., & Martinovich, Z. (2017) · JONA The Journal of Nursing Administration · doi:10.1097/nna.0000000000000435 · Cited by 49 · see citing works
Sagherian, K., Cho, H., & Steege, L. M. B. (2022) · Journal of Clinical Nursing · doi:10.1111/jocn.16451 · Cited by 48 · see citing works
Neurocognitive impairment in night and shift workers: a meta-analysis of observational studies
Vlasak, T., Dujlovic, T., & Barth, A. (2022) · Occupational and Environmental Medicine · doi:10.1136/oemed-2021-107847 · Cited by 47 · see citing works
Work-Family Conflict, Sleep, and Mental Health of Nursing Assistants Working in Nursing Homes
Zhang, Y., Punnett, L., & Nannini, A. (2016) · Workplace Health & Safety · doi:10.1177/2165079916665397 · Cited by 49 · see citing works
Santana, I. R., Anaya-Montes, M., Chalkley, M., Jacobs, R., Kowalski, T., & Suter, J. (2020) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2020.103611 · Cited by 48 · see citing works
Professional quality of life, sleep disturbance and health among nurses: A mediation analysis
Lee, L. J., Wehrlen, L., Ding, Y., & Ross, A. C. (2021) · Nursing Open · doi:10.1002/nop2.978 · Cited by 45 · see citing works
Zhang, Y., Punnett, L., McEnany, G. P., & Gore, R. J. (2015) · Geriatric Nursing · doi:10.1016/j.gerinurse.2015.08.010 · Cited by 45 · see citing works
Schmidt, R. E., Cullati, S., Mostofsky, E., Haller, G., Agoritsas, T., Mittleman, M. A., Perneger, T., & Courvoisier, D. S. (2015) · PLoS ONE · doi:10.1371/journal.pone.0139770 · Cited by 45 · see citing works
Misaligned core body temperature rhythms impact cognitive performance of hospital shift work nurses
Molzof, H. E., Prapanjaroensin, A., Patel, V. H., Mokashi, M. V., Gamble, K. L., & Patrician, P. A. (2019) · Neurobiology of Learning and Memory · doi:10.1016/j.nlm.2019.01.002 · Cited by 44 · see citing works
A unique, fast-forwards rotating schedule with 12-h long shifts prevents chronic sleep debt
Fischer, D. R., Vetter, C., Oberlinner, C., Wegener, S., & Roenneberg, T. (2016) · Chronobiology International · doi:10.3109/07420528.2015.1113986 · Cited by 41 · see citing works
Furihata, R., Saitoh, K., Suzuki, M., Jike, M., Kaneita, Y., Ohida, T., Buysse, D. J., & Uchiyama, M. (2019) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2019.152151 · Cited by 42 · see citing works
Cho, H., Sagherian, K., & Steege, L. M. B. (2021) · Workplace Health & Safety · doi:10.1177/2165079920987543 · Cited by 45 · see citing works
The prevalence of fatigue among Chinese nursing students in post-COVID-19 era
Liu, S., Xi, H., Zhu, Q., Ji, M., Zhang, H., Yang, B. X., Bai, W., Cai, H. X., Zhao, Y.-J., Chen, L., et al. (2021) · PeerJ · doi:10.7717/peerj.11154 · Cited by 43 · see citing works
Effects of Shift Work on the Postural and Psychomotor Performance of Night Workers
Narciso, F. V., Barela, J. Â., Aguiar, S. A., Carvalho, A. N. S., Tufik, S., & de Mello, M. T. (2016) · PLoS ONE · doi:10.1371/journal.pone.0151609 · Cited by 41 · see citing works
Querstret, D., O'Brien, K. E., Skene, D. J., & Maben, J. (2020) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2020.103745 · Cited by 43 · see citing works
Qanash, S. A., Alwafi, H. H., Barasheed, S., Bashnaini, S., Andergiri, R., Yaghmour, L., Murad, W., Shabrawishi, M., Naser, A. Y., & Alsywid, B. (2021) · BMJ Open · doi:10.1136/bmjopen-2020-046036 · Cited by 51 · see citing works
Occupational screening for sleep disorders in 12-h shift nurses using the Berlin Questionnaire
Geiger-Brown, J., Rogers, V. E., Han, K., Trinkoff, A., Bausell, R. B., & Scharf, S. M. (2013) · Sleep And Breathing · doi:10.1007/s11325-012-0705-3 · Cited by 40 · see citing works
Self-citationMin, A., Kang, M., & Hong, H. C. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18063236 · Cited by 45 · see citing works
Prevalence and correlates of burnout in health professionals in Ecuador
Ramírez, M. R., Otero, P., Blanco, V., Ontaneda, M. P., Fernández, O. D., & Vázquez, F. L. (2017) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2017.11.011 · Cited by 39 · see citing works
Work- and Nonwork-Related Factors Associated With PACU Nurses' Fatigue
Hazzard, B., Johnson, K. L., Dordunoo, D., Klein, T., Russell, B., & Walkowiak, P. (2013) · Journal of PeriAnesthesia Nursing · doi:10.1016/j.jopan.2012.06.010 · Cited by 39 · see citing works
Chen, L., Luo, C., Liu, S., Chen, W., Liu, Y., Li, Y., Du, Y., Zou, H., & Pan, J. (2018) · Sleep And Breathing · doi:10.1007/s11325-018-1684-9 · Cited by 38 · see citing works
Predicting nurse fatigue from measures of work demands
Brzozowski, S. L., Cho, H., Knudsen, É. N. A., & Steege, L. M. B. (2020) · Applied Ergonomics · doi:10.1016/j.apergo.2020.103337 · Cited by 38 · see citing works
Impact of Work Schedules on Sleep Duration of Critical Care Nurses
Allen, A. J. H., Park, J. E., Adhami, N., Sirounis, D., Tholin, H., Dodek, P., Rogers, A. E., & Ayas, N. (2014) · American Journal of Critical Care · doi:10.4037/ajcc2014876 · Cited by 38 · see citing works
Brown, J. G., Wieroney, M., Blair, L., Zhu, S., Warren, J. I., Scharf, S. M., & Hinds, P. S. (2014) · Sleep And Breathing · doi:10.1007/s11325-013-0935-z · Cited by 38 · see citing works
Self-citationEffects of a 12-hour shift on mood states and sleepiness of Neonatal Intensive Care Unit nurses
Ferreira, T. S., Moreira, C. Z., Guo, J. W., & Noce, F. (2017) · Revista da Escola de Enfermagem da USP · doi:10.1590/s1980-220x2016033203202 · Cited by 39 · see citing works
Min, A., Hong, H. C., Son, S., & Lee, T. (2021) · Journal of Nursing Management · doi:10.1111/jonm.13446 · Cited by 37 · see citing works
James, L., Elkins‐Brown, N., Wilson, M., James, S., Dotson, E., Edwards, C. D., Wintersteen-Arleth, L., Stevens, K. V., & Butterfield, P. (2021) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2021.104041 · Cited by 39 · see citing works
Eanes, L. S. (2015) · AJN American Journal of Nursing · doi:10.1097/01.naj.0000463025.42388.10 · Cited by 37 · see citing works
A Review of Ambulatory Health Data Collection Methods for Employee Experience Sampling Research
Eatough, E. M., Shockley, K. M., & Yu, P. J. (2016) · Applied Psychology · doi:10.1111/apps.12068 · Cited by 36 · see citing works
Zion, N., & Shochat, T. (2019) · Journal of Advanced Nursing · doi:10.1111/jan.14031 · Cited by 37 · see citing works
Sources of work‐related acute fatigue in United States hospital nurses
Chen, J., Daraiseh, N. M., Davis, K. G., & Pan, W. (2014) · Nursing and Health Sciences · doi:10.1111/nhs.12104 · Cited by 35 · see citing works
Interpretation of Hospital Nurse Fatigue Using Latent Profile Analysis
Drake, D. A., & Steege, L. M. B. (2016) · Advances in Nursing Science · doi:10.1097/ans.0000000000000130 · Cited by 35 · see citing works
Safe limits on work hours for the nursing profession: a rapid evidence review
Scott-Marshall, H. (2024) · Frontiers in Global Women's Health · doi:10.3389/fgwh.2024.1455422 · Cited by 39 · see citing works
Health effects of sleep deprivation on nurses working shifts
Stanojević, Č., Simić, S., & Milutinović, D. (2016) · Medicinski pregled · doi:10.2298/mpns1606183s · Cited by 33 · see citing works
Stewart, K., Doody, O., Bailey, M., & Moran, S. (2017) · International Journal of Palliative Nursing · doi:10.12968/ijpn.2017.23.12.577 · Cited by 33 · see citing works
Baek, J., Han, K., & Choi‐Kwon, S. (2020) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2020.103719 · Cited by 34 · see citing works
Sleep health is associated with next-day mindful attention in healthcare workers
Lee, S., Mu, C., Gonzalez, B. D., Vinci, C., & Small, B. J. (2020) · Sleep Health · doi:10.1016/j.sleh.2020.07.005 · Cited by 33 · see citing works
Health Risks and Potential Predictors of Fatigue and Sleepiness in Airline Cabin Crew
Wen, C. C. Y., Nicholas, C. L., Clarke‐Errey, S., Howard, M. E., Trinder, J. C., & Jordan, A. S. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18010013 · Cited by 32 · see citing works
Ose, S. O., Tjønnås, M. S., Kaspersen, S. L., & Færevik, H. (2019) · BMJ Open · doi:10.1136/bmjopen-2018-024292 · Cited by 32 · see citing works
- Authors
- Geiger-Brown, J., Rogers, V. E., Trinkoff, A. M., Kane, R. L., Bausell, R. B., & Scharf, S. M.
- Affiliations
- University of Maryland, Baltimore (US)
- University of Pennsylvania (US)
- Corresponding author
- Geiger-Brown, Jeanne
- Venue
- Chronobiology International
- Publisher
- Informa UK Limited
- Published
- 2012-02-10
- Volume
- 29
- Issue
- 2
- Pages
- 211-219
- ISSN
- 0742-0528 (ISSN-L)
- 1525-6073
- OpenAlex
- W1975400017
- Semantic Scholar
- 77d82a852929f554d8e45eacfece34f2cc457e84
- Cited by
- 382
- References
- 53
- Citations by year
- 2026: 8 · 2025: 32 · 2024: 21 · 2023: 19 · 2022: 41 · 2021: 54 · 2020: 32 · 2019: 33 · 2018: 36 · 2017: 27 · 2016: 25 · 2015: 20 · 2014: 23 · 2013: 10 · 2012: 1
- FWCI
- 23.13
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Chronobiology International (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5k12rr023250-05)
- National Center for Research Resources (1K12RR023250)
- National Institute for Occupational Safety and Health (R21OH008392)
- 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 › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Keywords
- shift work, 12-hour shifts, nurses, sleep deprivation, sleepiness, occupational fatigue, neurobehavioral performance, sustained attention, reaction time, attentional lapses, caffeine consumption, sleep debt, night shift work, day shift, actigraphy, Karolinska Sleepiness Scale
- MeSH terms
- Adult, Circadian Rhythm, Fatigue, Female, Humans, Sleep Initiation and Maintenance Disorders, Male, Middle Aged, Neuropsychological Tests, Sleep, Task Performance and Analysis, Wakefulness, Work, Work Schedule Tolerance, Young Adult
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
