Cited by 382Sleep and Work-Related FatigueSleep and related disordersCircadian rhythm and melatonin

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Sleep, Sleepiness, Fatigue, and Performance of 12-Hour-Shift Nurses

Geiger-Brown, Jeanne, Rogers, Valerie E., Trinkoff, Alison M., Kane, Robert L., Bausell, R. Barker, Scharf, Steven M·2012·Chronobiology International

DOI 10.3109/07420528.2011.645752

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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.

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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
ORCID: Geiger-Brown, Jeanne
Rogers, Valerie E.
Trinkoff, Alison M.
Scharf, Steven M
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
DOI: 10.3109/07420528.2011.645752
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

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Sleep, Sleepiness, Fatigue, and Performance of 12-Hour-Shift Nurses

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