The DOI matches its Crossref record; 53 of the 53 references it cites were found in a registry or an index.
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.
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In the citing paper
“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]
In the citing paper
“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]
In the citing paper
“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]
In the citing paper
“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 citing paper
“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]
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Metadata
- 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
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