The health impacts of nursing shift work
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This descriptive pilot study was intended to evaluate negative outcomes of shift work stress in nursing. Objective analysis of waist-hip-circumference ratios (WHR) and subjective survey reports were utilized to assess whether differences existed in expressed stress, stress related health disorders, and stress associated behaviors among day shift, night shift, and rotating shift registered nurses (RNs). Statistical analysis of the WHRs indicates that no statistical difference exists in the results from this study across the three nursing shifts.
Nonetheless, survey reports do suggest that variance exists between nursing shifts. For example, stress related health problems appear to be most prevalent with night shift and rotating shift nurses. Rotating shift RNs had the highest percentage of nurses with one or more health disorders, the highest percentage of bacterial or viral infections over the past 12 months, and the highest number of sick calls in the past 12 months. Rotating shift RNs also reported the highest prevalence of stress associated behaviors with the exception of motor vehicle crashes, which were reported most often from day shift nurses.
The literature reviewed as well as the data collected in this study supports that expressed stress does vary among day shift, night shift, and rotating shift RNs. Although the quantifiable data supports the presence of higher stress on day shifts, the WHR tool is unfortunately affected by many variables and as such may have provided unreliableresults. This tool needs to be further analyzed with a larger sample size and possibly with a better control of variables prior to accepting results of the collected WHR data. The results indicate that nurses, particularly those working rotating shifts, could benefit from stress reduction interventions. Moreover, future research should continue evaluating deleterious health effects of nursing shift work, and efficacy of stress reduction interventions in nursing. Stress reduction interventions including education and practice changes should be implemented at individual, facility, community, and federal levels to improve the health of nurses as well as the safety of patients.
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 1517248; ProQuest document ID: 1038974953. The author still retains copyright.
This item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
Type | Thesis |
Acquisition | Proxy-submission |
Review Type | None: Degree-based Submission |
Format | Text-based Document |
Evidence Level | Descriptive/Correlational |
Research Approach | Pilot/Exploratory Study |
Keywords | Shift Work; Health Effects; Stress; Nurses' Health |
Grantor | Minnesota State University, Mankato |
Advisor | de Ruiter, Hans-Peter; Sandve, Marlys |
Level | Master's |
Year | 2012 |
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