Effects of clockwise and counterclockwise job shift work rotation on sleep and work-life balance on hospital nurses

Dana Shiffer, Maura Minonzio, Franca Dipaola, Mattia Bertola, Antonio Roberto Zamuner, Laura Adelaide Dalla Vecchia, Monica Solbiati, Giorgio Costantino, Raffaello Furlan, Franca Barbic

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Rotational shift work is associated with sleep disturbances, increased risk of cardiovascular and psychological disorders, and may negatively impact work–life balance. The direction of shift rotation (Clockwise, CW or counterclockwise, CCW) and its role in these disorders are poorly understood. The aim of the study was to investigate the effect of the shift schedule direction on sleep quantity and quality, alertness and work performance, and on work–life balance on hospital nurses. One-hundred female nurses, working a continuous rapid shift schedule in hospitals in the north of Italy, participated in this cross-sectional study. Fifty worked on CW rotation schedule (Morning: 6 a.m.–2 p.m., Afternoon: 2 p.m.–10 p.m., Night: 10 p.m.–6 a.m., 2 rest days) and fifty on CCW rotation (Afternoon, Morning, Morning, Night, 3 rest days). Data were collected by ad hoc questionnaire and daily diary. During the shift cycle CW nurses slept longer (7.40 ± 2.24 h) than CCW (6.09 ± 1.73; p < 0.001). CW nurses reported less frequently than CCW awakening during sleep (40% vs. 80%; p < 0.001), attention disturbance during work (20% vs. 64%; p < 0.001), and interference with social and family life (60% vs. 96% and 20% vs. 70%, respectively; p < 0.001). CCW rotating shift schedule seems to be characterized by higher sleep disturbances and a worse work–life balance.

Original languageEnglish
Article number2038
JournalInternational Journal of Environmental Research and Public Health
Volume15
Issue number9
DOIs
Publication statusPublished - Sep 18 2018

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Appointments and Schedules
Sleep
Nurses
Italy
Cross-Sectional Studies
Psychology
Work-Life Balance
Direction compound

Keywords

  • Clockwise and counterclockwise shift rotation
  • Hospital nurses
  • Shift work
  • Sleep disturbances
  • Work-life balance

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health, Toxicology and Mutagenesis

Cite this

@article{c7c453b5eb5f404f9761c1d2078daf8f,
title = "Effects of clockwise and counterclockwise job shift work rotation on sleep and work-life balance on hospital nurses",
abstract = "Rotational shift work is associated with sleep disturbances, increased risk of cardiovascular and psychological disorders, and may negatively impact work–life balance. The direction of shift rotation (Clockwise, CW or counterclockwise, CCW) and its role in these disorders are poorly understood. The aim of the study was to investigate the effect of the shift schedule direction on sleep quantity and quality, alertness and work performance, and on work–life balance on hospital nurses. One-hundred female nurses, working a continuous rapid shift schedule in hospitals in the north of Italy, participated in this cross-sectional study. Fifty worked on CW rotation schedule (Morning: 6 a.m.–2 p.m., Afternoon: 2 p.m.–10 p.m., Night: 10 p.m.–6 a.m., 2 rest days) and fifty on CCW rotation (Afternoon, Morning, Morning, Night, 3 rest days). Data were collected by ad hoc questionnaire and daily diary. During the shift cycle CW nurses slept longer (7.40 ± 2.24 h) than CCW (6.09 ± 1.73; p < 0.001). CW nurses reported less frequently than CCW awakening during sleep (40{\%} vs. 80{\%}; p < 0.001), attention disturbance during work (20{\%} vs. 64{\%}; p < 0.001), and interference with social and family life (60{\%} vs. 96{\%} and 20{\%} vs. 70{\%}, respectively; p < 0.001). CCW rotating shift schedule seems to be characterized by higher sleep disturbances and a worse work–life balance.",
keywords = "Clockwise and counterclockwise shift rotation, Hospital nurses, Shift work, Sleep disturbances, Work-life balance",
author = "Dana Shiffer and Maura Minonzio and Franca Dipaola and Mattia Bertola and Zamuner, {Antonio Roberto} and Vecchia, {Laura Adelaide Dalla} and Monica Solbiati and Giorgio Costantino and Raffaello Furlan and Franca Barbic",
year = "2018",
month = "9",
day = "18",
doi = "10.3390/ijerph15092038",
language = "English",
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journal = "International Journal of Environmental Research and Public Health",
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T1 - Effects of clockwise and counterclockwise job shift work rotation on sleep and work-life balance on hospital nurses

AU - Shiffer, Dana

AU - Minonzio, Maura

AU - Dipaola, Franca

AU - Bertola, Mattia

AU - Zamuner, Antonio Roberto

AU - Vecchia, Laura Adelaide Dalla

AU - Solbiati, Monica

AU - Costantino, Giorgio

AU - Furlan, Raffaello

AU - Barbic, Franca

PY - 2018/9/18

Y1 - 2018/9/18

N2 - Rotational shift work is associated with sleep disturbances, increased risk of cardiovascular and psychological disorders, and may negatively impact work–life balance. The direction of shift rotation (Clockwise, CW or counterclockwise, CCW) and its role in these disorders are poorly understood. The aim of the study was to investigate the effect of the shift schedule direction on sleep quantity and quality, alertness and work performance, and on work–life balance on hospital nurses. One-hundred female nurses, working a continuous rapid shift schedule in hospitals in the north of Italy, participated in this cross-sectional study. Fifty worked on CW rotation schedule (Morning: 6 a.m.–2 p.m., Afternoon: 2 p.m.–10 p.m., Night: 10 p.m.–6 a.m., 2 rest days) and fifty on CCW rotation (Afternoon, Morning, Morning, Night, 3 rest days). Data were collected by ad hoc questionnaire and daily diary. During the shift cycle CW nurses slept longer (7.40 ± 2.24 h) than CCW (6.09 ± 1.73; p < 0.001). CW nurses reported less frequently than CCW awakening during sleep (40% vs. 80%; p < 0.001), attention disturbance during work (20% vs. 64%; p < 0.001), and interference with social and family life (60% vs. 96% and 20% vs. 70%, respectively; p < 0.001). CCW rotating shift schedule seems to be characterized by higher sleep disturbances and a worse work–life balance.

AB - Rotational shift work is associated with sleep disturbances, increased risk of cardiovascular and psychological disorders, and may negatively impact work–life balance. The direction of shift rotation (Clockwise, CW or counterclockwise, CCW) and its role in these disorders are poorly understood. The aim of the study was to investigate the effect of the shift schedule direction on sleep quantity and quality, alertness and work performance, and on work–life balance on hospital nurses. One-hundred female nurses, working a continuous rapid shift schedule in hospitals in the north of Italy, participated in this cross-sectional study. Fifty worked on CW rotation schedule (Morning: 6 a.m.–2 p.m., Afternoon: 2 p.m.–10 p.m., Night: 10 p.m.–6 a.m., 2 rest days) and fifty on CCW rotation (Afternoon, Morning, Morning, Night, 3 rest days). Data were collected by ad hoc questionnaire and daily diary. During the shift cycle CW nurses slept longer (7.40 ± 2.24 h) than CCW (6.09 ± 1.73; p < 0.001). CW nurses reported less frequently than CCW awakening during sleep (40% vs. 80%; p < 0.001), attention disturbance during work (20% vs. 64%; p < 0.001), and interference with social and family life (60% vs. 96% and 20% vs. 70%, respectively; p < 0.001). CCW rotating shift schedule seems to be characterized by higher sleep disturbances and a worse work–life balance.

KW - Clockwise and counterclockwise shift rotation

KW - Hospital nurses

KW - Shift work

KW - Sleep disturbances

KW - Work-life balance

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