Circadian Rhythms Characteristics of Nurses Providing Direct Patient Care: An Observational Study

IF 3.5 3区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Safety and Health at Work Pub Date : 2024-03-01 DOI:10.1016/j.shaw.2023.12.002
İlknur Dolu , Serap Açıkgöz , Ali Rıza Demirbaş , Erdem Karabulut
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Abstract

Background

In today's modern world, longer working hours, shift work, and working at night have become major causes of the disruption of our natural circadian rhythms. This study aimed to investigate the effects of the type of shift work (rotating vs. fixed day), duty period (on-duty vs. off-duty), and working period within each shift (nighttime vs. daytime) on the circadian rhythm characteristics of nurses who provide direct patient care.

Methods

This cross-sectional study used a purposive sampling method. Cosinor analysis was applied to analyze the actigraphy data of nurses providing direct patient care for seven consecutive days. The linear mixed effects model was then used to determine any variances between shift type, duty period, and working period within each shift for the nurses.

Results

The mesor value did not differ according to nurses' shift type, duty period, and working period within each shift. The amplitude was statistically higher in on-duty nurses and in daytime working hours. The acrophase was significantly delayed in nighttime working hours. As well as nurses in rotating shift had experience.

Conclusion

Our findings revealed that the peak activity of nurses occurs significantly later at night while working and nurses working during nighttime hours may have a weaker or less distinct circadian rhythm. Thus, this study suggests that limits be placed on the number of rotating nighttime shifts for nurses.

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直接为患者提供护理的护士的昼夜节律特征:观察研究
背景在当今的现代社会,工作时间延长、轮班工作和夜间工作已成为扰乱我们自然昼夜节律的主要原因。本研究旨在调查轮班工作的类型(轮班与固定日班)、值班时间(值班与非值班)和每班工作时间(夜间与白天)对直接护理病人的护士的昼夜节律特征的影响。采用 Cosinor 分析法对连续七天直接护理病人的护士的动觉数据进行分析。然后利用线性混合效应模型确定护士的轮班类型、值班时间和每个班次内的工作时间之间是否存在差异。据统计,值班护士和白天工作时间的振幅较高。夜间工作时间的尖峰相明显延迟。结论我们的研究结果表明,护士的活动高峰期明显晚于夜间工作时间,夜间工作的护士昼夜节律可能较弱或不明显。因此,本研究建议限制护士轮流值夜班的次数。
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来源期刊
Safety and Health at Work
Safety and Health at Work Social Sciences-Safety Research
CiteScore
6.40
自引率
5.70%
发文量
1080
审稿时长
38 days
期刊介绍: Safety and Health at Work (SH@W) is an international, peer-reviewed, interdisciplinary journal published quarterly in English beginning in 2010. The journal is aimed at providing grounds for the exchange of ideas and data developed through research experience in the broad field of occupational health and safety. Articles may deal with scientific research to improve workers'' health and safety by eliminating occupational accidents and diseases, pursuing a better working life, and creating a safe and comfortable working environment. The journal focuses primarily on original articles across the whole scope of occupational health and safety, but also welcomes up-to-date review papers and short communications and commentaries on urgent issues and case studies on unique epidemiological survey, methods of accident investigation, and analysis. High priority will be given to articles on occupational epidemiology, medicine, hygiene, toxicology, nursing and health services, work safety, ergonomics, work organization, engineering of safety (mechanical, electrical, chemical, and construction), safety management and policy, and studies related to economic evaluation and its social policy and organizational aspects. Its abbreviated title is Saf Health Work.
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