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The hidden shift: how do night shift nurses learn to adapt to circadian disruption?

Mary Lawson Carney1

  • 1Mary Lawson Carney, MSN, RN-BC, CCRN, is Staff Nurse, Pediatric Intensive Care Unit, Peyton Manning Children's Hospital at St. Vincent, Indianapolis, Indiana, and Adjunct Faculty, Western Governors University, Salt Lake City, Utah.

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Night shift nurses develop coping strategies for circadian rhythm disruption, impacting their well-being and professional lives. This study explores their adaptive behaviors and fatigue management techniques.

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Area of Science:

  • Nursing
  • Sleep Medicine
  • Occupational Health

Background:

  • Circadian rhythm disruption significantly affects night shift nurses' physical, psychosocial, and professional well-being.
  • Adapting to night shifts presents unique challenges for healthcare professionals.

Purpose of the Study:

  • To examine how night shift nurses learn and implement coping techniques to manage circadian rhythm disruption.
  • To identify adaptive strategies used by nurses working non-traditional hours.

Main Methods:

  • A qualitative, cross-sectional survey was conducted with 42 night shift nurses.
  • Template analysis was employed to categorize nurses' self-reported coping mechanisms.
  • Responses were compared against established industry best practices for fatigue countermeasures.

Main Results:

  • Nurses utilize diverse sleep/wake routines to manage circadian disruption.
  • A wide range of behaviors associated with driving while fatigued were documented.
  • Coping strategies varied significantly among participants.

Conclusions:

  • Night shift nurses employ varied strategies to cope with circadian disruption.
  • Understanding these coping mechanisms is crucial for developing targeted support and interventions.
  • Further research is needed to address fatigue-related risks, particularly driving while fatigued.