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Updated: Mar 24, 2026

Collecting Sleep, Circadian, Fatigue, and Performance Data in Complex Operational Environments
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Firefighter Shift Schedules Affect Sleep Quality.

Joel Billings1, Will Focht

  • 1Fire and Emergency Management Administration Graduate Program, Department of Political Science, Oklahoma State University, Stillwater, Oklahoma.

Journal of Occupational and Environmental Medicine
|March 8, 2016
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Summary
This summary is machine-generated.

Most firefighters experience poor sleep quality, with the 24on/48off shift schedule offering the best rest. Disrupted circadian rhythms from certain schedules negatively impact firefighter health and safety.

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Area of Science:

  • Occupational Health
  • Sleep Medicine
  • Emergency Services Research

Background:

  • Firefighter work schedules, particularly shift work, are known to impact health and well-being.
  • Previous research indicates a potential link between shift schedules and sleep disturbances in first responders.

Purpose of the Study:

  • To determine the prevalence and severity of sleep quality issues among firefighters.
  • To analyze how different departmental shift schedules influence firefighter sleep quality.

Main Methods:

  • Utilized the Pittsburgh Sleep Quality Index (PSQI) to assess sleep quality.
  • Sampled 109 male career firefighters across six fire departments in the Southwestern US.
  • Compared sleep quality across three distinct shift schedules: 24 hours on/48 hours off, 48 hours on/96 hours off, and Kelly schedule.

Main Results:

  • A significant majority, 73% of firefighters, reported poor sleep quality.
  • The 24on/48off shift schedule was associated with the highest quality sleep.
  • The Kelly schedule was linked to the poorest sleep quality.
  • Firefighters holding second jobs reported substantially worse sleep quality.

Conclusions:

  • Shift schedules that significantly disrupt circadian rhythms are linked to diminished sleep quality in firefighters.
  • Poor sleep quality in firefighters can compromise emergency response effectiveness.
  • Disrupted sleep patterns pose increased health and safety risks for firefighters.