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Quick returns (QRs) of less than 11 hours between shifts significantly impair nurse sleep duration and increase sleepiness and stress. Adequate rest is crucial for healthcare professionals.

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Area of Science:

  • Occupational Health
  • Sleep Medicine
  • Nursing

Background:

  • Shift work is prevalent in nursing, impacting sleep and well-being.
  • Short intervals between shifts, known as quick returns (QRs), are a common concern.

Purpose of the Study:

  • To compare sleep characteristics of nurses experiencing quick returns (QRs) with other common shift transitions.
  • To identify the specific sleep detriments associated with QRs.

Main Methods:

  • Sixty-seven nurses recorded work and sleep patterns over two weeks.
  • A multilevel fixed effects model analyzed sleep data for QRs versus consecutive day, evening, and night shifts.

Main Results:

  • Quick returns (QRs) resulted in significantly shorter sleep duration (5.6 hours).
  • QRs were associated with prolonged sleep onset latency, abrupt sleep end, increased sleepiness, and higher perceived stress.

Conclusions:

  • Quick returns (QRs) impose substantial sleep detriments on nurses compared to other shift transitions.
  • The findings highlight the critical need for sufficient rest and recuperation time between nursing shifts.