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Chronotype, nursing activity, and gender: A systematic review.
Pablo J López-Soto1,2, Fabio Fabbian3,4, Rosaria Cappadona3,4
1Department of Nursing, Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Córdoba, Spain.
Journal of Advanced Nursing
|October 12, 2018
Summary
Female nurses, particularly those with an evening chronotype, experience more sleep and mood issues like insomnia and anxiety. This highlights risks for nursing staff and patient care quality.
Area of Science:
- Occupational Health
- Sleep Medicine
- Psychiatry
Background:
- Shift work is linked to adverse health outcomes.
- Chronotype and gender differences influence these associations.
- Nursing professionals face unique occupational stressors.
Purpose of the Study:
- To synthesize evidence on chronotype and gender effects on sleep and mood problems in nurses.
- To identify specific risks for nursing professionals.
Main Methods:
- Quantitative systematic review of 23 studies (5 cohort, 18 cross-sectional).
- Searches conducted in major databases (MEDLINE, Scopus, etc.) from 2012-2017.
- Cochrane guidelines and PRISMA statement used for review methodology.
Main Results:
- Limited data on gender differences, but indicated higher sleep problems in female nurses.
- Female nurses with evening chronotypes reported more insomnia, fatigue, and anxiety.
- Morning chronotype nurses showed fewer sleep and mood disturbances.
Conclusions:
- Female nurses with evening chronotypes are more susceptible to insomnia, sleepiness, fatigue, and anxiety.
- Findings have implications for nursing well-being and patient safety.
- Addresses the need for targeted interventions for at-risk nursing staff.
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