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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

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Emergency nurses' activity levels across rotating shifts.

Stephanie E Chappel¹, Brad Aisbett², Julie Considine³

¹Deakin University, Geelong, Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition, Australia; Deakin University, Geelong, School of Nursing and Midwifery and Centre for Quality and Patient Safety Research, Australia; Centre for Quality and Patient Safety Research - Eastern Health Partnership, Box Hill, Australia.

Australasian Emergency Care

|April 8, 2020

Summary

Occupational physical activity in emergency nurses varies between consecutive shifts. Sedentary time in one shift may increase activity in the next, but vigorous activity may decrease it, depending on rotation type.

Keywords:

Emergency nursing Hospitals Nursing Physical activity Shift work schedule Workload

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Area of Science:

Occupational Health
Nursing Practice
Physical Activity Research

Background:

Emergency nurses often work rotating shift patterns, impacting their physical activity.
The relationship between physical activity levels across consecutive shifts for these nurses is not well understood.

Purpose of the Study:

To investigate the associations between emergency nurses' physical activity levels during one shift and the subsequent day's shift.

Main Methods:

Fifty emergency nurses wore accelerometers and inclinometers, completing work and sleep diaries.
Multi-level analyses were used to examine associations between activity levels across shifts.

Main Results:

Increased sedentary and light-intensity activity in one shift correlated with higher activity in the next, except for back-to-back night shifts.
Increased moderate-to-vigorous physical activity in one shift correlated with lower activity in the next for specific rotations (afternoon-morning, morning-afternoon).

Conclusions:

Shift sequencing significantly influences emergency nurses' physical activity patterns between shifts.
Further research is needed to explore strategies nurses use to manage activity levels across shifts.