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Related Experiment Video

Updated: Dec 9, 2025

Collecting Sleep, Circadian, Fatigue, and Performance Data in Complex Operational Environments
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Shift work and hospital employees: A descriptive multi-site study.

Susan F McElroy1, Adrienne Olney1, Cheri Hunt1

  • 1Children's Mercy - Kansas City, 2401 Gillham Road, Kansas City, MO 64108, USA.

International Journal of Nursing Studies
|September 15, 2020
PubMed
Summary

Shift work in hospitals impacts healthcare workers' fatigue and social life. Night and 12-hour shifts are linked to chronic fatigue and altered driving behaviors, increasing accident risks.

Keywords:
Circadian rhythmDrowsy drivingFatigueHospital workersSatisfactionShift work

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Area of Science:

  • Occupational Health
  • Healthcare Management
  • Human Factors Engineering

Background:

  • Hospitals utilize various shift patterns, including 12-hour shifts, to manage workload.
  • Research indicates potential negative health consequences for shift workers, such as fatigue.
  • Understanding the impact of 24/7 healthcare operations on employees is crucial.

Purpose of the Study:

  • To investigate the impact of shift work on social and domestic life satisfaction.
  • To examine the relationship between shift work and chronic fatigue.
  • To explore the prevalence and consequences of drowsy driving among shift workers.

Main Methods:

  • A multi-site descriptive survey study was conducted in four acute care hospitals.
  • Participants included 1563 healthcare workers from nursing, respiratory therapy, laboratory, radiology, and pharmacy departments.
  • Data collected included demographics, work characteristics, and validated scales for social/domestic satisfaction, circadian type, and chronic fatigue, along with drowsy driving incidents.

Main Results:

  • Night shift and 12-hour shift workers reported higher levels of chronic fatigue.
  • Night shift work predicted increased chronic fatigue and lower satisfaction with social/family life.
  • Working 12-hour shifts was associated with higher satisfaction with daily tasks and periodic activities.
  • 35% of workers modified driving due to drowsiness, and 19% experienced drowsy driving-related accidents or near misses.

Conclusions:

  • Night and long shifts negatively affect healthcare workers' fatigue, family, and social well-being.
  • Drowsy driving is a significant issue among shift workers, leading to frequent accidents.
  • Continued research and interventions are needed to enhance the safety and well-being of 24/7 work environments.