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Updated: Jun 28, 2025

Collecting Sleep, Circadian, Fatigue, and Performance Data in Complex Operational Environments
Published on: August 8, 2019
Nurses' level of sleepiness during night shift.
Ali Kaplan1, Cevriye Ozdemir1, Emre Bulbul2
1University of Kayseri, İncesu Ayşe and Saffet Arslan Health Services Vocational School, Department of Medical Services and Techniques, Kayseri, Türkiye.
Night shift nurses experience peak sleepiness at 5:00 am, influenced by personal and clinical factors. Addressing these factors is crucial for patient and staff safety.
Area of Science:
- Nursing Research
- Occupational Health
- Sleep Science
Background:
- Night shift work is associated with sleepiness, posing risks to patient and staff safety in nursing.
- Understanding nurse sleepiness is critical for healthcare quality and safety.
Purpose of the Study:
- To identify peak sleepiness hours for nurses.
- To determine factors influencing nurse sleepiness levels during night shifts.
Main Methods:
- Prospective cross-sectional study conducted from July to September 2023.
- Stratified sampling by nursing department, data collection via Personal Information Form and Visual Analog Scale.
- Nurses self-reported sleepiness hourly from midnight to 8:00 am.
Main Results:
- The highest mean sleepiness level was reported at 5:00 am.
- Emergency department nurses reported the highest average sleepiness (59.75 ± 15.50).
- Age, gender, marital status, sleep quality, patient load, work style, and job satisfaction significantly correlated with sleepiness (P < 0.05).
Conclusions:
- Nurses working night shifts experience significant sleepiness, peaking at 5:00 am.
- Personal and clinical factors demonstrably impact nurse sleepiness levels.
- Policy development is recommended to optimize working hours and conditions, enhancing safety.
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