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Updated: Sep 12, 2025

Collecting Sleep, Circadian, Fatigue, and Performance Data in Complex Operational Environments

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Published on: August 8, 2019

How Shift Schedules Shape Nurses' Sleep and Compassion: A Comparative Study.

Munther Al-Hammouri¹, Jehad Rababah¹, Nid'a A Al-Jdeetawey¹

¹Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan.

International Nursing Review

|August 6, 2025

Summary

This summary is machine-generated.

Rotating shifts negatively impact nurses' sleep quality and increase compassion fatigue, unlike fixed shifts. Healthcare leaders should consider fixed schedules to improve nurse well-being and patient care.

Keywords:

compassion fatigue compassion satisfaction fixed shifts nurse rotating shifts sleep quality work schedule

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Area of Science:

Nursing and Healthcare Management
Occupational Health
Sleep Science

Background:

Irregular work schedules, common in nursing, are linked to decreased nurse well-being.
Rotating shifts are particularly associated with poor sleep quality and emotional exhaustion, potentially affecting patient care.
Understanding the impact of shift work on nurses is crucial for healthcare quality.

Purpose of the Study:

To investigate the relationship between fixed and rotating shifts and nurses' sleep quality.
To examine the association between fixed and rotating shifts and compassion fatigue in nurses.
To address the gap in knowledge regarding how work schedules affect nurse well-being and patient care.

Main Methods:

A cross-sectional study involving 288 nurses from public hospitals, with 144 in fixed and 144 in rotating shift groups.
Sleep quality assessed using the Pittsburgh Sleep Quality Index (PSQI).
Compassion fatigue measured by the Professional Quality of Life Scale (ProQOL), with data analyzed using independent samples t tests and Mann-Whitney U tests.

Main Results:

Nurses on rotating shifts reported significantly poorer sleep quality (p < 0.001).
Rotating shift nurses experienced higher levels of burnout and secondary traumatic stress (components of compassion fatigue) (p < 0.001).
Compassion satisfaction was significantly lower in the rotating shift group (p < 0.001), with large effect sizes observed.

Conclusions:

Rotating shifts are significantly associated with diminished sleep quality and increased compassion fatigue among nurses.
Healthcare organizations should consider implementing fixed shifts and resilience programs to enhance nurse well-being.
Prioritizing fixed schedules and targeted interventions is essential for a sustainable nursing workforce and optimal patient care.