Korean J Fam Pract. 2017; 7(4): 551-556  https://doi.org/10.21215/kjfp.2017.7.4.551
The Sleep Disorders of Nighttime Fixed Nurses and Shift-Work Nurses
Byeong-Hoon Oh, Jung-Cheol Park*, Hyung-Uk In, Ki-Won Kim
Department of Family Medicine, Green Hospital, Seoul, Korea
Jung-Cheol Park
Tel: +82-2-490-2207, Fax: +82-2-490-2242
E-mail: drawlife7@hanmail.net
Received: March 21, 2016; Revised: October 12, 2016; Accepted: October 25, 2016; Published online: August 20, 2017.
© Korean Academy of Family Medicine. All rights reserved.

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Background: Nurses in hospitals work a variety of shifts, and the incidences of sleep disorders and stress patterns were compared in nurses working different shifts.
Methods: Structured questionnaires were used to categorize nurses according to their shifts (daytime nurses, shift-work nurses, or nighttime fixed nurses). The demographic distributions, sleep disorders, and stress patterns in each group were compared.
Results: The nurses’ scores on the General Sleep Disturbance Scale (GSDS) and Global Assessment of Recent Stress were similar. The GSDS sleep scores decreased with aging. Night nurses (fixed and rotating) had more sleep disorders than day nurses did. However, the sleep disturbances were not related to the number of night shifts performed. In each group, the sleep disorders were closely related to sleep maintenance and quality, regardless of the total amount of sleep, and the disorders affected their performance. The responders who were aware of their sleep disorders were reluctant to use sleep aids.
Conclusion: Rotating and night shifts work against the body’s natural rhythms and cause sleep disorders. Nurses with fixed night shifts had similar sleep disorder patterns as nurses with rotating shifts.
Keywords: Shift-Work Nurses; Nighttime Fixed Nurses; General Sleep Disturbance Scale; GLobal Assessment of Recent Stress
References
  1. Kim YG, Yoon DY, Kim JI, Chae CH, Hong YS, Yang CG, et al. Effects of health on shift-work: general and psychological health, sleep, stress, quality of life. Korean J Occup Environ Med 2002; 14: 247-56.
  2. Del Campo MT, Romo PE, de la Hoz RE, Villamor JM, Mahíllo-Fernández I. Anxiety and depression predict musculoskeletal disorders in health care workers. Arch Environ Occup Health 2017; 72: 39-44.
    Pubmed CrossRef
  3. Vallières A, Azaiez A, Moreau V, LeBlanc M, Morin CM. Insomnia in shift work. Sleep Med 2014; 15: 1440-8.
    Pubmed CrossRef
  4. Boivin DB, Boudreau P. Impacts of shift work on sleep and circadian rhythms. Pathol Biol (Paris) 2014; 62: 292-301.
    Pubmed CrossRef
  5. Canuto R, Garcez AS, Olinto MT. Metabolic syndrome and shift work: a systematic review. Sleep Med Rev 2013; 17: 425-31.
    Pubmed CrossRef
  6. Waage S, Pallesen S, Moen BE, Magerøy N, Flo E, Di Milia L, et al. Predictors of shift work disorder among nurses: a longitudinal study. Sleep Med 2014;15: 1449-55.
    Pubmed CrossRef
  7. Lee CY, Chen HC, Meg Tseng MC, Lee HC, Huang LH. The relationships among sleep quality and chronotype, emotional disturbance, and insomnia vulnerability in shift nurses. J Nurs Res 2015; 23: 225-35.
    Pubmed CrossRef
  8. Hansen AB, Stayner L, Hansen J, Andersen ZJ. Night shift work and incidence of diabetes in the Danish Nurse Cohort. Occup Environ Med 2016;73: 262-8.
    Pubmed CrossRef
  9. Lee JT, Lee KJ, Park JB, Lee KW, Jang KY. The relations between shiftwork and sleep disturbance in a university hospital nurses. Korean J Occup Environ Med 2007; 19: 223-30.
  10. Byeon YS. The effects of 2 or 3 shift rotation on the fatigue and sleep. J Korean Biol Nurs Sci 2005; 7: 5-15.
  11. Bae JH, Jeong JH. Combined effects of individual background, work shift and job stress on the prevalence of sleep problems in hospital employers. J Korean Acad Fam Med 2003; 24: 232-44.
  12. Kim JM, Kang BH. The relationships between dietary behavior and health related factors according to shift work in nurses. J Nutr Health 2014; 47:416-25.
    CrossRef
  13. Lee ES, Kim KO, Song HJ, Lee JS, Kim SY, Lee HS, et al. Comparison of job satisfaction and nursing performance between nurses on fixed nights and nurses on three shifts, and nurses understanding of fixed night shift system. Journal of Korean Clinical Nursing Research 2012; 18: 63-73.
  14. Lee MA, Cho HJ, Ahn SH, Kim HJ. Perceptions on fixed night shift system and turnover intention of general hospital nurses. J Korean Acad Nurs Adm 2015; 21: 519-29.
    CrossRef
  15. Fernandez RC, Marino JL, Varcoe TJ, Davis S, Moran LJ, Rumbold AR, et al. Fixed or rotating night shift work undertaken by women: implications for fertility and miscarriage. Semin Reprod Med 2016; 34: 74-82.
    Pubmed CrossRef
  16. Kim SK. The night shift proved as second-class carcinogen, nevertheless being night fixed nurses. Rapportian. 2015 Dec 22; Internet. Korean.
  17. Choi H, Kim SJ, Kim B, Kim I. Korean versions of self-reported sleep questionnaires for research and practice on sleep disturbance. Korean J Rehabil Nurs 2012; 15: 1-10.
    CrossRef
  18. Linn MW. A Global Assessment of Recent Stress (GARS) Scale. Int J Psychiatry Med 1985-1986; 15: 47-59.
    Pubmed CrossRef
  19. Shin HC. Measuring stress with questionnaires. J Korean Med Assoc 2013;56: 485-95.
    CrossRef
  20. Koh KB, M, Park JK. Validity and reliability of the Korean vaersion of the global assessment of recent stress scale. Korean J Psychosom Med 2000; 8:201-11.
  21. Cheon SH. Relationships among daily hassles, social support, entrapment and mental health status by gender in university students. Korean J Women Health Nurs 2012; 18: 223-35.
    CrossRef
  22. Stroud LR, Salovey P, Epel ES. Sex differences in stress responses: social rejection versus achievement stress. Biol Psychiatry 2002; 52: 318-27.
    CrossRef
  23. Kim JE. 74% of nurse has career breaks because of pregnancy and parenting... half of the nurses suffers from low-income and turnover. Newsis. 2014 May 9; Internet. Korean.
  24. Zdanys KF, Steffens DC. Sleep disturbances in the elderly. Psychiatr Clin North Am 2015; 38: 723-41.
    Pubmed CrossRef
  25. Seo JH. Night fixed working, innovative experiment of Toyota. Hankyung. 2016 Sep 9; A9. Korean.
  26. Ministry of Gender Equality and Family (MOGEF). Fixed working hours, increase satisfaction and lower turnover rate. MOGEF policy news [Internet]. Seoul: MOGEF; [cited 2014]


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