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Open AccessArticle

Effects of Clockwise and Counterclockwise Job Shift Work Rotation on Sleep and Work-Life Balance on Hospital Nurses

1
Internal Medicine Humanitas Clinical and Research Center, 20089 Rozzano, Italy
2
Biomedical Sciences Department, Humanitas University, 20089 Rozzano, Italy
3
Surgery Department, Borgomanero Hospital, ASL Novara, 28021 Borgomanero, Italy
4
Departamento de Kinesiologia, Universidad Catolica del Maule, Talca 3480112, Chile
5
IRCCS Istituti Clinici Scientifici Maugeri, 20138 Milan, Italy
6
Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, University of Milan, 20122 Milan, Italy
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2018, 15(9), 2038; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph15092038
Received: 30 July 2018 / Revised: 27 August 2018 / Accepted: 8 September 2018 / Published: 18 September 2018
(This article belongs to the Special Issue Workplace Health Promotion 2018)
Rotational shift work is associated with sleep disturbances, increased risk of cardiovascular and psychological disorders, and may negatively impact work–life balance. The direction of shift rotation (Clockwise, CW or counterclockwise, CCW) and its role in these disorders are poorly understood. The aim of the study was to investigate the effect of the shift schedule direction on sleep quantity and quality, alertness and work performance, and on work–life balance on hospital nurses. One-hundred female nurses, working a continuous rapid shift schedule in hospitals in the north of Italy, participated in this cross-sectional study. Fifty worked on CW rotation schedule (Morning: 6 a.m.–2 p.m., Afternoon: 2 p.m.–10 p.m., Night: 10 p.m.–6 a.m., 2 rest days) and fifty on CCW rotation (Afternoon, Morning, Morning, Night, 3 rest days). Data were collected by ad hoc questionnaire and daily diary. During the shift cycle CW nurses slept longer (7.40 ± 2.24 h) than CCW (6.09 ± 1.73; p < 0.001). CW nurses reported less frequently than CCW awakening during sleep (40% vs. 80%; p < 0.001), attention disturbance during work (20% vs. 64%; p < 0.001), and interference with social and family life (60% vs. 96% and 20% vs. 70%, respectively; p < 0.001). CCW rotating shift schedule seems to be characterized by higher sleep disturbances and a worse work–life balance. View Full-Text
Keywords: shift work; sleep disturbances; work-life balance; hospital nurses; clockwise and counterclockwise shift rotation shift work; sleep disturbances; work-life balance; hospital nurses; clockwise and counterclockwise shift rotation
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MDPI and ACS Style

Shiffer, D.; Minonzio, M.; Dipaola, F.; Bertola, M.; Zamuner, A.R.; Dalla Vecchia, L.A.; Solbiati, M.; Costantino, G.; Furlan, R.; Barbic, F. Effects of Clockwise and Counterclockwise Job Shift Work Rotation on Sleep and Work-Life Balance on Hospital Nurses. Int. J. Environ. Res. Public Health 2018, 15, 2038. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph15092038

AMA Style

Shiffer D, Minonzio M, Dipaola F, Bertola M, Zamuner AR, Dalla Vecchia LA, Solbiati M, Costantino G, Furlan R, Barbic F. Effects of Clockwise and Counterclockwise Job Shift Work Rotation on Sleep and Work-Life Balance on Hospital Nurses. International Journal of Environmental Research and Public Health. 2018; 15(9):2038. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph15092038

Chicago/Turabian Style

Shiffer, Dana; Minonzio, Maura; Dipaola, Franca; Bertola, Mattia; Zamuner, Antonio R.; Dalla Vecchia, Laura A.; Solbiati, Monica; Costantino, Giorgio; Furlan, Raffaello; Barbic, Franca. 2018. "Effects of Clockwise and Counterclockwise Job Shift Work Rotation on Sleep and Work-Life Balance on Hospital Nurses" Int. J. Environ. Res. Public Health 15, no. 9: 2038. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph15092038

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