![]() ![]() Some studies have reported that adverse effects of night shiftwork on the physiological status of nurses include anxiety, musculoskeletal disorders, stress and development of obesity from poor feeding habit (Banakhar, 2017 Booker et al., 2020 Books et al., 2020 Liu et al., 2018 Thompson et al., 2017). Beyond sleep deprivation, night shiftwork may also have other physiological effects on nurses. Also, Johnson et al. ( 2014) found that 56% of 289 nurses involved in night shifts were sleep‐deprived and sleep‐deprived nurses had a higher mean number of patient care errors than non‐sleep‐deprived nurses. Niu et al. ( 2013) reported in a randomized study of 62 nurses that the error rate on a standard test for night‐shift workers was 44% higher than fixed‐day‐shift workers. Nurses involved with night shiftwork have encountered several challenges with their job performance and patient safety. A systematic review found that most studies reported on rotational shiftwork and night shifts together because the characteristics of these two shifts are linked to one another and it postulates that the research papers produced so far have not specifically investigated the effects of night shiftwork (Dall' Ora et al., 2016). There are a limited number of studies regarding the impact of night shiftwork on nurses (Dall' Ora et al., 2016 Han, et al., 2017 Niu et al., 2013). These challenges have led to calls for the introduction of napping during night shifts among nursing staff (Li et al., 2019). More so, the challenges of shiftwork are associated with intention to leave the profession and thus, turnover of nurses and night work has been found to be a risk factor for future disability retirement (Park et al., 2019 Ropponen et al., 2018). Burch et al. ( 2009) showed that fixed night shiftwork could be associated with increased job dissatisfaction. Some studies have shown that night shiftwork is associated with poor performance and adoption of low safety indicators when such shifts are performed within a rotating shift schedule (Han, Trinkoff & Geiger‐Brown, 2014 Niu et al., 2013). ![]() Night shiftwork, which requires nurses to work at night and sleep during the day, also significantly alters the circadian rhythm of affected persons (Kerkhof, 2018). Other studies have reported problems with job performances and psychosocial well‐being (Banakhar, 2017 Ferri et al., 2016). Studies that investigated the negative impact of night shiftwork have shown that it affects workers' health, mainly causing fatigue, sleepiness, mood changes and weight gain (Books et al., 2020 Ferri et al., 2016 Giorgi et al., 2018 Siqueria et al., 2016). ![]() Twelve‐hour shift rotations are very common worldwide, but there are growing concerns about its impact on care quality and patient safety (Dall' Ora et al., 2016 Ferri et al., 2016). This is because hospitals and nursing services run a 24‐hr operation. Shiftwork is a standard method of professional practice and is unavoidable for many nurses (Dall' Ora et al., 2016). ![]()
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