Review article
https://doi.org/10.31306/s.66.3.3
The impact of night shift work on the health of nurses
Milica Tepavac
orcid.org/0009-0009-0280-0283
; Klinička bolnica Sveti Duh, Zagreb, Hrvatska
*
Hana Brborović
; Škola narodnog zdravlja "Andrija Štampar", Zagreb, Hrvatska
Ognjen Brborović
; Škola narodnog zdravlja "Andrija Štampar", Zagreb, Hrvatska
* Corresponding author.
Abstract
Health care in the Republic of Croatia is organized at the primary, secondary, tertiary and health care institutions. Most nurses and technicians work at the secondary and tertiary levels, which includes continuous 24-hour care, and for this reason most nurses and technicians are exposed to night work. Night work affects health in a way that leads to sleep deprivation, fatigue, risk of mental and physical disorders and illnesses, but also disturbances in social and family life. 3 databases were searched: Pubmed, Google scholar and Proquest, the selection criteria were a systematic review of the literature and meta-analyzes, and only articles in English were considered. The literature review was performed according to PRISMA guidelines, the quality of the articles was evaluated by the AMSTAR-R evaluation instrument, the reliability between evaluators was made by the Cohen kappa coefficient, and the Corrected Covered Area (CCA) method was used to determine the overlap of the used literature. )). A review of systematic reviews and meta-analyzes, the results presented in this paper were obtained from 8 studies, 3 of which are systematic reviews, and 5 meta-analyzes, were published between 2013 and 2021 from different parts of the world (Europe, Asia, America) , Australia, Africa). Research has shown that night work affects nurses' sleep in terms of reducing its quality, and health itself in terms of increasing the risk of weight gain, developing metabolic syndrome, type 2 diabetes, cardiovascular disease, breast cancer, back pain and increasing alcohol intake. In addition to the impact on nurses' sleep and health, night work can lead to other risks for nurses, such as the risk of needlestick incidents, injuries and pain, mental and emotional disturbances, the desire to leave and car accidents, and for end users of health care, which are patients, risk of mismanagement of drugs, pressure ulcers, hypoglycemia, urinary tract infections and nosocomial infections. Additional research is needed related to the issue of night work, both with the risks it brings and the impact of potential solutions on them. Continuous education of nurses on this problem is needed in order to timely recognize the consequences of responding to them in a timely manner and thus reduce long-term health consequences. It is also necessary to continuously monitor the health condition and improve working conditions in accordance with the risk assessment of each site.
Keywords
nurses, night shift work, systematic review, meta analyze
Hrčak ID:
321093
URI
Publication date:
2.10.2024.
Visits: 251 *