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Effect of the first night shift period on sleep in young nurse students

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Abstract

In young hospital nurses being exposed to a night shift work schedule for the first time in their occupational life, sleep quality is investigated quantitatively. A main sleep period and supplementary sleep periods were defined and analyzed to investigate sleep behavior and quality. A total of 30 young nurses (26 women, 4 men), mean age 20.2 ± 2.1 years participated. A 3 week nursing school period was followed by a 3 week work period with a 3–5 night shift sub-period and recovery days. Sleep–wake behavior was assessed with an actigraph, sleep diaries, Epworth sleepiness scale (ESS), and quality of life was assessed with a standard questionnaire (SF-36). Comparing the school period with the work shift period when excluding recovery days after night shift period significant increase of total sleep time within 24 h was found during the work days (ANOVA P < 0.05). During the night shift sub-period, there was just a small decline of the main sleep period at day (n.s.) which was not compensated by supplementary sleep episodes. The supplementary sleep during work day varied between 11 min (school period) and 18 min after recovery days from night shift (n.s.). Young healthy nurses tolerate the first night shift exposure very well, according to objective and subjective parameters related to quality of sleep. An increased sleep need during work days lead to longer total sleep time, but do not lead to longer supplementary sleep episodes. Young nurses tolerate the first rotating shift period and the first night shift period very well.

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References

  • Acebo C, Sadeh A, Seifer R, Tzischinsky O, Wolfson AR, Hafer A, Carskadon MA (1999) Estimating sleep patterns with activity monitoring in children and adolescents: how many nights are necessary for reliable measures? Sleep 22(1):95–103

    CAS  PubMed  Google Scholar 

  • Blackwell T, Redline S, Ancoli-Israel S, Schneider JL, Surovec S, Johnson NL, Cauley JA, Stone KL, for the Study of Osteoporotic Fractures Research Group (2008) Comparison of sleep parameters from actigraphy and polysomnography in older women: the SOF study. Sleep 31(2):283–291

    PubMed  Google Scholar 

  • Borbély AA, Achermann P (1999) Sleep homeostasis and models of sleep regulation. J Biol Rhythms 14(6):557–568

    PubMed  Google Scholar 

  • Camerino D, Conway PM, Sartori S, Campanini P, Estryn-Béhar M, van der Heijden BI, Costa G (2008) Factors affecting work ability in day and shift-working nurses. Chronobiol Int 25(2):425–442

    Article  PubMed  Google Scholar 

  • Cole RJ, Kripke DF, Gruen W, Mullaney DJ, Gillin JC (1992) Automatic sleep/wake identification from wrist activity. Sleep 15(5):461–469

    CAS  PubMed  Google Scholar 

  • Delafosse JY, Leger D, Quera-Salva MA, Samson O, Adrien J (2000) Comparative study of actigraphy and ambulatory polysomnography in the assessment of adaptation to night work in nurses. Rev Neurol (Paris) 156(6–7):614–615

    Google Scholar 

  • Drake CL, Roehrs T, Richardson G, Walsh JK, Roth T (2004a) Shift work sleep disorder: prevalence and consequences beyond that of symptomatic day workers. Sleep 27(8):1453–1462

    PubMed  Google Scholar 

  • Drake CL, Roehrs T, Richardson G, Walsh JK, Roth T (2004b) Shift work sleep disorder: prevalence and consequences beyond that of symptomatic day workers. Sleep 27(8):1453–1462

    PubMed  Google Scholar 

  • Härmä M, Ilmarinen J (1999) Towards the 24-hour society—new approaches for aging shift workers. Scand J Work Environ Health 25(6):609–614

    Google Scholar 

  • Härmä M, Hakola T, Kandolin I, Sallinen M, Virkkala J, Bonneford A, Pertti M (2006) A controlled intervention on the effects of a very rapidly forward rotating shift system on sleep-wakefulness and well-being among young and elderly shift workers. Int J Psychophysiol 59(1):70–79

    Article  PubMed  Google Scholar 

  • Hoekert M, der Lek RF, Swaab DF, Kaufer D, Van Someren EJ (2006) Comparison between informant-observed and actigraphic assessments of sleep-wake rhythm disturbances in demented residents of homes for elderly. Am J Geriatr Psychiatry 14(2):104–111

    Article  PubMed  Google Scholar 

  • Jean-Louis G, von Gizycki H, Zizi F, Spielman A, Hauri P, Taub H (1997) The actigraph data analysis software: II. A novel approach to scoring and interpreting sleep-wake activity. Percept Mot Skills 85(1):219–226

    Article  CAS  PubMed  Google Scholar 

  • Knauth P (2007) Extended work periods. Indus Health 45:125–136

    Article  Google Scholar 

  • Kubo T, Maruyama T, Shirane K, Otomo H, Matsumoto T, Oyama I (2008) Anxiety about starting three-shift work among female workers: findings from the Female Shift Workers’ Health Study. J UOEH 30(1):1–10

    PubMed  Google Scholar 

  • Kushida CA, Chang A, Gadkary C, Guilleminault C, Carrillo O, Dement WC (2001) Comparison of actigraphic, polysomnographic, and subjective assessment of sleep parameters in sleep-disordered patients. Sleep Med 2(5):389–396

    Article  CAS  PubMed  Google Scholar 

  • Kushida CA, Littner MR, Morgenthaler T, Alessi CA, Bailey D, Coleman J Jr, Friedman L, Hirshkowitz M, Kapen S, Kramer M, Lee-Chiong T, Loube DL, Owens J, Pancer JP, Wise M (2005) Practice parameters for the indications for polysomnography, related procedures: an update for 2005. Sleep 28(4):499–521

    PubMed  Google Scholar 

  • Middelkoop HA, van Dam EM, Smilde-van den Doel DA, Van Dijk G (1997) 45-hour continuous quintuple-site actimetry: relations between trunk and limb movements and effects of circadian sleep-wake rhythmicity. Psychophysiology 34(2):199–203

    Article  CAS  PubMed  Google Scholar 

  • Monk TH (2005) Shift work: basic principles. In: Kryger MH, Roth T, Dement WC (eds) Principles and practice of sleep medicine, 4th edn. Elsevier, Philadelphia, pp 673–679

    Google Scholar 

  • Morgenthaler T, Alessi C, Friedman L, Owens J, Kapur V, Boehlecke B, Brown T, Chesson A Jr, Coleman J, Lee-Chiong T, Pancer J, Swick TJ (2007a) Practice parameters for the use of actigraphy in the assessment of sleep, sleep disorders: an update for 2007. Sleep 30(4):519–529

    PubMed  Google Scholar 

  • Morgenthaler TI, Lee-Chiong T, Alessi C, Friedman L, Aurora RN, Boehlecke B, Brown T, Chesson AL Jr, Kapur V, Maganti R, Owens J, Pancer J, Swick TJ, Zak R (2007b) Standards of practice committee of the American academy of sleep medicine. Practice parameters for the clinical evaluation and treatment of circadian rhythm sleep disorders: an American academy of sleep medicine report. Sleep 30(11):1445–1459

    PubMed  Google Scholar 

  • Owens JA (2007) Sleep loss and fatigue in healthcare professionals. J Perinat Neonatal Nurs 21(2):92–100

    PubMed  Google Scholar 

  • Parent-Thirion A, Fernández Macías E, Hurley J, Vermeylen G (2007) European foundation for the improvement of living and working conditions. Quality report of the 4th European working conditions survey. Office for Official Publications of the European Communities, Luxembourg

    Google Scholar 

  • Pilcher JJ, Lambert BJ, Huffcutt AI (2000) Differential effects of permanent and rotating shifts on self-report sleep length: a meta-analytic review. Sleep 23(2):155–163

    CAS  PubMed  Google Scholar 

  • Presser HB (1995) Job, family, gender: determinants of nonstandard work schedules among employed Americans in 1991. Demography 32(4):577–598

    Article  CAS  PubMed  Google Scholar 

  • Rosa RR, Härmä M, Pulli K, Mulder M, Näsman O (1996) Rescheduling a three shift system at a steel rolling mill: effects of a one hour delay of shift starting times on sleep and alertness in younger and older workers. Occup Environ Med 53(10):677–685

    Article  CAS  PubMed  Google Scholar 

  • Sadeh A, Sharkey KM, Carskadon MA (1994) Activity-based sleep-wake identification: an empirical test of methodological issues. Sleep 17(3):201–207

    CAS  PubMed  Google Scholar 

  • Sauter C, Popp R, Danker-Hopfe H, Büttner A, Wilhelm B, Binder R, Böhning W, Weeß HG (2007) Normative values of the German Epworth Sleepiness Scale. Somnologie 11(4):272–278

    Article  Google Scholar 

  • Sforza E, Zamagni M, Petiav C, Krieger J (1999) Actigraphy and leg movements during sleep: a validation study. J Clin Neurophysiol 16(2):154–160

    Article  CAS  PubMed  Google Scholar 

  • Signal TL, Gander PH (2007) Rapid counterclockwise shift rotation in air traffic control: effects on sleep and night work. Aviat Space Environ Med 78(9):878–885

    PubMed  Google Scholar 

  • Walters AS, Lavigne G, Hening W, Picchietti DL, Allen RP, Chokroverty S, Kushida CA, Bliwise DL, Mahowald MW, Schenck CH, Ancoli-Israel S (2007) The scoring of movements in sleep. J Clin Sleep Med 3(2):155–167

    PubMed  Google Scholar 

  • Werth E, Dijk DJ, Achermann P, Borbély AA (1996) Dynamics of the sleep EEG after an early evening nap: experimental data and simulations. Am J Physiol 271(3 Pt 2):R501–R510

    CAS  PubMed  Google Scholar 

  • West SH, Ahern M, Byrnes M, Kwanten L (2007) New graduate nurses adaptation to shift work: can we help? Collegian 14(1):23–30

    PubMed  Google Scholar 

  • Winwood PC, Winefield AH, Lushington K (2006) Work-related fatigue and recovery: the contribution of age, domestic responsibilities and shiftwork. J Adv Nurs 56(4):438–449

    Article  PubMed  Google Scholar 

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Acknowledgments

The authors like to thank the school for nursing of Charité-Universitätsmedizin Berlin for their cooperation.

Conflict of interest statement

None of the authors can report a conflict of interest.

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Authors and Affiliations

  1. Center of Interdisciplinary Sleep Medicine, Charité Universitätsmedizin Berlin, CC13, Berlin, Germany

    Ingo Fietze, Karsten Knoop, Martin Glos, Jan Giso Peter & Thomas Penzel

  2. Institute for Biometrics and Medical Epidemiology, Charité Universitätsmedizin Berlin, CC4, Berlin, Germany

    Martin Holzhausen

Authors
  1. Ingo Fietze
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  2. Karsten Knoop
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  3. Martin Glos
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  4. Martin Holzhausen
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  5. Jan Giso Peter
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  6. Thomas Penzel
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Correspondence to Martin Glos.

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Fietze, I., Knoop, K., Glos, M. et al. Effect of the first night shift period on sleep in young nurse students. Eur J Appl Physiol 107, 707–714 (2009). https://doi.org/10.1007/s00421-009-1181-8

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