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    The effect of shift rotation on employee cortisol profile, sleep quality, fatigue, and attention level: A systematic review

    Access Status
    Open access via publisher
    Authors
    Nui, S.
    Chung, M.
    Chen, C.
    Hegney, Desley
    O'Brien, A.
    Chou, K.
    Date
    2011
    Type
    Journal Article
    
    Metadata
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    Citation
    Nui, Shu-Fen and Chung, Min-Huey and Chen, Chiung-Hua and Hegney, Desley and O'Brien, Anthony and Chou, Kuei-Ru. 2011. The effect of shift rotation on employee cortisol profile, sleep quality, fatigue, and attention level: A systematic review. Journal of Nursing Research. 19 (1): pp. 68-81.
    Source Title
    Journal of Nursing Research
    DOI
    10.1097/JNR.0b013e31820c1879
    ISSN
    1682-3141
    URI
    http://hdl.handle.net/20.500.11937/29625
    Collection
    • Curtin Research Publications
    Abstract

    Background: Disrupted circadian rhythm, especially working night duty together with irregular sleep patterns, sleep deprivation, and fatigue, creates an occupational health risk associated with diminished vigilance and work performance. Purpose: This study reviewed the effect of shift rotations on employee cortisol profile, sleep quality, fatigue, and attention level. Methods: Researchers conducted a systematic review of relevant articles published between 1996 and 2008 that were listed on the following databases: SCOPUS, OVID, Blackwell Science, EBSCO Host, PsycINFO, Cochrane Controlled Trials Register, and CEPS. A total of 28 articles were included in the review. Results: Previous research into the effects of shift work on cortisol profiles, sleep quality, fatigue, and attention used data assessed at evidence Levels II to IV. Our systematic review confirmed a conflict between sleep-wake cycle and light-dark cycle in night work. Consequences of circadian rhythm disturbance include disruption of sleep, decreased vigilance, general feeling of malaise, and decreased mental efficiency. Shift workers who sleep during the day (day sleepers) experience cortisol secretion increases, which diminish the healing power of sleep and enjoy 1 to 4 hours less sleep on average than night sleepers. Sleep debt accumulation results in chronic fatigue. Prolonged fatigue and inadequate recovery result in decreased work performance and more incidents. Rotation from day shift to night shift and its effect on shift workers was a special focus of the articles retained for review. Conclusions: Disturbed circadian rhythm in humans has been associated with a variety of mental and physical disorders and may negatively impact on work safety, performance, and productivity.

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