Mental Health Issue - Shift Based Nursing

Summary Table for Research Studies included in Review
Nos. Reference Study Aims
and Objectives
Research
Design
Sample Data Collection
Methods
Data Analysis
Method
Findings Relevant
to the Review
1. Jaradat, Y., Birkeland Nielsen,
M., Kristensen, P. and Bast-
Pettersen, R. (2018). Job
satisfaction and mental health of
Palestinian nurses with shift
work: a cross-sectional study
The Lancet, 391, p.S50
Impact of shift based
nursing on mental
health issues
Qualitative
Research
372 Male and
Female nurses
primary –
Questionnaire
General Health
Questionnaire
(GHQ-30)
Findings support
development
programs of
hospital to manage
health challenges
2. Cheng, W. and Cheng, Y.
(2016). Night shift and rotating
shift in association with sleep
problems, burnout and minor
mental disorder in male and
female employees. Occupational
and Environmental Medicine,
74(7), pp.483-488
Analysis longer
night working and
adverse physical and
psychological health
outcomes
Quantitative 28,677 Nurses primary
Self-evaluated
Questionnaire
Brief
Symptom
Rating Scale
Shifts are arranged
to meet hospital
requirements and
patients
satisfaction, regular
late nights fixed
hours working
affect mental health
challenges
3. Angerer, P., Schmook, R., Mental issues and Quantitative High-quality Secondary Self-developed Less sleeping and

Elfantel, I. and Li, J. 2017. Night
work and the risk of depression:
A systematic review. Deutsches
Ärzteblatt
International, 114(24), p.404.
job dissatisfaction
among nurses due to
less sleeping
longitudinal
studies on
depressive
illness and night
shift working
and estimating
sample
sleeping with
inefficiency affect
the overall working
in the practiced
nurses.
4. Cheng, P. and Drake, C. (2018).
Psychological Impact of Shift
Work. Current Sleep Medicine
Reports, 4(2), pp.104-109
To measure role and
impact of developed
technology on
medical and nursing
area and adverse
impact of these
changes on the
nurses working in
shift based nursing
Qualitative Nascent
research
Secondary Article review Psychological
issues are high in
the nurses doing
job in rotational
shift in hospitals
5. Gómez-García, T., Ruzafa-
Martínez, M., Fuentelsaz-
Gallego, C., Madrid, J., Rol, M.,
Martínez-Madrid, M. and
Moreno-Casbas, T. (2016).
Nurses' sleep quality, work
To identify role of
hospital environment
and staff support in
the nurses Woking in
night shift
Qualitative 635 registered
nurses
Primary
Questionnaire
Standard Shift
Work Index
Registered nurses
with master degree
in nursing
profession face
challenges with the
job satisfaction and

environment and quality of care
in the Spanish National Health
System: observational study
among different shifts. BMJ
Open, 6(8), p.e012073
implementation of
that satisfaction
over the
performance in
negative manner
6. Berthelsen, M., Pallesen, S.,
Magerøy, N., Tyssen, R.,
Bjorvatn, B., Moen, B.E. and
Knardahl, S. 2015. Effects of
psychological and social factors
in shiftwork on symptoms of
anxiety and depression in nurses:
A 1-year follow-up. Journal of
Occupational and
Environmental
Medicine, 57(10), pp.1127-1137
This study aims to
identify the factors
affecting nurses
health and mental
stability
Quantitative 2059 Registered
nurses
Primary
Questionnaire
Hospital
Anxiety and
Depression
Scale
Nurses regularly
facing extreme
pressure in
management of job
role at nursing
7. Vermaak, C., Görgens-
Ekermans, G. and
Nieuwenhuize, C. (2017). Shift
work, emotional labour and
To identify the
impact of the
psychological
experience of shift
Non-
experimental
research
design
206 nurses Primary and
Secondary
A non-
probability,
convenience-
sampling
Positive
psychological
experience affect
better outcomes in

psychological well-being of
nursing staff. Management:
Journal of Contemporary
Management Issues, 22(2),
pp.35-48
work on the
psychological well-
being at work
(PWBW) of long
term care nursing
staff
method and
Comparison of
literature
findings
nurses
8. Zhang, L., Sun, D.M., Li, C.B.
and Tao, M.F. 2016. Influencing
factors for sleep quality among
shift-working nurses: A cross-
sectional study in China using 3-
factor Pittsburgh sleep quality
index. Asian Nursing
Research, 10(4), pp.277-282
Aim of this study is
to examine role of
shift working iver
sleep efficiency, job
frustration and sleep
quality
Quantitative 513 nurses in a
hospital of
Shanghai
primary
(Questionnaire)
Pittsburgh
Sleep Quality
Index (PSQI)
Females working in
shift based nursing
face difficulties in
management of
personal health and
development
9. Thun, E., Bjorvatn, B.,
Torsheim, T., Moen, B.E.,
Magerøy, N. and Pallesen, S.
2014. Night work and symptoms
of anxiety and depression among
nurses: A longitudinal
study.Work & Stress, 28(4),
This study aims to
recognize shift
management in
hospital and impact
of longer night shifts
over the nurses
working in night
Qualitative
and
Quantitative
633 Norwegian
nurses
Primary Hospital
Anxiety and
Depression
Scale
This study use
three way method
to measure impact
and found that
nurses working in
night shifts face
anxiety and other

pp.376-386 duties psychological
challenges causing
stress and tension
10. Shao, M.F., Chou, Y.C., Yeh,
M.Y. and Tzeng, W.C. 2010.
Sleep quality and quality of life
in female shift‐working
nurses. Journal of Advanced
Nursing, 66(7), pp.1565-1572
Aim of this study is
to identify factors
that affect sleep
quality and quality
of life majorly in the
shift-working nurses.
Qualitative 435 female
nurses
Primary The Pittsburgh
Sleep Quality
Index and
World Health
Organization
Quality of Life
Instrument
Findings of this
article suggest
nursing programs
to include training
session for dealing
the longer late
night shift working
stress for the
registered nurses
11. McDowall, K., Murphy, E. and
Anderson, K. 2017. The impact
of shift work on sleep quality
among nurses Occupational
Medicine, 67(8), pp.621-625
This study aims to
explore impact of
shift working over
day shift and night
shift wiring nurses
Quantitative 800 registered
nurses
Primary
online
questionnaire
The Pittsburgh
Sleep Quality
Index
Findings after data
collection and
analysis supports
that nurses face
major issues in
quality sleeping
when they work in
night shifts.
12. Belcher, R., Gumenyuk, V. and
Roth, T. 2015. Insomnia in shift
This study aims to
identify different
Qualitative 34 nurses Primary
Multiple sleep
Endicott Work
Productivity
Results of the
survey supported

work disorder relates to
occupational and
neurophysiological
impairment. Journal of Clinical
Sleep Medicine, 11(04), pp.457-
465
relation of
occupational and
neurophysiological
decrements over
shift based nursing
staffs
latency test
(MSLT) and an
event-related
brain potential
(ERP)
Scale the arguments that
nurses handling
late night patient
face many kind of
mental health
issues
13. Lin, S.H., Liao, W.C., Chen,
M.Y. and Fan, J.Y. 2014 The
impact of shift work on nurses'
job stress, sleep quality and self‐
perceived health status. Journal
of Nursing Management, 22(5),
pp.604-612
Aim of this research
article was to
analyse current state
of nurses’ shift work
in Taiwan and how it
affects nurses’ stress
and sleeping
schedule
Quantitative 266 Nurses from
Taiwan
Secondary Independent t-
test
hierarchical
regression
Findings of this
article suggest that
management and
administration in
hospital require
arrangement of a
healthy schedule
suitable for active
participation of
nurses.
14. Eldevik, M.F., Flo, E., Moen,
B.E., Pallesen, S. and Bjorvatn,
B. 2013 Insomnia, excessive
sleepiness, excessive fatigue,
anxiety, depression, and shift
A research in this
study was conducted
to measure the
impact of less than
11 hour’s shift on
Quantitative 1990 Norwegian
nurses
Primary Bergen
Insomnia
Scale, Epworth
Sleepiness
Scale, Fatigue
Research in the
study found that
nurses returning to
their job in quick
returns face health

work disorder in nurses having
less than 11 hours in-between
shifts. PloS One, 8(8), p.e70882.
the nurses in form of
mental health issues.
Questionnaire,
and Hospital
Anxiety and
Depression
Scale
hazards
15. Ferri, P., Guadi, M.,
Marcheselli, L., Balduzzi, S.,
Magnani, D. and Di Lorenzo, R.
2016. The impact of shift work
on the psychological and
physical health of nurses in a
general hospital: A comparison
between rotating night shifts and
day shifts
Risk Management and
Healthcare Policy, 9, p.203
This study aims to
identify difference
between health
issues faced by day
shift and night shift
workers
Quantitative
and
Qualitative
213 Nurses from
a general ward
Primary
A cross-
sectional study
Standard Shift
Work Index
Result after
research supported
arguments that
nurses working at
rotating night shift
face stress and
tension affecting
their sleeping
16. Jensen, H.I., Larsen, J.W. and
Thomsen, T.D. 2018. The
impact of shift work on intensive
care nurses’ lives outside work:
A cross‐sectional study
Journal of Clinical Nursing
To observe how shift
work affects
concentrated care
nurses’ lives outside
work.
Qualitative
and
Quantitative
114 nurses Primary Sleep
questionnaire
survey
Participants in the
survey accepted
that shift based
nursing affected
their life negatively

27(3-4), pp.e703-e709
17. Kerkhof, G.A. 2018. Shift work
and sleep disorder comorbidity
tend to go hand in
hand. Chronobiology
International, 35(2), pp.219-228
This research article
discuss the impact of
shift rotation on their
regular and general
sleeping
Qualitative
and
Quantitative
250 shift nurses
971 permanent
day workers
Primary method
Questionnaire
Demographic,
socio-
economic, and
psychosocial
characteristics
and
multivariate
analysis of
variables
Workers engaged
in the night shift
and rotational shifts
face many issues
and disturbance in
their sleeping in
day time and this
lead many health
issues like fatigue,
depression and less
quality sleeping
18. Lin, P.C., Chen, C.H., Pan,
S.M., Pan, C.H., Chen, C.J.,
Chen, Y.M., Hung, H.C. and
Wu, M.T. 2012. Atypical work
schedules are associated with
poor sleep quality and mental
health in Taiwan female
nurses. International Archives of
Occupational and
This study aims to
investigate impact of
shift working
schedule on female
nurses
Quantitative
and
Quantitative
1,360 registered
female nurses
Primary and
secondary
Chinese Health
Questionnaire
Pittsburgh
Sleep Quality
Index
This study
concludes that
nurses having 24
hours gap in next
night or rotational
shift face less risk
of sleep
disturbance
compared to the

Environmental Health, 85(8),
pp.877-884
nurses working
regularly in the
shift
19. Øyane, N.M., Pallesen, S.,
Moen, B.E., Åkerstedt, T. and
Bjorvatn, B. 2013 Associations
between night work and anxiety,
depression, insomnia, sleepiness
and fatigue in a sample of
Norwegian nurses.PloS
One, 8(8), p.e70228
Researchers in this
article conducted
survey to measure
impact of night work
on mental health and
sleepiness
Quantitative
and
Quantitative
5400 nurses Primary and
Secondary
Epworth
Sleepiness
Scale
Hospital
Anxiety and
Depression
Scale,
and Fatigue
Questionnaire
Nurses performing
actions in night
shift face high rate
of disturbed sleep
and anxiety
compared to thise
nurses who had
worked in night
shifts befire 2
months. Regular
working in nigh
shift causes many
issues to the mental
health of nurses.