Shift Based Nursing Issues | Article Review

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Shift Based Nursing Issues
Literature Review
12/24/2019

Abstract
Aim of this literature and article review is to identify the impact of regular night shift and
rotational shifts on mental and psychological stability of a nurse practicing as registered nurse
in a hospital. According the policies of American Nurses Association a nurse has ethical and
legal duty to take care of her patient with great care according the guidelines and policies of
ANA, America. A registered nurse has proper training to take quick decision in critical
situation and handling the emergency at night with critically challenged patients
Aim
This literature review will analyse scholar articles written in the field of nursing to discuss the
negative impact of their profession on their mental health. This literature review will discuss
the following thesis;
“Impact of night shift stress and mental health issues on nurses as job-dissatisfaction”
Search strategy
Systematic research and literature review of articles discussing contemporary issues with the
nurses in shift job.
Key Findings
Nurses working with patient face frustration and job dissatisfaction because sometimes they
need to work for a night shift for regular long period and it affect their physical health,
especially nurses face mental stress, anxiety, and depression in management of regular night
shifts, and rotational shifts affect their physical and mental health.
Conclusion and Recommendations

Nurses deal depression, anxiety and many other challenges with their sleeping quality that
affect their life as well. To reduce negative impact of stress hospital administration can use
positive and helpful communication and meditation therapies these are helpful to lead
emotional satisfaction and reduce job dissatisfaction among the nurses.

Contents
Abstract................................................................................................................. 1
Aim........................................................................................................................ 1
Search strategy..................................................................................................... 1
Introduction........................................................................................................... 4
Literature Review.................................................................................................. 5
Themes................................................................................................................. 5
Impact of shift-based duties in sleeping quality.............................................................5
Causes of anxiety and stress in the nurses....................................................................7
Consequences of rotational shift on nurses...................................................................8
Step to solve issues of dissatisfaction.......................................................................10
Findings............................................................................................................... 15
Conclusion........................................................................................................... 15
References........................................................................................................... 18
Protocol................................................................................................................ 22

Introduction
This study aims to examine impact of shift working system on the nurses’ psychological
health, mental health stability, to reach the objective of analysis, this paper will use literature
review of some scholar articles, and peer reviewed articles discussing the impact of rotational
shift at the workplace on the practicing nurses. These articles will reviewed deeply in detailed
manner to identify the major issues and reason causing the issues to the nurse in management
of the shift work in their personal and profession life and on their performances as well. This
paper will discuss about shift work and why hospital management use shift rotational method
for practising nurses with the help of different literatures.
Healthcare and nursing is the profession need to work continuously for 24 hours, nurses are
engaged in the activities related to take proper care of their patients. In entire atmosphere of a
hospital after ending of the duties of the doctors, add other hired staffs nurse working in night
shift play most responsible role in activities of patient care and treatments. A patient need
immediate help in a critical or challenging situation in absence of doctors nurses are
responsible to monitor a patient according their treatment process and requirements
(Berthelsen et al., 2015).
Rotations in the duty timing affect a person’s daily routine and personal life and affect one’s
health physically and mentally as well. Shift work sometimes causes physical challenges in
the nurses like chronic disease and illness. Regular working in rotational shift requires active
mind set up but this impact very negatively to the nurses. Although night shifts are highly
paid and also facilitate the workers for other activities like part-time studies in their day time
but many scientific and medical communities resist the rotational shift and longer nights
shifts for the nurses as these are very dangerous for the mental or psychological health of
workers specially in nursing profession (Cheng and Drake, 2018).

Search strategy
According the survey “2015 Health Survey” conducted by the Health and Social Care
Information Centre resulted that shift workers are at high risk of facing obesity and ill health
issues, shift working and its impact are in discussion by many scholars and this report will
identify the better outcomes from shift based working on psychological health of nurses.
Medical sector is changing in with the development of technology this is affecting the
workers engaged in nursing practices. This literature review will represent arguments
discussed in various articles and their process applied method in the research.
Literature Review
Themes
Impact of shift-based duties in sleeping quality
Healthcare practices require 24 hours availability of nurses in the hospitals and, nurses need
to deal the stress of dealing the critical patient in the night shift. According Shu-Hui Lin,
Wen-Chun and others in their research article “The impact of shift work on nurses’ job stress,
sleep quality, and self-perceived health status” try to identify the status of shift based working
on the nurses in measurement of stress, depression, and quality of sleeping in them. Research
method used by the researchers in this survey was an independent t-test. These tests take
place among the nurses of Chiayi Country District hospital.
Nurses deal great stress and tension causing the psychological challenges to them. In night
duties, they face sleeping issues and need to be more active with the emergency patients at
night. Research in the article found that the Chiayi Country District hospital was facing
shortage of nurses in the hospital and this lead imbalance in job allocation activities and
management (Cheng and Drake, 2018). This article concludes that irregular shift