The findings and conclusions in this report are those of the author and do not necessarily represent the views of the National Institute for Occupational Safety and Health.
Negative Impacts of Shiftwork and Long Work Hours
Version of Record online: 18 JUN 2013
© 2013 Association of Rehabilitation Nurses
Volume 39, Issue 1, pages 16–25, January/February 2014
How to Cite
Caruso, C. C. (2014), Negative Impacts of Shiftwork and Long Work Hours. Rehabilitation Nursing, 39: 16–25. doi: 10.1002/rnj.107
- Issue online: 8 JAN 2014
- Version of Record online: 18 JUN 2013
- Manuscript Accepted: 13 MAR 2013
- Shift work;
- occupational diseases;
- occupational injury;
- occupational exposure;
- work schedule tolerance;
- circadian rhythms;
- job stress;
- overtime work;
- extended work shifts;
Healthcare organizations often have to provide patient care around the clock. Shift work (any shift outside of 7 a.m. to 6 p.m) and long work hours increase the risk for short sleep duration and sleep disturbances. Thirty-two percent of healthcare workers report they do not get enough sleep. The purpose of the article is to give an overview of the wide range of risks to nurses, patients, and employers that are linked to shift work, long work hours, and poor sleep from other sources.
Shift work and long work hours increase the risk for reduced performance on the job, obesity, injuries, and a wide range of chronic diseases. In addition, fatigue-related errors could harm patients. Fatigued nurses also endanger others during their commute to and from work.
Conclusion and Clinical Relevance
The key strategy to reduce these risks is making sleep a priority in the employer's systems for organizing work and in the nurse's personal life.