The impact of shift work on nurses' job stress, sleep quality and self-perceived health status
Article first published online: 2 NOV 2012
© 2012 John Wiley & Sons Ltd
Journal of Nursing Management
Special Issue: This issue: Retention, fatigue, burnout and job satisfaction: new aspects and challenges Issue editor: Kristiina Hyrkas
Volume 22, Issue 5, pages 604–612, July 2014
How to Cite
2014) Journal of Nursing Management 22, 604–612. The impact of shift work on nurses' job stress, sleep quality and self-perceived health status, , & (
- Issue published online: 14 JUL 2014
- Article first published online: 2 NOV 2012
- Manuscript Accepted: 28 AUG 2012
- Wan Ciao Branch
- Taichung Veterans General Hospital
- job stress;
- self-perceived health status;
- shift work;
- sleep quality
The aim of this study was to describe the current state of nurses' shift work in Taiwan and how it affects nurses' stress, sleep quality and self-perceived health status.
To enable the provision of 24-hour patient care, nurses need to work various shifts. Long-term shift work significantly affects nurses' overall physical and mental health.
Nurses from four Chiayi County district hospitals in Taiwan (n = 266) participated in this cross-sectional study from August to September 2010. Demographics, work schedule forms, a stress checklist, a sleep-quality measure and a health-status measure were used to collect data. Independent t-test, one-way anova, Pearson's r, and hierarchical regression were applied for analysis.
The results showed that regardless of the amount of shift work they performed, nurses reported moderate job stress, poor sleep quality and moderate self-perceived health. The following significant relationships were observed: job stress was inversely related to sleep quality, which was directly related to self-perceived health status.
Conclusion and implications for nursing management
Hospital managers need to ensure more healthy shift work scheduling in order to improve nurses' clinical performance and personal health status, thereby also improving the quality of patient care.