School of Psychology and Speech Pathology, Curtin University, Bentley, Western Australia, Australia.
School of Nursing, Midwifery and Paramedicine, Curtin University, Bentley, Western Australia, Australia.
J Adv Nurs. 2017 Sep;73(9):2065-2083. doi: 10.1111/jan.13283. Epub 2017 Mar 27.
To synthesize existing research to determine if nurses who work shifts have poorer psychological functioning and resilience than nurses who do not work shifts.
Research exploring the impact of shift work on the psychological functioning and resilience of nurses is limited compared with research investigating the impact of shifts on physical outcomes.
Integrative literature review.
Relevant databases were searched from January 1995-August 2016 using the combination of keywords: nurse, shift work; rotating roster; night shift; resilient; hardiness; coping; well-being; burnout; mental health; occupational stress; compassion fatigue; compassion satisfaction; stress; anxiety; depression.
Two authors independently performed the integrative review processes proposed by Whittemore and Knafl and a quality assessment using the mixed-methods appraisal tool by Pluye et al.
A total of 37 articles were included in the review (32 quantitative, 4 qualitative and 1 mixed-methods). Approximately half of the studies directly compared nurse shift workers with non-shift workers. Findings were grouped according to the following main outcomes: (1) general psychological well-being/quality of life; (2) Job satisfaction/burnout; (3) Depression, anxiety and stress; and (4) Resilience/coping. We did not find definitive evidence that shift work is associated with poorer psychological functioning in nurses. Overall, the findings suggest that the impact of shift work on nurse psychological functioning is dependent on several contextual and individual factors.
More studies are required which directly compare the psychological outcomes and resilience of nurse shift workers with non-shift workers.
综合现有研究，以确定轮班护士的心理功能和适应力是否比非轮班护士差。
与研究轮班对身体结果的影响相比，探索轮班对护士心理功能和适应力影响的研究有限。
综合文献回顾。
从 1995 年 1 月至 2016 年 8 月，使用关键词组合：护士、轮班工作；轮转排班；夜班；适应力；坚韧；应对；幸福感；倦怠；心理健康；职业压力；同情疲劳；同情满足；压力；焦虑；抑郁，搜索了相关数据库。
两位作者独立进行了 Whittemore 和 Knafl 提出的综合审查流程，并使用 Pluye 等人的混合方法评估工具进行了质量评估。
共有 37 篇文章纳入了综述（32 篇定量研究，4 篇定性研究和 1 篇混合方法研究）。大约一半的研究直接比较了轮班护士和非轮班护士。结果根据以下主要结果进行分组：（1）一般心理幸福感/生活质量；（2）工作满意度/倦怠；（3）抑郁、焦虑和压力；和（4）适应力/应对。我们没有发现明确的证据表明轮班工作与护士的心理功能较差有关。总体而言，研究结果表明，轮班工作对护士心理功能的影响取决于几个环境和个人因素。
需要更多的研究直接比较轮班护士和非轮班护士的心理结果和适应力。
