Al-Hammouri Munther, Rababah Jehad, Al-Jdeetawey Nid'a A
Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan.
Int Nurs Rev. 2025 Sep;72(3):e70085. doi: 10.1111/inr.70085.
This study examines the associations between fixed and rotating shifts on nurses' sleep quality and compassion fatigue, aiming to address a critical gap in understanding how work schedules are associated with nurses' well-being and patient care.
Nurses play a vital role in healthcare; however, irregular work schedules are often associated with compromised well-being. Rotating shifts are associated with poor sleep quality and emotional exhaustion, impairing their ability to provide compassionate care.
A cross-sectional design was used to recruit 288 nurses from public hospitals through simple random sampling, with equal numbers in fixed and rotating shift groups (n = 144 each). Sleep quality and compassion fatigue were assessed using the Pittsburgh Sleep Quality Index (PSQI) and the Professional Quality of Life Scale (ProQOL), respectively, both of which are valid and reliable measures. Independent samples t tests and Mann-Whitney U tests were performed to analyze group differences. The reporting method used was STROBE (Strengthening the Reporting of Observational Studies in Epidemiology) for observational studies.
Nurses working rotating shifts reported significantly poorer sleep quality (p < 0.001) and higher levels of burnout and secondary traumatic stress, components of compassion fatigue, compared with those on fixed shifts (p < 0.001). Compassion satisfaction was significantly lower among rotating shift nurses (p < 0.001). Effect sizes were large for all comparisons, highlighting the substantial associations of rotating shifts on these outcomes.
This study highlights the significant differences associated with rotating shifts on nurses' sleep and emotional well-being. Rotating schedules are associated with a higher likelihood of compassion fatigue and reduced compassion satisfaction, suggesting the need for organizational interventions based on observed associations. Transitioning to fixed shifts, coupled with resilience-building programs, may be associated with better nurses' well-being and safeguarding patient care quality.
Policymakers and healthcare administrators should prioritize fixed schedules and invest in targeted interventions to alleviate the adverse effects of rotating shifts. Such measures are critical to sustaining a healthy nursing workforce and ensuring optimal patient care.
本研究探讨固定班次和轮班与护士睡眠质量及同情疲劳之间的关联，旨在填补在理解工作时间表如何与护士的幸福感及患者护理相关方面的关键空白。
护士在医疗保健中发挥着至关重要的作用；然而，不规律的工作时间表往往与幸福感受损相关。轮班与睡眠质量差和情绪耗竭有关，会损害他们提供富有同情心护理的能力。
采用横断面设计，通过简单随机抽样从公立医院招募288名护士，固定班次和轮班组人数相等（每组n = 144）。分别使用匹兹堡睡眠质量指数（PSQI）和生活质量专业量表（ProQOL）评估睡眠质量和同情疲劳，这两种量表都是有效且可靠的测量工具。进行独立样本t检验和曼-惠特尼U检验以分析组间差异。观察性研究采用STROBE（加强流行病学观察性研究报告）报告方法。
与固定班次的护士相比，轮班工作的护士报告睡眠质量明显更差（p < 0.001），倦怠和继发性创伤压力（同情疲劳的组成部分）水平更高（p < 0.001）。轮班护士的同情满意度明显更低（p < 0.001）。所有比较的效应量都很大，突出了轮班与这些结果之间的实质性关联。
本研究强调了轮班与护士睡眠和情绪幸福感之间的显著差异。轮班时间表与同情疲劳的可能性更高和同情满意度降低有关，这表明需要基于观察到的关联进行组织干预。过渡到固定班次，再加上建立复原力的计划，可能与护士更好的幸福感和保障患者护理质量相关。
政策制定者和医疗保健管理人员应优先考虑固定时间表，并投资于有针对性的干预措施，以减轻轮班的不利影响。这些措施对于维持健康的护士队伍和确保最佳患者护理至关重要。
