Qtait Mohammed, Alia Mohammad Fisal, Jaradat Yousef
Nursing College, Palestine Polytechnic University, Hebron, Palestine.
Faculty of Nursing, Al-Zaytoonah University of Jordan, Amman, Jordan.
SAGE Open Nurs. 2025 Sep 3;11:23779608251374232. doi: 10.1177/23779608251374232. eCollection 2025 Jan-Dec.
Nurse burnout remains a significant global challenge, exacerbated by rotating shift work, which disrupts circadian rhythms and contributes to psychological strain. Burnout is characterized by emotional exhaustion, depersonalization, and reduced personal accomplishment-outcomes that can compromise patient care and workforce stability.
This systematic review examines the association between rotating shift work and nurse burnout, focusing on how specific shift characteristics influence each burnout dimension and exploring contextual moderators such as organizational support and work environment.
A systematic search of PubMed, Scopus, CINAHL, and PsycINFO was conducted to identify peer-reviewed studies published between 2015 and 2023. Eligible studies investigated hospital-based nurses and evaluated the effects of rotating shift work on burnout outcomes. The Joanna Briggs Institute (JBI) appraisal tool was used for quality assessment. Data were synthesized thematically due to study heterogeneity.
Fifteen studies were included, primarily cross-sectional in design, with significant variability in burnout measurement tools and shift definitions. Emotional exhaustion was consistently associated with night shifts and irregular rotations. Depersonalization was linked to excessive workload and low social support, while reduced personal accomplishment appeared in contexts of prolonged shift exposure. Organizational support, sleep hygiene, and job autonomy emerged as potential protective factors. However, the lack of quantitative synthesis, high reliance on self-reported data, and publication bias limit the strength of conclusions.
Rotating shift work contributes significantly to nurse burnout, especially emotional exhaustion. The findings underscore the need for more longitudinal studies, standardized burnout assessments, and tailored interventions. Future research should incorporate effect sizes, subgroup analyses, and moderator evaluations to enhance evidence-based recommendations for shift scheduling and occupational health.
护士职业倦怠仍然是一项重大的全球性挑战，轮班工作加剧了这一挑战，因为轮班工作会扰乱昼夜节律并导致心理压力。职业倦怠的特征是情感耗竭、去个性化和个人成就感降低，这些结果可能会损害患者护理和劳动力稳定性。
本系统评价研究轮班工作与护士职业倦怠之间的关联，重点关注特定轮班特征如何影响每个职业倦怠维度，并探索组织支持和工作环境等背景调节因素。
对PubMed、Scopus、CINAHL和PsycINFO进行系统检索，以识别2015年至2023年期间发表的同行评审研究。符合条件的研究调查了医院护士，并评估了轮班工作对职业倦怠结果的影响。使用乔安娜·布里格斯研究所（JBI）评估工具进行质量评估。由于研究的异质性，数据进行了主题综合分析。
纳入了15项研究，主要为横断面设计，职业倦怠测量工具和轮班定义存在显著差异。情感耗竭始终与夜班和不规则轮班有关。去个性化与工作量过大和社会支持不足有关，而个人成就感降低则出现在长时间轮班的情况下。组织支持、睡眠卫生和工作自主性成为潜在的保护因素。然而，缺乏定量综合分析、对自我报告数据的高度依赖以及发表偏倚限制了结论的力度。
轮班工作对护士职业倦怠有显著影响，尤其是情感耗竭。研究结果强调需要更多的纵向研究、标准化的职业倦怠评估和针对性的干预措施。未来的研究应纳入效应量、亚组分析和调节因素评估，以加强基于证据的轮班安排和职业健康建议。
