The Effect of Night Shift Work on Nurses' Fatigue and Work Concentration in the Emergency Department
DOI:
https://doi.org/10.59585/ijhs.v3i4.867Keywords:
Night Shift, Fatigue, Work Concentration, Nurses, Emergency RoomAbstract
Shifts are part of the work scheduling system in 24-hour hospitals, including the Emergency Department (ER). Night shift work can potentially cause physical and mental fatigue and reduce nurses' concentration, which can impact the quality of care and patient safety. This study aims to analyze the effect of night shifts on nurses' fatigue levels and concentration in the ER of X Regional General Hospital.
The study used a quantitative correlational design with a cross-sectional approach. A purposive sample of 60 nurses was selected, with at least 6 months of work experience in the ER and willingness to participate in the study. Data were collected using a Modified Variable Response Questionnaire (MOQ) Fatigue Impact Scale (MFIS) to measure fatigue and Work Concentration Scale (WCS) for work concentration. Data analysis used Pearson correlation with a significance level of α = 0.05.
The results of the study showed a significant positive relationship between night shift work and nurse fatigue levels (r = 0.68; p < 0.05) and a significant negative relationship between night shift work and work concentration (r = -0.62; p < 0.05). This indicates that the more frequently nurses work night shifts, the higher their fatigue levels and the lower their work concentration.
In conclusion, night shifts increase fatigue and decrease concentration among nurses in the emergency department. Equitable shift schedules and fatigue management programs are recommended to maintain nurse performance and service quality.
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Alfonsi, V., & Smith-Miller, C. A. (2021). Sleep-related problems in the night shift nurses: Towards an integrated approaches. Frontiers in Human Neuroscience, 15, 644570. https://doi.org/10.3389/fnhum.2021.644570
Barzani, KIS, & Yılmaz, Ü. D. (2022). The relationship between mental workload and fatigue in emergency department nurses. Cyprus Journal of Medical Sciences, 7 (3), 381–386. https://doi.org/10.4274/cjms.2020.2039
Caruso, CC (2014). Negative impacts of shift work and long work hours. Rehabilitation Nursing, 39 (1), 16–25. https://doi.org/10.1002/rnj.107
Dires, T., & Dires, M. (2023). Assessment of night shift effects on nurses ' health and performance. Journal of Clinical Nursing, 32 (1–2), 96–104. https://doi.org/10.1016/j.jocn.2022.09.022
Danurjaya, D., & Solehudin, S. (2024). Perhitungan Tenaga Keperawatan. JIMAD: Jurnal Ilmiah Multidisiplin, 1(2), 116–124. https://doi.org/10.59585/jimad.v1i2.281
Folkard, S., & Tucker, P. (2003). Shifts work, safety and productivity. Occupational Medicine, 53 (2), 95–101. https://doi.org/10.1093/occmed/kqg046
Ganesan, S., & Rajaratnam, SMW (2019). The impact of shift work on sleep, alertness and performance. Scientific Reports, 9, 4635. https://doi.org/10.1038/s41598-019-40914-x
Hsu, C.-C., Obermeyer, Z., & Tan, C. (2023). Clinical notes reveal physician fatigue.arXiv Preprints . https://doi.org/10.48550/arXiv.2312.03077
Idris, I., Pannyiwi, R., Ula, Z., & Singga, S. (2023). Provision of Clean Water Facilities with the Insidence of Diarrhea in the Ujung Pandang Baru Health Center Working Area. International Journal of Health Sciences, 1(4), 576–588. https://doi.org/10.59585/ijhs.v1i4.186
James, S. M., & Horne, J. A. (2017). Sleep deprivation and fatigue among nurses working consecutive night shifts. Journal of Korean Academy of Nursing, 47 (3), 302–310. https://doi.org/10.4040/jkan.2017.47.3.302
Konya, I., & Sato, T. (2025). Effects of taking a nap or break immediately after night shift on nurses ' fatigue recovery and sleep episodes: A quasi-experimental study. Journal of Physiological Anthropology, 44 (1), 15. https://doi.org/10.1186/s40101-025-00399-2
Malaha, N., Rusdi, M., Syafri, M., Pannyiwi, R., Sima, Y., & Rahmat, R. A. (2022). Hubungan Tingkat Pengetahuan Dengan Perilaku Merokok di SMA N 1 Liang Kabupaten Banggai Kepulauan. Barongko: Jurnal Ilmu Kesehatan, 1(1), 11–16. https://doi.org/10.59585/bajik.v1i1.17
Min, A., & Lee, S. (2022). Sleep deprivation and fatigue among nurses working consecutive night shifts. Journal of Korean Academy of Nursing, 52 (2), 215–223. https://doi.org/10.4040/jkan.2022.52.2.215
Roberts, K., & Jones, M. (2022). Clinical incidents in the emergency department: Is there an association with nurse tired? BMJ Open Quality, 11 (3), e001785. https://doi.org/10.1136/bmjoq-2022-001785
Sagherian, K., & Smith, L. (2017). Fatigue, work schedules, and perceived performance in nurses. Journal of Nursing Management, 25 (3), 173–181. https://doi.org/10.1111/jonm.12447
Smith-Miller, C. A., & Alfonsi, V. (2014). Sleep-related problems in the night shift nurses: Towards an integrated approaches. Frontiers in Human Neuroscience, 8, 644570. https://doi.org/10.3389/fnhum.2021.644570
Sima, Y., Puspitarini, N. A., Rahmat, R. A., Mulia, M., Hastutiningtyas, W. R., & Vandika, A. Y. (2024). Pendampingan dan Pelatihan Metode Stoisisme Untuk Menurunkan Stres Dalam Merawat Lansia Demensia. Sahabat Sosial: Jurnal Pengabdian Masyarakat, 2(4), 629–638. https://doi.org/10.59585/sosisabdimas.v2i4.480
Yamaguchi, S., & Sato, T. (2023). Chronic fatigue and recovery among nurses working two-shift systems. Journal of Clinical Nursing, 32 (1–2), 96–104. https://doi.org/10.1016/j.jocn.2023.02.022
Zahraie, M.A., & Ghaffari, M. (2021). The influences of shift work on the psychomotor capabilities of emergency medicine staff. Journal of Emergency Medicine, 61 (5), 581–588. https://doi.org/10.1016/j.jemermed.2021.07.013
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