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      Biological and practical considerations regarding circadian rhythm and mental health relationships among nurses working night shifts: a narrative review and recommendations

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      Date
      2022-04-14
      Author
      Okechukwu, Chidiebere Emmanuel
      Mark, D Griffiths
      Carta, Mauro Giovanni
      Nwobodo, Edwin
      Shariful Islam, Sheikh Mohammed
      Forbes, Malcolm
      Berk, Michael
      Marc N, Potenza
      Banach, Maciej
      Ojiakor, Amamihechineke Grace
      Nwobodo, Nkoli
      Publisher
      Il Pensiero Scientifico Editore s.r.l.
      Type
      Article
      Peer Reviewed Status
      Peer Reviewed
      Metadata
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      Abstract
      Summary. Background. Sleep is a vital physiological process regulated by the circadian clock and homeostatic mechanisms. Shift work is necessary to ensure continuity of healthcare provision. Worldwide, nurses work night shifts on a rotational or permanent basis. Objective. To analyse the impact of circadian rhythm disruption due to night shift work on the mental wellbeing of nurses. Methods. The literature search was conducted using PubMed and Scopus electronic databases. Selection criteria include studies published in English between 1997 and 2021 that examined the impact of night-shift work on the mental health of nurses. Results. The searches generated a total of 22 records on the PubMed database, and 9 records on the Scopus database, and a total of 31 studies. 29 papers were identified after removal of duplicates. However, 29 articles were screened based on the review of titles and abstracts. 19 articles were identified for full-test review. Seven papers were included in this review. Conclusions. Disrupted circadian rhythms and poor sleep quality and quantity have been identified as two of the most significant elements in the long-term effects of night-shift work on nurses’ mental health. Strategies and policies to promote workplace health may reduce the occurrence of mental health disorders among night-shift nurses, whether the shifts are rotational or permanent. Nursing supervisors and hospital administrators should consider developing new guidelines to minimize the negative impact of night shift rotations on mental health and the quality of life among nurses.
      Citation
      Okechukwu, C. E., Griffiths, M. D., Carta, M. G., Nwobodo, E., Shariful Islam, S. M., Forbes, M., Berk, M., Potenza, M. N., Banach, M., Amamihechineke Grace, O., Nwobodo, N., & La Torre, G. (2022). Biological and practical considerations regarding circadian rhythm and mental health relationships among nurses working night shifts: a narrative review and recommendations. Rivista di psichiatria, 57(2), 67–79. https://doi.org/10.1708/3790.37738
      Part Of
      Rivista di Psichiatria
      Series/Report No.
      57(2);67-79
      URI
      https://hdl.handle.net/10388/13906
      DOI
      10.1708/3790.37738
      Subject
      Circadian, mood disorders, nursing staff, occupational health, quality of life, shift work schedule, sleep, sleep disorders
      Circadian, mood disorders, nursing staff, occupational health, quality of life, shift work schedule, sleep, sleep disorders
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      • Nursing
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