A field investigation of the relationship between rotating shifts, sleep, mental health and physical activity of Australian paramedics

Abstract Paramedics working on a rotating shift are at an increased risk of developing chronic health issues due to continuous circadian rhythm disruption. The acute effects of shift rotation and objectively measured sleep have rarely been reported in paramedics. This study investigated the relation...

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Autores principales:	Wahaj Anwar A. Khan, Melinda L. Jackson, Gerard A. Kennedy, Russell Conduit
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/5df76c5115e74772823813e205c3a49d
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spelling	oai:doaj.org-article:5df76c5115e74772823813e205c3a49d2021-12-02T14:01:20ZA field investigation of the relationship between rotating shifts, sleep, mental health and physical activity of Australian paramedics10.1038/s41598-020-79093-52045-2322https://doaj.org/article/5df76c5115e74772823813e205c3a49d2021-01-01T00:00:00Zhttps://doi.org/10.1038/s41598-020-79093-5https://doaj.org/toc/2045-2322Abstract Paramedics working on a rotating shift are at an increased risk of developing chronic health issues due to continuous circadian rhythm disruption. The acute effects of shift rotation and objectively measured sleep have rarely been reported in paramedics. This study investigated the relationships between a rotating shift schedule and sleep (using actigraphy), subjective reports of sleepiness, mood, stress and fatigue. Galvanic Skin Response, energy expenditure and physical activity (BodyMedia SenseWear Armband) were also recorded across the shift schedule. Paramedics were monitored for a period of eight consecutive days across pre-shift, day shift, night shift, and 2 days off. Fifteen paramedics (M age = 39.5 and SD = 10.7 years) who worked rotational shifts experienced sleep restriction during night shift compared to pre-shift, day shift and days off (p < 0.001). Night shift was also associated with higher levels of stress (p < 0.05), fatigue (p < 0.05), and sleepiness (p < 0.05). One day off was related to a return to pre-shift functioning. Such shift-related issues have a compounding negative impact on an already stressful occupation with high rates of physical and mental health issues. Therefore, there is an urgent need to investigate methods to reduce rotating shift burden on the health of paramedics. This could be through further research aimed at providing recommendations for shift work schedules with sufficient periods for sleep and recovery from stress.Wahaj Anwar A. KhanMelinda L. JacksonGerard A. KennedyRussell ConduitNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Wahaj Anwar A. Khan Melinda L. Jackson Gerard A. Kennedy Russell Conduit A field investigation of the relationship between rotating shifts, sleep, mental health and physical activity of Australian paramedics
description	Abstract Paramedics working on a rotating shift are at an increased risk of developing chronic health issues due to continuous circadian rhythm disruption. The acute effects of shift rotation and objectively measured sleep have rarely been reported in paramedics. This study investigated the relationships between a rotating shift schedule and sleep (using actigraphy), subjective reports of sleepiness, mood, stress and fatigue. Galvanic Skin Response, energy expenditure and physical activity (BodyMedia SenseWear Armband) were also recorded across the shift schedule. Paramedics were monitored for a period of eight consecutive days across pre-shift, day shift, night shift, and 2 days off. Fifteen paramedics (M age = 39.5 and SD = 10.7 years) who worked rotational shifts experienced sleep restriction during night shift compared to pre-shift, day shift and days off (p < 0.001). Night shift was also associated with higher levels of stress (p < 0.05), fatigue (p < 0.05), and sleepiness (p < 0.05). One day off was related to a return to pre-shift functioning. Such shift-related issues have a compounding negative impact on an already stressful occupation with high rates of physical and mental health issues. Therefore, there is an urgent need to investigate methods to reduce rotating shift burden on the health of paramedics. This could be through further research aimed at providing recommendations for shift work schedules with sufficient periods for sleep and recovery from stress.
format	article
author	Wahaj Anwar A. Khan Melinda L. Jackson Gerard A. Kennedy Russell Conduit
author_facet	Wahaj Anwar A. Khan Melinda L. Jackson Gerard A. Kennedy Russell Conduit
author_sort	Wahaj Anwar A. Khan
title	A field investigation of the relationship between rotating shifts, sleep, mental health and physical activity of Australian paramedics
title_short	A field investigation of the relationship between rotating shifts, sleep, mental health and physical activity of Australian paramedics
title_full	A field investigation of the relationship between rotating shifts, sleep, mental health and physical activity of Australian paramedics
title_fullStr	A field investigation of the relationship between rotating shifts, sleep, mental health and physical activity of Australian paramedics
title_full_unstemmed	A field investigation of the relationship between rotating shifts, sleep, mental health and physical activity of Australian paramedics
title_sort	field investigation of the relationship between rotating shifts, sleep, mental health and physical activity of australian paramedics
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/5df76c5115e74772823813e205c3a49d
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A field investigation of the relationship between rotating shifts, sleep, mental health and physical activity of Australian paramedics

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