Impact of Rotating Shift on Nurses' Health Outcomes: An Analytical Cross-Sectional Study at MMC Mardan

Impact of Rotating Shifts on Nurses’ Health

Authors

  • Absheen Rahman College of Nursing, Medical Teaching Institute, Bacha Khan Medical College, Mardan, Pakistan
  • Asad Ullah College of Nursing, Medical Teaching Institute, Bacha Khan Medical College, Mardan, Pakistan
  • . Shaista College of Nursing, Medical Teaching Institute, Bacha Khan Medical College, Mardan, Pakistan
  • Zuhra Shakir College of Nursing, Medical Teaching Institute, Bacha Khan Medical College, Mardan, Pakistan
  • Marwa Gohar College of Nursing, Medical Teaching Institute, Bacha Khan Medical College, Mardan, Pakistan
  • Muhammad Adil College of Nursing, Medical Teaching Institute, Bacha Khan Medical College, Mardan, Pakistan

DOI:

https://doi.org/10.54393/nrs.v5i4.206

Keywords:

Rotating Shifts, Nurses, Health Outcomes, Sleep Disturbance, Fatigue, Occupational Health, Pakistan

Abstract

The rotating shift work is widely practiced in healthcare facilities in order to provide 24/7 patient care, which is known to disrupt circadian rhythms and adversely influence the physical, psychological, and general well-being of the nurse. Objectives: The objectives of the study will be to investigate the impact of the rotating shift work system on the physical, mental, and general health of MMC, Mardan, KPK nurses. Methods: A cross-sectional study was conducted on 142 RN who worked at least one year on rotating shifts. The convenience sampling was adopted. A validated structured questionnaire with a Cronbach's alpha of 0.70 was used to gather the data. The Kruskal-Wallis and Mann-Whitney U tests were used to determine the demographic factors and health outcomes associations; the descriptive statistics summarized demographic and health-related variables. Results: The majority of the participants were aged between 25 and 29 (74.6) and female (72.5). Fatigue, sleep disturbances, emotional exhaustion, and stress were also reported as common characteristics of the issues. Almost 50 percent (45.1%), but above half (54.2%), did not feel disheartened because of rotating shifts. There was no substantial correlation between the health outcomes and gender and work area (p>0.05). Conclusions: The practice of rotating shift work at MMC Mardan has a negative impact on the physical and psychological well-being of nurses and especially on their fatigue levels, sleep quality, emotional distress, and overall well-being

References

Inchingolo AD, Inchingolo AM, Fatone MC, Ferrante L, Casamassima L, Trilli I et al. Guidelines for Reducing the Adverse Effects of Shift Work on Nursing Staff: A Systematic Review. Healthcare. 2025 Aug; 13(17): 1–32. doi: 10.3390/healthcare13172148.

Books C, Coody LC, Kauffman R, Abraham S. Night Shift Work and Its Health Effects on Nurses. The Health Care Manager. 2020 Jul; 39(3): 122-127. doi: 10.1097/HCM.0000000000000297.

Silva I and Costa D. Consequences of Shift Work and Night Work: A Literature Review. Healthcare. 2023 May; 11(10): 1–17. doi: 10.3390/healthcare11101410.

Ferri P, Guadi M, Marcheselli L, Balduzzi S, Magnani D, Di Lorenzo R. The Impact of Shift Work on the Psychological and Physical Health of Nurses in A General Hospital: A Comparison Between Rotating Night Shifts and Day Shifts. Risk Management and Healthcare Policy. 2016 Sep; 9: 203-211. doi: 10.2147/RMHP.S115326.

Watson R. The Global Shortage of Registered Nurses. Journal of Clinical Nursing. 2005 Apr; 14(4): 409-. doi: 10.1111/j.1365-2702.2005.01133.x.

Ali A, Rasheed A, Naz S. Impact of Morning and Rotational Duties on Physical Health of Nurses Working in Tertiary Care Hospitals of Karachi. Pakistan Journal of Medical Sciences. 2018 Nov; 34(6): 1-5. doi: 10.12669/pjms.346.16187.

Imes CC and Chasens ER. Rotating Shifts Negatively Impacts Health and Wellness Among Intensive Care Nurses. Workplace Health and Safety. 2019 May; 67(5): 241-249. doi: 10.1177/2165079918820866.

Hutapea KM and Hutapea DM. The Impact of Shift Work on Nurses' Mental and Physical Health: A Review of Recent Literature. Oshada. 2025 Feb; 2(1): 41-57. doi: 10.62872/bvf6gj60.

Sultan A. The Impact of Rotating Shifts on Nurses’ Health Working in Public and Private Sector Hospitals of Peshawar. Pakistan Journal of Public Health. 2022 Jun; 12(2): 83-7. doi: 10.32413/pjph.v12i2.926.

Verma A, Kishore J, Gusain S. A Comparative Study of Shift Work Effects and Injuries Among Nurses Working in Rotating Night and Day Shifts in A Tertiary Care Hospital of North India. Iranian Journal of Nursing and Midwifery Research. 2018 Jan; 23(1): 51-6. doi: 10.4103/ijnmr.IJNMR_15_17.

Chiang SL, Chiang LC, Tzeng WC, Lee MS, Fang CC, Lin CH et al. Impact of Rotating Shifts on Lifestyle Patterns and Perceived Stress Among Nurses: A Cross-Sectional Study. International Journal of Environmental Research and Public Health. 2022 Apr; 19(9): 1-11. doi: 10.3390/ijerph19095235.

Ding L, Duan J, Yang T, Jin C, Lv S, Ma A et al. Association Between Circadian Syndrome and Chronic Diarrhea: A Cross-Sectional Study of National Health and Nutrition Examination Survey 2005–2010 Data. Frontiers in Physiology. 2024 Apr; 15: 1-9. doi: 10.3389/fphys.2024.1301450.

Rizany I, Handiyani H, Pujasari H, Erwandi D, Wulandari CI. Self-Scheduling for Nurses: A Concept Analys.is. Multidisciplinary Reviews. 2025 Sep; 8(1): 1-6. doi: 10.31893/multirev.2025021.

Mao Y, Raju G, Zabidi MA. Association Between Occupational Stress and Sleep Quality: A Systematic Review. Nature and Science of Sleep. 2023 Dec; 931-47: 1-17. doi: 10.2147/NSS.S431442.

Qtait M, Alia MF, Jaradat Y. The Impact of Rotating Shift Work on Nurse Burnout: A Systematic Review of Contributing Factors and Organizational Strategies. SAGE Open Nursing. 2025 Sep; 11: 1-9. doi: 10.1177/23779608251374232.

Brown JP, Martin D, Nagaria Z, Verceles AC, Jobe SL, Wickwire EM. Mental Health Consequences of Shift Work: An Updated Review. Current Psychiatry Reports. 2020 Feb; 22(2): 1-7. doi: 10.1007/s11920-020-1131-z.

Ko H, Shim J, Baek J. Effects of Programs on Sleep Improvement in Shift-Work Nurses: A Systematic Review and Meta-Analysis. BioMed Central nursing. 2025 Sep; 24(1): 1-22. doi: 10.1186/s12912-025-03813-3.

Tsvetkova ES, Romantsova TI, Runova GE, Beliaev NS, Goldshmid AE. The Influence of Shift Work on Metabolic Health. Obesity and Metabolism. 2019 Dec; 16(3): 11-9. doi: 10.14341/omet10015

Santana IR, Montes MA, Chalkley M, Jacobs R, Kowalski T, Suter J. The Impact of Extending Nurse Working Hours on Staff Sickness Absence: Evidence from a Large Mental Health Hospital in England. International Journal of Nursing Studies. 2020 Dec; 112: 1-10. doi: 10.1016/j.ijnurstu.2020.103611.

Booker LA, Fitzgerald J, Mills J, Bish M, Spong J, Deacon‐Crouch M, Skinner TC. Sleep and Fatigue Management Strategies: How Nurses, Midwives and Paramedics Cope with Their Shift Work Schedules—A Qualitative Study. Nursing Open. 2024 Jan; 11(1): 1-12. doi: 10.1002/nop2.2099.

Downloads

Published

2025-12-31
CITATION
DOI: 10.54393/nrs.v5i4.206
Published: 2025-12-31

How to Cite

Rahman, A., Ullah, A., Shaista, ., Shakir, Z., Gohar, M., & Adil, M. (2025). Impact of Rotating Shift on Nurses’ Health Outcomes: An Analytical Cross-Sectional Study at MMC Mardan: Impact of Rotating Shifts on Nurses’ Health. NURSEARCHER (Journal of Nursing & Midwifery Sciences), 5(4), 15–19. https://doi.org/10.54393/nrs.v5i4.206

Plaudit

Most read articles by the same author(s)