• Inga Millere Rīga Stradiņš University (LV)
  • Liana Deklava Rīga Stradiņš university (LV)
  • Ineta Skutele Rīga Stradiņš university (LV)
  • Elīna Millere Riga Stradiņš university (LV)
  • Olga Fokina Riga Stradiņš university (LV)



shift work, nurses, depression, anxiety, sleep quality


Shift work is prevalent in service industries such as hospitals that provide 24-hour coverage. There is no common accepted definition of shift work, but usually shift work is defined as work hours that are scheduled outside daylight (6 am–6 pm) hours. Purpose of study is to compare quality of sleep, anxiety and depression among nurses working daily and shifts in Latvia. In this study 4 research tools were used: a demographic questionnaire, Beck depression survey (BDI), The State-Trait Anxiety Inventory (STAI) and Pittsburgh sleep quality index (PSQI). Research results showed that nurses in shifts have higher mean value scores than day time working nurses in all indicators – depression, anxiety and sleep quality. This research is meaningful due to the fact that it allows to acknowledge and evaluate the role of shift work on nurses health particularly on mood disorders and sleep quality.


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Alward, R. R., Monk, T. H., & American Nurses' Association. (1993). The nurse's shift work handbook. Washington, D.C.: American Nurses Publishing.

Beck A.T. , Steer R.A., Carbin M.G. (1988). Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Clinical Psychology Review, Vol. 8, Issue 1, 77-100.

Brown DL, Feskanich D, Sanchez BN, Rexrode KM, Schernhammer ES, Lisabeth LD. (2009). Rotating night shift work and the risk of ischemic stroke. Am J Epidemiol 2009; 169, 1370−7.

Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. (1989). The Pittsburgh Sleep Quality Index: A new instrument for psychiatric practice and research. Psychiatry Research 28, 193-213.

Circenis, K., Millere, I. & Deklava, L. (2011). Stress-related Psychological Disordes Among Surgical Care Nurses in Lavia. Rewiev of Global Medicine and Healthcare Research, 131-138.

Conway PM, Campanini P, Sartori S, Dotti R, Costa G. (2008). Main and interactive effects of shiftwork, age and work stress on health in an Italian sample of healthcare workers. Appl Ergon 2008; 39, 630-9.

Costa, G. (2003). Shift work and occupational medicine:an overview. Occupational Medicine, 83–88.

Emerson M.Wickwire, J. G.-B. (May 2017). Shift Work and Shift Work Sleep Disorder: Clinical and Organizational Perspectives. Chest, Volume 151, Issue 5 , 1156-1172.

Halvani, G. H., Nodoushan, I. S., Mojahede, H., Nodoushan, S., Nodoushan, R. J., Hajian, N. . (2012). Effect of Shift Work on the Frequency of Depression in Nursing Staff of Yazd University of Medical Science. Journal of Community Health Research, 104-109.

Harma M., Kecklund G. (2010). Shift work and health - how to proceed? . Scand J Work Environ Health, 36, 81-84.

Hughes V. (2015). Health Risks Associated with Nurse Night Shift Work: A Systematic Review. GSTF Journal of Nursing and Health Care (JNHC) Vol.2 No.2., 39-44.

Hughes, R., Stone, P. (2004). The perils of shiftwork: Evening shift, night shift and rotating shifts: Are they for you? American Journal of Nursing 104 (9), 60-63.

Kunert, K., King, M. L., Kolkhorst, F. W. . (2007). Fatigue and sleep quality in nurses. J Psychosoc Nurs Ment Health Serv, 30-37.

Parent-Thirion, A., Fernández Macías, E., Hurley, J. and Vermeylen, G., Eurofound. (2007). Fourth European Working Conditions Survey. Luxembourg: Publications Office of the European Union.

Pei-Chen Lin. Chung-Hey Chen, Shung-Mei Pan, Yao-Mei Chen, Chih-Hong Pan, Hsin-Chia Hung,Ming-Tsang Wu. (2015). The association between rotating shift work and increased occupational stress in nurses. J Occup Health 2015; 57, 307–315.

Rogers, A. E. (2008). The effects of fatigue and sleepiness on nurse performance and patient safety. In A. E. Rogers, Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (pp. 509-533). USA: Agency for Healthcare Research and Quality.

Saksvik IB, B. B. (2011). Individual differences in tolerance to shift work – A systematic review. Sleep Med Rev, 15: 221–35.

Selvi, Y., Özdemir, P. G., Özdemir, O., Aydın, A., Beşiroğlu, L. (2010). Influence of night shift work on psychologic state and quality of life in health workers. The Journal of Psychiatry and Neurological Sciences, 238-243.

Spielberger C. D., Gorsuch R. L., & Lushene R. E. . (1970). Manual for the State-Trait Anxiety Inventory. Palo Alto, CA: Consulting Psychologists Press.

Subhashni D. Singh Joy, A. K. (2010). Predicting depression in nurses. American Journal of Nursing, 110 (2), 63-64.

Tanaka K, Otsubo T, Tanaka M, et al. (2010). Similarity in predictors between near miss and adverse event among Japanese nurses working at teaching hospitals. Ind Health 48, 775−782.

The effects of fatigue and sleepiness on nurse performance and patient safety, Patient Safety and Quality: . (2008). In A. E. Rogers, An Evidence-Based Handbook for Nurses.

Ulas T., Buyukhatipoglu H., Kirhan I., Dal, M.S., Eren M.A., Hazar A., Demir M.E., Aydogan T., Karababa F., Uyanikoglu A., Kurkcuoglu I.C. (2012). The effect of day and night shifts on oxidative stress and anxiety symptoms of the nurses. European Review for Medical and Pharmacological Sciences (16), 594-599.




How to Cite

Millere, I., Deklava, L., Skutele, I., Millere, E., & Fokina, O. (2018). SHIFT WORK IMPACT TO SYMPTOMS OF ANXIETY, DEPRESSION AND SLEEP QUALITY AMONG NURSES. SOCIETY. INTEGRATION. EDUCATION. Proceedings of the International Scientific Conference, 4, 154-161.