University of Surrey

Test tubes in the lab Research in the ATI Dance Research

The role of sleep hygiene in the risk of Shift Work Disorder in nurses

Booker, L.A., Barnes, M., Alvaro, P., Collins, A., Chai-Coetzer, C.L., McMahon, M., Lockley, S.W., Rajaratnam, S.M.W., Howard, M.E. and Sletten, T.L. (2020) The role of sleep hygiene in the risk of Shift Work Disorder in nurses Sleep, 43 (2). pp. 1-8.

Full text not available from this repository.


A high proportion (20%�30%) of shift workers experience Shift Work Disorder (SWD), characterized by chronic sleepiness and/or insomnia associated with work schedules. The reasons for individual variation in shift work tolerance are not well understood, however. The aim of this study was to identify individual factors that contribute to the risk of SWD. Nurses (n = 202) were categorized as low or high risk of SWD based on the Shift Work Disorder Questionnaire. Participants provided demographic and lifestyle information and completed the Sleep Hygiene Index (SHI) and Morningness�Eveningness Questionnaire (MEQ). High risk of SWD was associated with poorer sleep hygiene (SHI, 35.41 ± 6.19 vs. 31.49 ± 7.08, p < .0001) and greater eveningness (MEQ, 34.73 ± 6.13 vs. 37.49 ± 6.45, p = .005) compared to low risk. No other factors, including body mass index, marital status, having children, or caffeine or alcohol intake were significant. Logistic regression showed that SHI was the most significant contributing factor to SWD risk (odds ratio [OR] = 1.09, 95% confidence interval [CI] = 1.04 to 1.14). Standardized odds ratio further revealed that with every unit increase on the SHI score, the odds of being at high risk of SWD increased by 80% (OR = 1.84). Most individuals at high risk of SWD reported �always� or �frequently� going to bed at different times (79%) and waking at different times (83%; compared to 58%, p = .017, and 61%, p = .002, respectively for the low-risk group), as well as going to bed stressed/angry (67% vs. 41%, p < .0001) and/or planning/worrying in bed (54% vs. 22%, p < .0001). Interventions aimed at improving sleep hygiene practices and psychological health of shift workers may help reduce the risk of SWD. © Sleep Research Society 2019. Published by Oxford University Press on behalf of the Sleep Research Society.

Item Type: Article
Authors :
Booker, L.A.
Barnes, M.
Alvaro, P.
Collins, A.
Chai-Coetzer, C.L.
McMahon, M.
Rajaratnam, S.M.W.
Howard, M.E.
Sletten, T.L.
Date : 2020
DOI : 10.1093/sleep/zsz228
Uncontrolled Keywords : Circadian rhythm, Health care, Hygiene, Insomnia, Nurses, Shift work, Sleep, Sleepiness, adult, Article, chronic disease, circadian rhythm sleep disorder, controlled study, cross-sectional study, demography, emotion, female, high risk population, human, insomnia, lifestyle, low risk population, major clinical study, male, Morningness Eveningness Questionnaire, nurse, occupational hazard, patient worry, planning, priority journal, questionnaire, randomized controlled trial, risk reduction, shift work, shift worker, sleep hygiene, Sleep Hygiene Index, somnolence, stress, wakefulness, work schedule
Depositing User : Clive Harris
Date Deposited : 17 Jun 2020 00:31
Last Modified : 17 Jun 2020 00:31

Actions (login required)

View Item View Item


Downloads per month over past year

Information about this web site

© The University of Surrey, Guildford, Surrey, GU2 7XH, United Kingdom.
+44 (0)1483 300800