Orapuh Journal | Journal of Oral & Public Health
Health impact of shift work and night duty on part-time studying nurses
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Comment citer

Manyeneng, L. G. (2025). Health impact of shift work and night duty on part-time studying nurses. Orapuh Journal, 6(5), e1242. https://doi.org/10.4314/orapj.v6i5.42

Résumé

Introduction

In the demanding field of nursing, professionals often find themselves navigating the challenges of shift work and night duty, primarily due to a persistent shortage of nursing staff. This situation compels nurses to take on overtime and unconventional hours to meet the healthcare needs of their communities. Some nurses also pursue further education part-time, frequently opting for night shifts to accommodate their daytime classes. However, the toll of working irregular hours can lead to significant health consequences, including burnout and an increased risk of chronic health conditions.

Purpose

The study aimed to investigate the health impacts among nursing students working shifts and night duty while enrolled part-time at a higher learning institution in Gauteng, South Africa.

Methods

A descriptive quantitative methodology was employed, utilizing convenience sampling to gather data from 175 part-time nursing students at a designated higher education institution. Data collection was conducted over a three-month period using a structured questionnaire comprising both open-ended and closed-ended questions. The questionnaire was designed to assess variables related to the study objectives. Descriptive statistical approaches were employed, and data were analysed using SPSS version 26.

Results

The majority of nursing students were females (81%, n=142), while males constituted 19% (n=33). Among the 175 respondents, the findings revealed that 43% (n=64) experienced insomnia, 40% (n=59) reported fatigue, 7% (n=11) indicated difficulties with night driving, 6% (n=9) reported stress, and 3% (n=5) noted that their social lives were affected. Additionally, 15% (n=27) of the respondents were not exposed to shift work and night duty.

Conclusion

The study highlights the significant challenges faced by part-time nursing students who juggle shift work and academic responsibilities, particularly in relation to fatigue and insomnia. It underscores the need for enhanced support from higher learning institutions and employers to mitigate these health risks.

https://doi.org/10.4314/orapj.v6i5.42
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Références

Abdulghani, H. M., Alrowais, N. A., Bin-Saad, N. S., Al-Subaie, N. M., Haji, A. M. A., & Alhaqwi, A. I. (2012). Sleep disorder among medical students: Relationship to their academic performance. Medical Teacher, 34(sup1), S37–S41. https://doi.org/10.3109/0142159X.2012.656749

Ahn, J., Song, J.-H., Shin, I.-S., Cho, I. Y., & Kang, M.-Y. (2024). Systematic review and meta-analysis of the association between long working hours and hypertension risk. Journal of Epidemiology and Community Health, 78(6), 367–373. https://doi.org/10.1136/jech-2023-220912

Arifianto, A., Widyahening, I. S., Khoe, L. C., & Mokoagow, M. I. (2024). Examining The Relationship between Shift Work and Diabetes Mellitus among Nurses: An Evidence-based Case Report. E-Occupational and Environmental Medicine Journal of Indonesia, 2(2), 1–10. https://doi.org/10.7454/oemji.v2i2.1045

Baek, J. H., Zhu, Y., Jackson, C. L., & Mark Park, Y. M. (2024). Artificial Light at Night and Type 2 Diabetes Mellitus. In Diabetes & metabolism journal (Vol. 48, Issue 5, pp. 847–863). https://doi.org/10.4093/dmj.2024.0237

Bahinipati, J., Agarwal, B., Sarangi, R. L., Mohapatra, R. A., Pathak, M., Mahapatra, S., & Mohapatra, S. R. (2024). ESTIMATION OF PRO-INFLAMMATORY MARKERS IN NIGHT SHIFT HEALTHCARE WORKERS AND IDENTIFY RISK FACTORS ASSOCIATED WITH IT. Asia Pacific Journal of Health Management, 19(1). https://doi.org/10.24083/apjhm.v19i1.2599

Barone, T. L. (2017). “Sleep is on the back burner”: Working students and sleep. The Social Science Journal, 54(2), 159–167. https://doi.org/10.1016/J.SOSCIJ.2016.12.001

Bigert, C., Kader, M., Andersson, T., Selander, J., Bodin, T., Gustavsson, P., Härmä, M., Ljungman, P., & Albin, M. (2022). Night and shift work and incidence of cerebrovascular disease – a prospective cohort study of healthcare employees in Stockholm. Scandinavian Journal of Work, Environment and Health, 48(1), 31–40. https://doi.org/10.5271/sjweh.3986

Booker, L. A., Mills, J., Bish, M., Spong, J., Deacon-Crouch, M., & Skinner, T. C. (2024). Nurse rostering: understanding the current shift work scheduling processes, benefits, limitations, and potential fatigue risks. BMC Nursing, 23(1). https://doi.org/10.1186/s12912-024-01949-2

Books, C., Coody, L. C., Kauffman, R., & Abraham, S. (2017). Night Shift Work and Its Health Effects on Nurses. Health Care Manager, 39(3), 122–127. https://doi.org/10.1097/HCM.0000000000000177

Brown, J. P., Martin, D., Nagaria, Z., Verceles, A. C., Jobe, S. L., & Wickwire, E. M. (2020). Mental Health Consequences of Shift Work: An Updated Review. In Current Psychiatry Reports (Vol. 22, Issue 2). Springer. https://doi.org/10.1007/s11920-020-1131-z

Caldwell, J. A., Caldwell, J. L., Thompson, L. A., & Lieberman, H. R. (2019). Fatigue and its management in the workplace. In Neuroscience and Biobehavioral Reviews (Vol. 96, pp. 272–289). Elsevier Ltd. https://doi.org/10.1016/j.neubiorev.2018.10.024

Caruso, C. C. (2014). Negative Impacts of Shiftwork and Long Work Hours. Rehabilitation Nursing, 39(1), 16–25. https://doi.org/10.1002/rnj.107

Chaabane, S., Chaabna, K., Khawaja, S., Aboughanem, J., Mittal, D., Mamtani, R., & Cheema, S. (2024). Sleep disorders and associated factors among medical students in the Middle East and North Africa: a systematic review and meta-analysis. Scientific Reports, 14(1). https://doi.org/10.1038/s41598-024-53818-2

Cheng, W. J., Liu, C. S., Hu, K. C., Cheng, Y. F., Karhula, K., & Härmä, M. (2021). Night shift work and the risk of metabolic syndrome: Findings from an 8-year hospital cohort. PLoS ONE, 16(12), 1–10. https://doi.org/10.1371/journal.pone.0261349

D’ettorre, G., Pellicani, V., Greco, M., Caroli, A., & Mazzotta, M. (2019). Metabolic syndrome in shift healthcare workers. Med Lav, 110, 285–292.

Farha, R. A., & Alefishat, E. (2018). Shift work and the risk of cardiovascular diseases and metabolic syndrome among jordanian employees. Oman Medical Journal, 33(3), 235–242. https://doi.org/10.5001/omj.2018.43

Forthun, I., Waage, S., Pallesen, S., Moen, B. E., & Bjorvatn, B. (2022). Sleep medication and melatonin use among Norwegian nurses – A cross-sectional study. Nursing Open, 9(1), 233–244. https://doi.org/10.1002/nop2.1057

Ganesan, S., Magee, M., Stone, J. E., Mulhall, M. D., Collins, A., Howard, M. E., Lockley, S. W., Rajaratnam, S. M. W., & Sletten, T. L. (2019). The Impact of Shift Work on Sleep, Alertness and Performance in Healthcare Workers. Scientific Reports, 9(1). https://doi.org/10.1038/s41598-019-40914-x

Germany, B. (2004). WHO technical meeting on sleep and health.

Granata, A., Harshfield, E. L., & Moxon, J. V. (2023). Cerebrovascular Disorders. BMC Cardiovascular Disorders, 23(1), 1–3. https://doi.org/10.1186/s12872-023-03225-8

Grandner, M., Mullington, J. M., Hashmi, S. D., Redeker, N. S., Watson, N. F., & Morgenthaler, T. I. (2018). Sleep duration and hypertension: Analysis of > 700,000 adults by age and sex. Journal of Clinical Sleep Medicine, 14(6), 1031–1039. https://doi.org/10.5664/jcsm.7176

Guo, L., & Bryan, L. (2024, March 15). Circadian Rhythm: What it is, what shapes it, and why it’s fundamental to getting quality sleep. Sleep Foundation. https://www.sleepfoundation.org/circadian-rhythm

Gür, M., Çınar, V., Akbulut, T., Bozbay, K., Yücedal, P., Aslan, M., Avcu, G., Padulo, J., Russo, L., Rog, J., & Migliaccio, G. M. (2024). Determining the Levels of Cortisol, Testosterone, Lactic Acid and Anaerobic Performance in Athletes Using Various Forms of Coffee. Nutrients, 16(19). https://doi.org/10.3390/nu16193228

Härmä, M., Kecklund, G., & Tucker, P. (2024). Working hours and health – key research topics in the past and future. Scandinavian Journal of Work, Environment and Health, 50(4), 233–243. https://doi.org/10.5271/sjweh.4157

Härmä, M., Koskinen, A., Ropponen, A., Puttonen, S., Karhula, K., Vahtera, J., & Kivimäki, M. (2017). Validity of self-reported exposure to shift work. Occupational and Environmental Medicine, 74(3), 228–230. https://doi.org/10.1136/oemed-2016-103902

Ho, F. K., Celis-Morales, C., Gray, S. R., Demou, E., Mackay, D., Welsh, P., Katikireddi, S. V., Sattar, N., & Pell, J. P. (2022). Association and pathways between shift work and cardiovascular disease: A prospective cohort study of 238 661 participants from UK Biobank. International Journal of Epidemiology, 51(2), 579–590. https://doi.org/10.1093/ije/dyab144

Ikeda, H., & Kubo, T. (2024). The association between work interval regularity and sleep regularity: a 2-week observational study in daytime employees. Journal of Occupational Health, 66(1). https://doi.org/10.1093/joccuh/uiae009

International Agency for Research on Cancer Monographs-IARC. (2019). Carcinogenicity of night shift work. The Lancet. Oncology, 124(8), 1058–1059. https://doi.org/10.1016/S1470-2045(19)30455-3

Iqbal, S., Howse, J., Banu, S., Lateef, A., Khan, S., Barlas, Z., Moon, S., Moukaddam, N., & Shah, A. A. (2024). The Effects of Stress on Health. Psychiatric Annals, 54(10). https://doi.org/10.3928/00485713-20241004-02

Jacome-Sosa, M., Hu, Q., Manrique-Acevedo, C. M., Phair, R. D., & Parks, E. J. (2021). Human intestinal lipid storage through sequential meals reveals faster dinner appearance is associated with hyperlipidemia. The Journal of Clinical Investigation, 6(15), 1–17. https://doi.org/https://doi.org/10.1172/jci. insight.148378

Jalali, R., Khazaei, H., Khaledi Paveh, B., Hayrani, Z., & Menati, L. (2020). The effect of sleep quality on students’ academic achievement. Advances in Medical Education and Practice, 11, 497–502. https://doi.org/10.2147/AMEP.S261525

Jankowiak, S., Rossnagel, K., Bauer, J., Schulz, A., Liebers, F., Latza, U., Romero Starke, K., Seidler, A., Nübling, M., Riechmann-Wolf, M., Letzel, S., Wild, P., Arnold, N., Beutel, M., Pfeiffer, N., Lackner, K., Münzel, T., Schulze, A., & Hegewald, J. (2024). Night shift work and cardiovascular diseases among employees in Germany: five-year follow-up of the Gutenberg Health Study. Scandinavian Journal of Work, Environment & Health. https://doi.org/10.5271/sjweh.4139

Jester, R. (2023). Editorial – Global shortage of nurses – Rebecca Jester for May 2023 issue. In International Journal of Orthopaedic and Trauma Nursing (Vol. 49). Elsevier Ltd. https://doi.org/10.1016/j.ijotn.2023.101018

Kentab, O. Y., Aal Ibrahim, A., Soliman, K. R., Aljahany, M., Alresseeni, A. I., & Algarni, A. S. (2021). Exploring the prevalence and patterns of use of sleep aids and stimulants among emergency physicians and ems providers in saudi arabia. Open Access Emergency Medicine, 13, 343–353. https://doi.org/10.2147/OAEM.S310324

Khan, S., Malik, B. H., Gupta, D., & Rutkofsky, I. (2020). The Role of Circadian Misalignment due to Insomnia, Lack of Sleep, and Shift Work in Increasing the Risk of Cardiac Diseases: A Systematic Review. Cureus, 12(1), 1–6. https://doi.org/10.7759/cureus.6616

Leso, V., Gervetti, P., Mauro, S., Macrini, M. C., Ercolano, M. L., & Iavicoli, I. (2020). Shift work and migraine: A systematic review. In Journal of Occupational Health (Vol. 62, Issue 1). John Wiley and Sons Inc. https://doi.org/10.1002/1348-9585.12116

Li, X., He, Y., Wang, D., & Momeni, M. R. (2025). Chronobiological disruptions: unravelling the interplay of shift work, circadian rhythms, and vascular health in the context of stroke risk. In Clinical and Experimental Medicine (Vol. 25, Issue 1). Springer Science and Business Media Deutschland GmbH. https://doi.org/10.1007/s10238-024-01514-w

Mantua, J., Skeiky, L., Prindle, N., Trach, S., Doty, T. J., Balkin, T. J., Brager, A. J., Capaldi, V. F., & Simonelli, G. (2019). Sleep extension reduces fatigue in healthy, normally-sleeping young adults. Sleep Science, 12(1), 21–27. https://doi.org/10.5935/1984-0063.20190056

Manyeneng, L. G. (2019). Health and safety risks affecting working students studying towards an occupational nursing qualification at a Gauteng university. Tshwane University of Technology.

Manyeneng, L. G., Pilusa, M. L., & Mogotlane, M. S. (2021). Health and safety risks affecting part-time nursing students. Health SA Gesondheid, 26. https://doi.org/10.4102/hsag.v26i0.1404

Marquezea, E. C., Lemosa, L. C., Soaresa, N., Lorenzi-Filhob, G., & Morenoa, C. R. C. (2012). Weight gain in relation to night work among nurses. Work, 41(SUPPL.1), 2043–2048. https://doi.org/10.3233/WOR-2012-0429-2043

Martin, C. V., Joyce-McCoach, J., Peddle, M., & East, C. E. (2024). Sleep deprivation and medication administration errors in registered nurses—A scoping review. In Journal of Clinical Nursing (Vol. 33, Issue 3, pp. 859–873). John Wiley and Sons Inc. https://doi.org/10.1111/jocn.16912

Moisii, P., Jari, I., Ursu, A. M., & Naum, A. G. (2024). The Relationship between Job Strain and Ischemic Heart Disease Mediated by Endothelial Dysfunction Markers and Imaging. Medicina (Lithuania), 60(7). https://doi.org/10.3390/medicina60071048

Pacheco, D., & Singh, A. (2023). Shift Work Disorder Symptoms. https://www.sleepfoundation.org/shift-work-disorder/symptoms

Pescador Ruschel, M., & De Jesus, O. (2023). Migraine Headache. Stat Pearls Publishing, 1–4. https://www.ncbi.nlm.nih.gov/books/NBK560787/

Puttonen, S., Härmä, M., & Hublin, C. (2010). Shift work and cardiovascular disease - Pathways from circadian stress to morbidity. Scandinavian Journal of Work, Environment and Health, 36(2), 96–108. https://doi.org/10.5271/sjweh.2894

Ramar, K., Malhotra, R. K., Carden, K. A., Martin, J. L., Abbasi-Feinberg, F., Aurora, R. N., Kapur, V. K., Olson, E. J., Rosen, C. L., Rowley, J. A., Shelgikar, A. V., & Trotti, L. M. (2021). Sleep is essential to health: An American Academy of Sleep Medicine position statement. Journal of Clinical Sleep Medicine, 17(10), 2115–2119. https://doi.org/10.5664/jcsm.9476

Schellack, N., Mogole, O., Magongwa, N., & Makola, F. (2017). Migraine headaches in a nutshell. South African Family Practice, 59(6), 12–14. https://doi.org/10.1146/annurev-pharmtox-010814-124701

Silva, I., & Costa, D. (2023). Consequences of Shift Work and Night Work: A Literature Review. In Healthcare (Switzerland) (Vol. 11, Issue 10, pp. 1–17). MDPI. https://doi.org/10.3390/healthcare11101410

Sim, J., Yun, B., Yoon, J. H., Lee, J., Oh, J., Cho, A., & Kim, S. K. (2022). Relationship between insomnia and rest time between shifts among shift workers: A multicenter cross-sectional study. Journal of Occupational Health, 64(1). https://doi.org/10.1002/1348-9585.12336

Steintorsdottir, S. D., Øksnes, M., Jørgensen, A. P., & Husebye, E. S. (2025). Extended-release Hydrocortisone Formulations - Is There a Clinically Meaningful Benefit? In Journal of Clinical Endocrinology and Metabolism (Vol. 110, Issue 3, pp. e566–e573). Endocrine Society. https://doi.org/10.1210/clinem/dgae822

Thau, L., Gandhi, J., & Sharma, S. (2023). Physiology, Cortisol. Stat Pearls Publishing, 1–11. https://www.ncbi.nlm.nih.gov/books/NBK538239/#:~:text=https%3A//www.ncbi.nlm.nih.gov/books/NBK538239/

Thompson, L. M., Slavish, D. C., Messman, B. A., Dietch, J. R., Kelly, K., Ruggero, C., Taylor, D. J., Ramarushton, B., & Blumenthal, H. (2024). Alcohol Use Predicts Longer But More Fragmented Sleep: A Daily Diary Study of Alcohol, Sleep, and PTSD in Nurses. International Journal of Behavioral Medicine, 1–13. https://doi.org/10.1007/s12529-024-10308-z

Thurezon, M. (2023). Can extraversion buffer against sleep deprivation’s negative effect on social motivation?

Tucker, P., Härmä, M., Ojajärvi, A., Kivimäki, M., Leineweber, C., Oksanen, T., Salo, P., & Vahtera, J. (2019). Associations between shift work and use of prescribed medications for the treatment of hypertension, diabetes, and dyslipidemia: A prospective cohort study. Scandinavian Journal of Work, Environment and Health, 45(5), 465–474. https://doi.org/10.5271/sjweh.3813

Ugwu, L. E., Idemudia, E. S., & Onyedibe, M. C. C. (2024). Decoding the impact of night/day shiftwork on well-being among healthcare workers. Scientific Reports, 14(1). https://doi.org/10.1038/s41598-024-60882-1

van de Ven, H. A., Hulsegge, G., Zoomer, T., de Korte, E. M., Burdorf, A., & Oude-Hengel, K. M. (2021). The acute effects of working time patterns on fatigue and sleep quality using daily measurements of 6195 observations among 223 shift workers. Scandinavian Journal of Work, Environment and Health, 47(6), 446–455. https://doi.org/10.5271/sjweh.3964

van Elk, F., Robroek, S. J. W., Smits-de Boer, S., Kouwenhoven-Pasmooij, T. A., Burdorf, A., & Oude Hengel, K. M. (2022). Study design of PerfectFit@Night, a workplace health promotion program to improve sleep, fatigue, and recovery of night shift workers in the healthcare sector. BMC Public Health, 22(779), 1–9. https://doi.org/10.1186/s12889-022-13206-9

Vega-Beyhart, A., Araujo-Castro, M., Hanzu, F. A., & Casals, G. (2023). Cortisol: Analytical and clinical determinants. Advances in Clinical Chemistry, 113, 235–271. https://doi.org/10.1016/bs.acc.2022.11.005

Verde, L., Di Lorenzo, T., Savastano, S., Colao, A., Barrea, L., & Muscogiuri, G. (2024). Chrononutrition in type 2 diabetes mellitus and obesity: A narrative review. Diabetes/Metabolism Research and Reviews, 40(2). https://doi.org/10.1002/dmrr.3778

Vetbuje, B. G. (2023). Burnout of Nurses due to Workload and Long Working Hours during Shifts: Review Article. International Archives of Nursing and Health Care, 9(4). https://doi.org/10.23937/2469-5823/1510191

WHO. (2020, August 5). Palliative care. https://www.who.int/news-room/fact-sheets/detail/palliative-care

Wickwire, E. M., Geiger-Brown, J., Scharf, S. M., & Drake, C. L. (2017). Shift Work and Shift Work Sleep Disorder: Clinical and Organizational Perspectives. Sleep Medicine, 151(5), 1156–1172. https://doi.org/10.1016/j.chest.2016.12.007

Xavier, L., Prenita, Pooja, G. R., & Pradeepan. (2024). Effect of Shift Work on One’s Physical and Psychological Well-Being Among Nursey Employed in Saveetha Hospital. Texila International Journal of Public Health, 12(4), 1–8. https://doi.org/10.21522/TIJPH.2013.12.04.Art065

Xie, F., Hu, K., Fu, R., Zhang, Y., Xiao, K., & Tu, J. (2024). Association between night shift work and the risk of type 2 diabetes mellitus: a cohort-based meta-analysis. In BMC Endocrine Disorders (Vol. 24, Issue 1). BioMed Central Ltd. https://doi.org/10.1186/s12902-024-01808-w

Živčicová, E. (2018). Fatigue as a consequence of shift work and exhaustion. SOCIÁLNO-EKONOMICKÁ REVUE, 4, 118–122.

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