Pain complaints after consecutive nights and quick returns in Norwegian nurses working three-shift rotation: an observational study

Sep 11, 2020BMJ open

Pain reports after back-to-back night shifts and short breaks in Norwegian nurses on three-shift schedules

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Abstract

Of 679 nurses, no significant increase in pain complaints was found for five out of six anatomical regions after consecutive night shifts compared to morning shifts.

  • A strong trend suggested that headache risk increased on workday 3 versus workday 2 for night shifts (OR 1.13, 95% CI 0.99 to 1.28).
  • Considering sleep duration, the risk for headache was lowered (OR 0.37, 95% CI 0.17 to 0.81).
  • No evidence supported a higher risk for pain complaints after compared to morning shifts.
  • The analysis did not reveal any shift type by workday interaction for pain in neck/shoulder/upper back, upper extremities, low back, lower extremities, or abdomen.

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Key numbers

1.13
Adjusted Odds Ratio for Headache Risk Increase
Compared workday 3 to workday 2 for night shifts.
0.39
Lower Extremity Pain Odds Ratio
Adjusted analysis comparing night vs. morning shifts.
5.5 hours
Sleep Duration Comparison
Mean sleep duration reported after .

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