Neurobehavioral, health, and safety consequences associated with shift work in safety-sensitive professions

  title={Neurobehavioral, health, and safety consequences associated with shift work in safety-sensitive professions},
  author={Laura K. Barger and Steven W. Lockley and Shantha M. W. Rajaratnam and Christopher P. Landrigan},
  journal={Current Neurology and Neuroscience Reports},
Almost 15% of the full-time workers in the United States are shift workers. We review the physiologic challenges inherent not only in traditional night or rotating shifts but also in extended-duration shifts and other nonstandard hours. The challenging schedules of those in particularly safety-sensitive professions such as police officers, firefighters, and health care providers are highlighted. Recent findings describing the neurobehavioral, health, and safety outcomes associated with shift… 

Rotating Shifts Negatively Impacts Health and Wellness Among Intensive Care Nurses

Sleep-related impairment was highly correlated with greater emotional distress, greater fatigue, and worse memory and concentration during both time points of assessment.

Sleep science, schedules, and safety in hospitals: challenges and solutions for pediatric providers.

Adverse Health effects Associated with Shift Work

Frequent breaks and 8-10 hour shifts instead of 12 hour shifts can also minimize fatigue and help to mitigate the negative health effects of shift work.

Shift Work Sleep Disorder

All shift workers should be educated about the possible negative effects of circadian misalignment, including the development of SWD, and should benefit from prescribed sleep scheduling, circadian phase shifting interventions, hypnotic (sleep-promoted) medications, and/or stimulant (wake-promoting) medications.

Investigation of Shift Work Disorders among Security Personnel

Investigation of shift work disorders among security personnel of the hospitals Affiliated to Shiraz University of Medical Sciences, Central revealed a significant difference regarding the increase in blood pressure, sleep disorders, dissatisfaction in individual, family, and social lives, as well as increase in psychological, cardiovascular, gastrointestinal, and musculoskeletal disorders.

Police stressors and health: a state-of-the-art review.

Research findings presented in this paper are based on sound psychological and medical evidence among police officers and provide empirical evidence of both mental and physical outcomes associated with police stress and the processes involved in both.

Excessive Daytime Sleepiness in Firefighters in the Central United States

Given firefighters' important role in public safety, concerns have been raised about whether firefighters' work schedules result in high rates of excessive sleepiness, Nevertheless, firefighters in this study did not have high levels of EDS despite their extended work schedule.



Impact of long work hours on police officers and the communities they serve.

  • B. Vila
  • Medicine
    American journal of industrial medicine
  • 2006
Ongoing research suggests that the police may be a useful model occupational group for basic and applied research on sleep, fatigue, and human performance.

Critical Incident Exposure and Sleep Quality in Police Officers

Although the life-threatening aspects of police work are related to nightmares, the routine stressors of police service seem to most affect global sleep quality in these subjects, which may have implications for health and occupational performance.

Sleep Disorders and Daytime Sleepiness in State Police Shiftworkers

Investigation of sleep habits, prevalence of sleep disorders, sleepiness on the job, and hypnotic drug intake in a population of Italian state police officers found that shiftworkers required more sleep, and seemed to compensate for the poor quality of their sleep by sleeping for a greater number of hours during 24-hr periods.

Effects of critical care nurses' work hours on vigilance and patients' safety.

The findings support the Institute of Medicine recommendations to minimize the use of 12-hour shifts and to limit nurses' work hours to no more than 12 consecutive hours during a 24-hour period.

Effect of reducing interns' work hours on serious medical errors in intensive care units.

Eliminating extended work shifts and reducing the number of hours interns work per week can reduce serious medical errors in the intensive care unit.

Extended work shifts and the risk of motor vehicle crashes among interns.

Extended-duration work shifts, which are currently sanctioned by the Accreditation Council for Graduate Medical Education, pose safety hazards for interns and have implications for medical residency programs, which routinely schedule physicians to work more than 24 consecutive hours.

Extended Work Duration and the Risk of Self-Reported Percutaneous Injuries in Interns

Extended work duration and night work were associated with an increased risk of percutaneous injuries in this study population of physicians during their first year of clinical training.

Impact of Extended-Duration Shifts on Medical Errors, Adverse Events, and Attentional Failures

In a Web-based survey, extended-duration work shifts were associated with an increased risk of significant medical errors, adverse events, and attentional failures in interns across the United States.

Health disorders of shift workers.

  • A. Knutsson
  • Medicine, Psychology
    Occupational medicine
  • 2003
The strongest evidence exists for an association with peptic ulcer disease, coronary heart disease and compromised pregnancy outcome and working at night or on shift systems.

Neurobehavioral performance of residents after heavy night call vs after alcohol ingestion.

Post-call performance impairment during a heavy call rotation is comparable with impairment associated with a 0.04 to 0.05 g% blood alcohol concentration during a light call rotation, as measured by sustained attention, vigilance, and simulated driving tasks.