Emergency nurses' activity levels across rotating shifts.


Journal

Australasian emergency care
ISSN: 2588-994X
Titre abrégé: Australas Emerg Care
Pays: Australia
ID NLM: 101727782

Informations de publication

Date de publication:
Sep 2020
Historique:
received: 19 12 2019
revised: 27 02 2020
accepted: 01 03 2020
pubmed: 8 4 2020
medline: 19 5 2021
entrez: 8 4 2020
Statut: ppublish

Résumé

Emergency nurses work consecutive, rotating shift patterns. However, how their occupational physical activity levels are associated between these shifts is unknown. This study aimed to examine the associations between emergency nurses' time spent in different activity levels across one shift and the following day's shift. Fifty emergency nurses (45 female, five male) wore an ActiGraph accelerometer and completed work and sleep diaries across four weeks in 2018. A sub-sample (n = 42) also wore an activPAL inclinometer. Time spent sedentary, physically active, and in postural positions was determined. Multi-level analyses examined associations between one shift and the following day's shift. Additional time spent sedentary and in light-intensity physical activity during the first shift was associated with more time spent being physically active in the following day's shift for all rotations except back-to-back night shifts. However, additional time spent engaged in moderate- to vigorous-intensity physical activity during the first shift was associated with less time spent physically active in the following day's shift for afternoon-morning and morning-afternoon rotations. These findings demonstrate that shift sequences may impact emergency nurses' physical activity across shifts. Future research should identify the strategies emergency nurses use to maintain activity levels between shifts.

Sections du résumé

BACKGROUND BACKGROUND
Emergency nurses work consecutive, rotating shift patterns. However, how their occupational physical activity levels are associated between these shifts is unknown. This study aimed to examine the associations between emergency nurses' time spent in different activity levels across one shift and the following day's shift.
METHODS METHODS
Fifty emergency nurses (45 female, five male) wore an ActiGraph accelerometer and completed work and sleep diaries across four weeks in 2018. A sub-sample (n = 42) also wore an activPAL inclinometer. Time spent sedentary, physically active, and in postural positions was determined. Multi-level analyses examined associations between one shift and the following day's shift.
RESULTS RESULTS
Additional time spent sedentary and in light-intensity physical activity during the first shift was associated with more time spent being physically active in the following day's shift for all rotations except back-to-back night shifts. However, additional time spent engaged in moderate- to vigorous-intensity physical activity during the first shift was associated with less time spent physically active in the following day's shift for afternoon-morning and morning-afternoon rotations.
CONCLUSION CONCLUSIONS
These findings demonstrate that shift sequences may impact emergency nurses' physical activity across shifts. Future research should identify the strategies emergency nurses use to maintain activity levels between shifts.

Identifiants

pubmed: 32253131
pii: S2588-994X(20)30027-0
doi: 10.1016/j.auec.2020.03.001
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

203-210

Informations de copyright

Copyright © 2020 College of Emergency Nursing Australasia. Published by Elsevier Ltd. All rights reserved.

Auteurs

Stephanie E Chappel (SE)

Deakin University, Geelong, Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition, Australia; Deakin University, Geelong, School of Nursing and Midwifery and Centre for Quality and Patient Safety Research, Australia; Centre for Quality and Patient Safety Research - Eastern Health Partnership, Box Hill, Australia. Electronic address: schappel@deakin.edu.au.

Brad Aisbett (B)

Deakin University, Geelong, Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition, Australia.

Julie Considine (J)

Deakin University, Geelong, School of Nursing and Midwifery and Centre for Quality and Patient Safety Research, Australia; Centre for Quality and Patient Safety Research - Eastern Health Partnership, Box Hill, Australia.

Nicola D Ridgers (ND)

Deakin University, Geelong, Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition, Australia.

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