INTERVENTION FOR OCCUPATIONAL FATIGUE AND SLEEPINESS AMONG HEALTHCARE WORKERS WORKING IN SHIFT: A SYSTEMATIC REVIEW

  • Mohd Fadhli Mohd Fauzi Department of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latiff, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur, Malaysia.
  • Hanizah Mohd Yusoff Department of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latiff, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur, Malaysia.
  • Mohd Rizal Abd Manaf Department of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latiff, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur, Malaysia
  • Nazarudin Safian Department of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latiff, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur, Malaysia
  • Muhammad Aklil Abd Rahim Department of Community and Family Medicine, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Jalan UMS, 88400 Kota Kinabalu, Sabah, Malaysia
  • Mohd Faizal Madrim Department of Community and Family Medicine, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Jalan UMS, 88400 Kota Kinabalu, Sabah, Malaysia
  • Azman Atil @ Azmi Department of Community and Family Medicine, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Jalan UMS, 88400 Kota Kinabalu, Sabah, Malaysia
  • Ammar Amsyar Abdul Haddi Ministry of Health Malaysia, Block E1, E3, E6, E7 & E10, Complex E, Federal Government Administrative Centre, 62590 Putrajaya, Malaysia Ministry of Health, Malaysia
  • Nur Adibah Mat Saruan Ministry of Health Malaysia, Block E1, E3, E6, E7 & E10, Complex E, Federal Government Administrative Centre, 62590 Putrajaya, Malaysia Ministry of Health, Malaysia
Keywords: healthcare workers, fatigue, sleepiness, shift work, on-call, intervention

Abstract

Healthcare workers typically work in shift to ensure smooth operation of healthcare industries around the clock. However, working in shift put them at risk of developing occupational fatigue and sleepiness during and after work, with multiple adverse effects to themselves and patients under their care. This review aims to identify available evidence-based intervention for fatigue and sleepiness among healthcare workers working in shift. We searched PubMed, Scopus and CENTRAL database from January 2013 to December 2017. Selection criteria included randomised controlled trials (RCTs) that investigated the effect of any interventions on fatigue and/or sleepiness among shift workers. Two authors independently screened titles and abstracts for relevant studies, extracted data, and assessed risk of bias. We included 8 relevant trials with 7 review-relevant participants. Given the methodological diversity of the included studies in terms of interventions and assessment tools, it is not possible to determine the effectiveness of these interventions to reduce occupational fatigue or sleepiness among healthcare workers working in shift. More good quality RCTs with comparable assessment tools is needed.

References

1. International Labour Organization. Night Work Convention. C171, Geneva, ILO. 1990.

2. Health and Safety Executive. Managing shiftwork: Health and safety guidance. 2006.

3. Health and Safety Executive. Changes in shift work patterns over the last ten years (1999 to 2009). 2011.

4. Ning-Zi Sun & Thomas Maniatis. Scheduling in the context of resident duty hour reform. BMC Medical Education 2014; 14(Suppl 1):S18

5. Kivimäki M, Batty GD, Hublin C. Shift work as a risk factor for future type 2 diabetes: evidence, mechanisms, implications, and future research directions. PLoS Medicine 2011; 8(12):e1001138.

6. Vyas Manav V, Garg Amit X, Iansavichus Arthur V, Costella John, Donner Allan, Laugsand Lars E et al. Shift work and vascular events: systematic review and meta-analysis. BMJ 2012; 345 :e4800

7. Torquati L, Mielke GI, Brown WJ, Kolbe-Alexander T. Shift work and the risk of cardiovascular disease. A systematic review and meta-analysis including dose-response relationship. Scand J Work Environ Health 2017; pii:3700.

8. Yuan X, Zhu C, Wang M, Mo F, Du W, Ma X. Night Shift Work Increases the Risks of Multiple Primary Cancers in Women: A Systematic Review and Meta-analysis of 61 Articles. Cancer Epidemiol Biomarkers Prev. 2018; 27(1):25-40.

9. Kavitha Nagandla, Krishna Kumar, Amit Bhardwaj, Devalagan a/l Muthalagan, Chan Yhmin, Lee Wei Lun, Weng Wei Shi, Nurul Izzati B. Abd Razak. Prevalence of needle stick injuries and their underreporting among healthcare workers in the department of obstetrics and gynaecology. iMedPub Journals 2015; 8(181)

10. Lee ML, Howard ME, Horrey WJ, Liang Y, Anderson C, Shreeve MS, O’Brien CS & Czeisler CA. High risk of near-crash driving events following night-shift work. Proceedings of the National Academy of Sciences of the United States of America 2016; 113(1):176–181.

11. KPK. Kenyataan Akhbar KPK 31.5.2017 – Isu Kemalangan Jalan Raya di Kalangan Anggota Kesihatan. 2017. https://kpkesihatan.com/2017/05/31/kenyataan-akhbar-kpk-31-5-2017-isu-kemalangan-jalan-raya-di-kalangan-anggota-kesihatan/ [25 September 2017]

12. Rahman SA, Shapiro CM, Wang F, et al. Effects of Filtering Visual Short Wavelengths During Nocturnal Shiftwork on Sleep and Performance. Chronobiology International 2013; 30(8):951-962.

13. Punja S, Shamseer L, Olson K, Vohra S. Rhodiola Rosea for Mental and Physical Fatigue in Nursing Students: A Randomized Controlled Trial. Walker N, ed. PLoS ONE. 2014; 9(9):e108416.

14. Oriyama S, Miyakoshi Y, Kobayashi T. Effects of Two 15-min Naps on the Subjective Sleepiness, Fatigue and Heart Rate Variability of Night Shift Nurses. Industrial Health 2014; 52(1):25-35.

15. Patterson PD, Buysse DJ, Weaver MD, et al. Real-Time Fatigue Reduction in Emergency Care Clinicians: The SleepTrackTXT Randomized Trial. American journal of industrial medicine 2015; 58(10):1098-1113.

16. Hilditch CJ, Centofanti SA, Dorrian J, Banks S. A 30-Minute, but Not a 10-Minute Nighttime Nap is Associated with Sleep Inertia. Sleep 2016; 39(3):675-685.

17. Leedo E. Beck AM, Astrup A & Lassen AD. The effectiveness of healthy meals at work on reaction time, mood and dietary intake: A randomised cross-over study in daytime and shift workers at an university hospital. British Journal of Nutrition 2017; 118:121-129.

18. Sletten TL, Ftouni S, Nicholas CL, Magee M, Grunstein RR, Ferguson S, Kennaway DJ, O'Brien D, Lockley SW & Rajaratnam SMW. Randomised controlled trial of the efficacy of a blue-enriched light intervention to improve alertness and performance in night shift workers. Occup Environ Med 2017; 74(11):792-801.

19. Richard Mallett, Jessica Hagen-Zanker, Rachel Slater & Maren Duvendack. The benefits and challenges of using systematic reviews in international development research. Journal of Development Effectiveness 2012; 4(3):445-455.

20. Urra Medina E & Barría Pailaquilén RM. 2010. Systematic review and its relationship with evidence-based practice in health. Rev Lat Am Enfermagem. 18(4):824-31.
Published
2019-04-01
How to Cite
Mohd Fadhli Mohd Fauzi, Hanizah Mohd Yusoff, Mohd Rizal Abd Manaf, Nazarudin Safian, Muhammad Aklil Abd Rahim, Mohd Faizal Madrim, Azman Atil @ Azmi, Ammar Amsyar Abdul Haddi, & Nur Adibah Mat Saruan. (2019). INTERVENTION FOR OCCUPATIONAL FATIGUE AND SLEEPINESS AMONG HEALTHCARE WORKERS WORKING IN SHIFT: A SYSTEMATIC REVIEW. Malaysian Journal of Public Health Medicine, 19(2), 47-53. Retrieved from http://mjphm.org/index.php/mjphm/article/view/170