Start Date

18-6-2019 9:00 AM

End Date

18-6-2019 10:30 AM

Description

CARDIOVASCULAR DISEASE AND ROTATING SHIFT NURSES

Rachel Wilschke

Faculty Sponsor: Elizabeth Aquino, PhD, RN

Background: Cardiovascular disease is the leading cause of death in the United States. The implications for cardiovascular disease from working rotating shifts requires further review.

Objectives: To determine how working rotating shifts impacts nurses’ cardiovascular health.

Method: An integrative literature review was conducted, searching for peer-reviewed articles published between 2008 and 2018 in the following databases: CINAHL, PubMed and ProQuest. Using the outline from Gray, Grove and Sutherland (2017), data was categorized, analyzed and synthesized in a data matrix table to organize the review.

Results: A total of 12 articles were reviewed and four major trends were found. Effects on Sleep. Rotating shift nurses were more apathetic, exhausted, and had poorer sleep quality. Frequent daytime sleepiness increased risk of cardiovascular disease. Cardiovascular Effects. Rotating shift nurses had more chest pain or tightness. Increased risk of ischemic heart disease was also evident in 6-14 years or more than 15 years of rotating shift work. Cardiometabolic Effects. Longer shift work history equated to elevated hypertension rates and presence or risk of cardiometabolic syndrome. Amount and Type of Physical Activity. Rotating shifts are implicated in reduced physical activity, and differences in number of steps in shift vs. non-shift workers. The un-routine work of nursing in consideration of rotating shifts is implicated in cardiovascular disease.

Conclusion: Cardiovascular health is negatively impacted when nurses work rotating shifts. Sleep effects, cardiovascular effects, cardiometabolic risks and physical activity or lack thereof are implicated in cardiovascular disease. Further research into study limitations such as effects on male nurses, as well as into qualitative studies and comparison among other occupations is warranted.

Keywords: Nurses, health, cardiovascular, disease, heart, cardiometabolic, sleep, circadian, incidence, rotating shift and night shift.

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Jun 18th, 9:00 AM Jun 18th, 10:30 AM

Cardiovascular Disease and Rotating Shift Nurses

CARDIOVASCULAR DISEASE AND ROTATING SHIFT NURSES

Rachel Wilschke

Faculty Sponsor: Elizabeth Aquino, PhD, RN

Background: Cardiovascular disease is the leading cause of death in the United States. The implications for cardiovascular disease from working rotating shifts requires further review.

Objectives: To determine how working rotating shifts impacts nurses’ cardiovascular health.

Method: An integrative literature review was conducted, searching for peer-reviewed articles published between 2008 and 2018 in the following databases: CINAHL, PubMed and ProQuest. Using the outline from Gray, Grove and Sutherland (2017), data was categorized, analyzed and synthesized in a data matrix table to organize the review.

Results: A total of 12 articles were reviewed and four major trends were found. Effects on Sleep. Rotating shift nurses were more apathetic, exhausted, and had poorer sleep quality. Frequent daytime sleepiness increased risk of cardiovascular disease. Cardiovascular Effects. Rotating shift nurses had more chest pain or tightness. Increased risk of ischemic heart disease was also evident in 6-14 years or more than 15 years of rotating shift work. Cardiometabolic Effects. Longer shift work history equated to elevated hypertension rates and presence or risk of cardiometabolic syndrome. Amount and Type of Physical Activity. Rotating shifts are implicated in reduced physical activity, and differences in number of steps in shift vs. non-shift workers. The un-routine work of nursing in consideration of rotating shifts is implicated in cardiovascular disease.

Conclusion: Cardiovascular health is negatively impacted when nurses work rotating shifts. Sleep effects, cardiovascular effects, cardiometabolic risks and physical activity or lack thereof are implicated in cardiovascular disease. Further research into study limitations such as effects on male nurses, as well as into qualitative studies and comparison among other occupations is warranted.

Keywords: Nurses, health, cardiovascular, disease, heart, cardiometabolic, sleep, circadian, incidence, rotating shift and night shift.