{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T09:09:23Z","timestamp":1790672963072,"version":"4.1.0"},"reference-count":49,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T00:00:00Z","timestamp":1789516800000},"content-version":"vor","delay-in-days":15,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing Open"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To investigate fatigue and its related factors among female nurses working night shifts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A cross\u2010sectional comparative study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study was conducted using convenience sampling at a medical centre in central Taiwan from May to October 2023. A total of 230 female nurses working rotating night shifts were recruited, and 225 were included in the final analysis. Data were collected using self\u2010reported questionnaires, including the General Sleep Disturbance Scale, Lee Fatigue Scale, Perceived Stress Scale, General Self\u2010Efficacy Scale, Beck Depression Inventory\u2010II, Health Promotion Lifestyle Profile\u2010II Chinese Version Short Form and the Morningness\u2013Eveningness Questionnaire. Data were analysed using group comparisons, correlation analysis and hierarchical multiple linear regression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Clinically significant fatigue was identified in 84.0% of participants, and 67.6% met the criterion for sleep disturbance. Sleepiness fluctuated across the night shift and was highest at 9:00\u2009AM, with a secondary elevation at 5:00\u20136:00\u2009AM. Although fatigue was more common among nurses assessed during the 3\u2009days before menstruation and the first 4\u2009days of menstruation, this group difference did not remain significant after adjustment for multiple comparisons. Sleep disturbance, depressive symptoms and perceived stress were independently associated with greater fatigue, and the final model explained 29.9% of the variance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study highlights the prevalence and cyclical nature of fatigue among female night shift nurses and underscores the importance of addressing both physical and psychological contributors to fatigue.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for the Profession and\/or Patient Care<\/jats:title>\n                    <jats:p>Understanding the patterns and predictors of nurse fatigue can support the development of workplace interventions to improve staff well\u2010being and patient safety, particularly in high\u2010stress environments such as hospitals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Reporting Method<\/jats:title>\n                    <jats:p>The STROBE checklist guided reporting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>This study did not include patient or public involvement in its design, conduct or reporting.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/nop2.70811","type":"journal-article","created":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T10:13:49Z","timestamp":1789553629000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Health Challenges and Fatigue Among Female Night Shift Nurses: A Cross\u2010Sectional Study"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3825-8253","authenticated-orcid":false,"given":"Hui\u2010Mei","family":"Huang","sequence":"first","affiliation":[{"name":"Taichung Veterans General Hospital  Taichung Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1305-1854","authenticated-orcid":false,"given":"Pi\u2010Hua","family":"Chang","sequence":"additional","affiliation":[{"name":"Department of Nursing Taichung Veterans General Hospital  Taichung Taiwan"},{"name":"Smoking Cessation Treatment &amp; Management Center Taichung Veterans General Hospital  Taichung Taiwan"},{"name":"School of Nursing National Quemoy University  Quemoy Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3234-6941","authenticated-orcid":false,"given":"Shih\u2010Yu","family":"Lee","sequence":"additional","affiliation":[{"name":"Retired, Department of Nursing HungKuang University  Taichung Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7187-5937","authenticated-orcid":false,"given":"Mei\u2010Ling","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Post Baccalaureate Nursing College of Nursing, HungKuang University  Taichung Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,16]]},"reference":[{"key":"e_1_2_15_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022\u20103999(03)00067\u20109"},{"key":"e_1_2_15_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsmc.2022.02.004"},{"key":"e_1_2_15_4_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja13.10912"},{"key":"e_1_2_15_5_1","volume-title":"Manual for the Beck Depression Inventory\u2010II","author":"Beck A. T.","year":"1996"},{"key":"e_1_2_15_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/hcm.0000000000000177"},{"key":"e_1_2_15_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2009.01.001"},{"key":"e_1_2_15_8_1","doi-asserted-by":"publisher","DOI":"10.65030\/idr.03019"},{"key":"e_1_2_15_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/07420528.2021.2005082"},{"key":"e_1_2_15_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/1348\u20109585.12262"},{"key":"e_1_2_15_11_1","doi-asserted-by":"publisher","DOI":"10.2307\/2136404"},{"key":"e_1_2_15_12_1","doi-asserted-by":"publisher","DOI":"10.1590\/S1980\u2010220X2020010903752"},{"key":"e_1_2_15_13_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0256300"},{"key":"e_1_2_15_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/jonm.13351"},{"key":"e_1_2_15_15_1","doi-asserted-by":"publisher","DOI":"10.1200\/jco.2007.12.2838"},{"key":"e_1_2_15_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2019.06.011"},{"key":"e_1_2_15_17_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598\u2010019\u201040914\u2010x"},{"key":"e_1_2_15_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469\u20108986.1973.tb00801.x"},{"issue":"2","key":"e_1_2_15_19_1","first-page":"97","article-title":"A Self\u2010Assessment Questionnaire to Determine Morningness\u2010Eveningness in Human Circadian Rhythms","volume":"4","author":"Horne J. A.","year":"1976","journal-title":"International Journal of Chronobiology"},{"issue":"4","key":"e_1_2_15_20_1","first-page":"197","article-title":"Chinese Version of the Owl and Lark Questionnaire: Paper\u2010Pencil and Internet Administration","volume":"59","author":"Hsiao F.\u2010C.","year":"2017","journal-title":"Chinese Journal of Psychology"},{"key":"e_1_2_15_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/2165079918820866"},{"key":"e_1_2_15_22_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/15.6.493"},{"key":"e_1_2_15_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/0165\u20101781(91)90027\u2010m"},{"key":"e_1_2_15_24_1","doi-asserted-by":"publisher","DOI":"10.1080\/01612840591008320"},{"key":"e_1_2_15_25_1","doi-asserted-by":"publisher","DOI":"10.1177\/1043659606298502"},{"key":"e_1_2_15_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.14769"},{"key":"e_1_2_15_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/jonm.13446"},{"key":"e_1_2_15_28_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/zsz074"},{"key":"e_1_2_15_29_1","first-page":"133","article-title":"Early Birds and Night Owls: Differences in Media Preferences, Usages, and Environments","volume":"9","author":"Nimrod G.","year":"2015","journal-title":"International Journal of Communication"},{"key":"e_1_2_15_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2005.09.003"},{"key":"e_1_2_15_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102934.2006.00601.x"},{"key":"e_1_2_15_32_1","doi-asserted-by":"publisher","DOI":"10.1177\/039463200101400103"},{"key":"e_1_2_15_33_1","doi-asserted-by":"publisher","DOI":"10.1080\/07420528.2019.1585867"},{"key":"e_1_2_15_34_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00134\u2010015\u20103667\u20107"},{"key":"e_1_2_15_35_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13167\u2010016\u20100064\u20104"},{"key":"e_1_2_15_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.maturitas.2015.08.010"},{"key":"e_1_2_15_37_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0022770"},{"key":"e_1_2_15_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2010.07.002"},{"key":"e_1_2_15_39_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102648.2007.04338.x"},{"key":"e_1_2_15_40_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912\u2010020\u201000412\u20102"},{"key":"e_1_2_15_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2019.02.048"},{"key":"e_1_2_15_42_1","first-page":"35","volume-title":"Measures in Health Psychology: A User's Portfolio (Causal and Control Beliefs)","author":"Schwarzer R.","year":"1995"},{"key":"e_1_2_15_43_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102648.2010.05353.x"},{"key":"e_1_2_15_44_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2013.10.023"},{"key":"e_1_2_15_45_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39335.541782.AD"},{"key":"e_1_2_15_46_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006199\u2010198703000\u201000002"},{"issue":"1","key":"e_1_2_15_47_1","first-page":"4","article-title":"Reliability and Validity of General Self\u2010Efficacy Scale","volume":"7","author":"Wang C.","year":"2001","journal-title":"Chinese Journal of Applied Psychology"},{"key":"e_1_2_15_48_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/27.2.329"},{"key":"e_1_2_15_49_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2023.1192121"},{"key":"e_1_2_15_50_1","doi-asserted-by":"publisher","DOI":"10.1080\/00140139.2017.1418027"}],"container-title":["Nursing Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/nop2.70811","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/nop2.70811","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/nop2.70811","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T08:49:25Z","timestamp":1790671765000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/nop2.70811"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":49,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1002\/nop2.70811"],"URL":"https:\/\/doi.org\/10.1002\/nop2.70811","archive":["Portico"],"relation":{},"ISSN":["2054-1058","2054-1058"],"issn-type":[{"value":"2054-1058","type":"print"},{"value":"2054-1058","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9]]},"assertion":[{"value":"2025-09-11","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-27","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-16","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70811"}}