{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T01:13:27Z","timestamp":1783646007191,"version":"3.55.0"},"reference-count":32,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T00:00:00Z","timestamp":1778457600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T00:00:00Z","timestamp":1783641600000},"content-version":"vor","delay-in-days":60,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Sci Rep"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Pediatric nurses constitute a critical workforce in Ghana due to the continuous and high-intensity demands of child care. However, their occupational health outcomes remain underexplored, particularly in northern Ghana. This study assessed the effect of night shift work on daytime sleepiness and physiological health among pediatric nurses in the Tamale Metropolis, Northern Ghana. A cross-sectional survey was conducted among 175 pediatric nurses. A stratified sampling technique was used to ensure proportional representation of pediatric nurses from each health facility, followed by simple random sampling for participant selection. Data were collected using a structured questionnaire incorporating the Epworth Sleepiness Scale (ESS) and Night Shift Physiological Health Assessment Scale (NSPHAS). Appropriate inferential statistics were used, with statistical significance set at\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.05. The mean daytime sleepiness score following night shift work was 10.12 (SD\u2009=\u20095.55), with 20.6% of participants exhibiting severe excessive daytime sleepiness. The highest chance of dozing was reported when lying down to rest in the afternoon (31.4%). Sleep disturbances recorded the highest mean physiological health score (2.87\u2009\u00b1\u20090.98), followed by gastrointestinal disturbances and eating habit disruptions (2.29\u2009\u00b1\u20090.91), and cardiovascular and physical strain (2.28\u2009\u00b1\u20090.91). Significant differences in physiological health outcomes were also observed across sociodemographic and work-related characteristics (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.05). Night shift work is associated with increased daytime sleepiness and physiological health disturbances among pediatric nurses. Context specific interventions, including improved shift scheduling and targeted sleep health education, may help reduce these adverse outcomes.\n                  <\/jats:p>","DOI":"10.1038\/s41598-026-52977-8","type":"journal-article","created":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T20:54:01Z","timestamp":1778532841000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The effect of night shift work on daytime sleepiness and physiological health among pediatric nurses in Northern Ghana: a cross-sectional survey"],"prefix":"10.1038","volume":"16","author":[{"given":"Ruth Nimota","family":"Nukpezah","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moses","family":"Tadri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rockson Adenyo","family":"Evans","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas Nalignakiya","family":"Niyagnan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mudasir Mohammed","family":"Ibrahim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,5,11]]},"reference":[{"key":"52977_CR1","doi-asserted-by":"publisher","first-page":"e31066","DOI":"10.1016\/j.heliyon.2024.e31066","volume":"10","author":"JS Alqahtani","year":"2024","unstructured":"Alqahtani, J. S. et al. The effect of cumulative night shift duties on insomnia, fatigue, and mental health in intensive care unit. Heliyon 10, e31066. https:\/\/doi.org\/10.1016\/j.heliyon.2024.e31066 (2024).","journal-title":"Heliyon"},{"key":"52977_CR2","doi-asserted-by":"publisher","first-page":"644570","DOI":"10.3389\/fnhum.2021.644570","volume":"15","author":"V Alfonsi","year":"2021","unstructured":"Alfonsi, V. et al. Sleep-Related Problems in Night Shift Nurses: Towards an Individualized Interventional Practice. Front. Hum. Neurosci. 15, 644570. https:\/\/doi.org\/10.3389\/fnhum.2021.644570 (2021).","journal-title":"Front. Hum. Neurosci."},{"key":"52977_CR3","doi-asserted-by":"publisher","first-page":"100530","DOI":"10.1016\/j.ijans.2023.100530","volume":"18","author":"T Dires","year":"2023","unstructured":"Dires, T. et al. Assessment of night-shift effects on nurses\u2019 health and work performance at South Gondar zone public hospitals, 2022. Int. J. Afr. Nurs. Sci. 18, 100530. https:\/\/doi.org\/10.1016\/j.ijans.2023.100530 (2023).","journal-title":"Int. J. Afr. Nurs. Sci."},{"issue":"Suppl 16","key":"52977_CR4","first-page":"12","volume":"65","author":"TB Young","year":"2004","unstructured":"Young, T. B. Epidemiology of daytime sleepiness: definitions, symptomatology, and prevalence. J. Clin. Psychiatry. 65 (Suppl 16), 12\u201316 (2004).","journal-title":"J. Clin. Psychiatry"},{"key":"52977_CR5","doi-asserted-by":"publisher","first-page":"405","DOI":"10.5664\/jcsm.27885","volume":"6","author":"R Singareddy","year":"2010","unstructured":"Singareddy, R., Bixler, E. O. & Vgontzas, A. N. Fatigue or daytime sleepiness? J. Clin. Sleep. Med. 6, 405 (2010).","journal-title":"J. Clin. Sleep. Med."},{"key":"52977_CR6","doi-asserted-by":"publisher","first-page":"608","DOI":"10.3978\/j.issn.2072-1439.2012.10.07","volume":"4","author":"G Slater","year":"2012","unstructured":"Slater, G. & Steier, J. Excessive daytime sleepiness in sleep disorders. J. Thorac. Dis. 4, 608\u2013616. https:\/\/doi.org\/10.3978\/j.issn.2072-1439.2012.10.07 (2012).","journal-title":"J. Thorac. Dis."},{"key":"52977_CR7","doi-asserted-by":"publisher","first-page":"e96543","DOI":"10.7759\/cureus.96543","volume":"17","author":"A Chukwunonso-Ogbu","year":"2025","unstructured":"Chukwunonso-Ogbu, A., Fazli, S. A., Kalungi, G. & Malomo, O. Sleep deprivation and fatigue in healthcare staff: a clinical audit on the risk to patient safety. Cureus 17, e96543. https:\/\/doi.org\/10.7759\/cureus.96543 (2025).","journal-title":"Cureus"},{"key":"52977_CR8","doi-asserted-by":"publisher","first-page":"101581","DOI":"10.1016\/j.smrv.2021.101581","volume":"64","author":"L Grosser","year":"2022","unstructured":"Grosser, L., Knayfati, S., Yates, C., Dorrian, J. & Banks, S. Cortisol and shiftwork: a scoping review. Sleep Med. Rev. 64, 101581. https:\/\/doi.org\/10.1016\/j.smrv.2021.101581 (2022).","journal-title":"Sleep Med. Rev."},{"key":"52977_CR9","doi-asserted-by":"publisher","first-page":"1565","DOI":"10.2147\/NDT.S421092","volume":"19","author":"SM Alreshidi","year":"2023","unstructured":"Alreshidi, S. M. & Rayani, A. M. The correlation between night shift work schedules, sleep quality, and depression symptoms. Neuropsychiatr. Dis. Treat. 19, 1565\u20131571. https:\/\/doi.org\/10.2147\/NDT.S421092 (2023).","journal-title":"Neuropsychiatr. Dis. Treat."},{"key":"52977_CR10","doi-asserted-by":"publisher","first-page":"1062","DOI":"10.1111\/inr.12963","volume":"71","author":"A Kaplan","year":"2024","unstructured":"Kaplan, A., Ozdemir, C. & Bulbul, E. Nurses\u2019 level of sleepiness during night shift. Int. Nurs. Rev. 71, 1062\u20131071. https:\/\/doi.org\/10.1111\/inr.12963 (2024).","journal-title":"Int. Nurs. Rev."},{"key":"52977_CR11","doi-asserted-by":"publisher","first-page":"e029802","DOI":"10.1136\/bmjopen-2019-029802","volume":"9","author":"KK Haile","year":"2019","unstructured":"Haile, K. K., Asnakew, S., Waja, T. & Kerbih, H. B. Shift work sleep disorders and associated factors among nurses at federal government hospitals in Ethiopia: a cross-sectional study. BMJ Open. 9, e029802. https:\/\/doi.org\/10.1136\/bmjopen-2019-029802 (2019).","journal-title":"BMJ Open."},{"key":"52977_CR12","doi-asserted-by":"publisher","first-page":"24","DOI":"10.1186\/s12912-023-01673-3","volume":"23","author":"J Al-Hrinat","year":"2024","unstructured":"Al-Hrinat, J., Al-Ansi, A. M., Hendi, A., Adwan, G. & Hazaimeh, M. The impact of night shift stress and sleep disturbance on nurses quality of life: case in Palestine Red Crescent and Al-Ahli Hospital. BMC Nurs. 23, 24. https:\/\/doi.org\/10.1186\/s12912-023-01673-3 (2024).","journal-title":"BMC Nurs."},{"key":"52977_CR13","doi-asserted-by":"publisher","first-page":"67","DOI":"10.1186\/s12891-024-07196-5","volume":"25","author":"JA Stav\u00e5s","year":"2024","unstructured":"Stav\u00e5s, J. A., Nilsen, K. B. & Matre, D. The association between proportion of night shifts and musculoskeletal pain and headaches in nurses: a cross-sectional study. BMC Musculoskelet. Disord. 25, 67. https:\/\/doi.org\/10.1186\/s12891-024-07196-5 (2024).","journal-title":"BMC Musculoskelet. Disord"},{"key":"52977_CR14","doi-asserted-by":"publisher","first-page":"1565","DOI":"10.2147\/NDT.S421092","volume":"19","author":"SM Alreshidi","year":"2023","unstructured":"Alreshidi, S. M. & Rayani, A. M. The correlation between night shift work schedules, sleep quality, and depression symptoms. NDT 19, 1565\u20131571. https:\/\/doi.org\/10.2147\/NDT.S421092 (2023).","journal-title":"NDT"},{"key":"52977_CR15","doi-asserted-by":"publisher","first-page":"e43598","DOI":"10.1097\/MD.0000000000043598","volume":"104","author":"S-C Lin","year":"2025","unstructured":"Lin, S-C., Yeh, W-C., Liu, Z-X., Hsu, H-F. & Chen, J-Y. Night-shift work and its association with metabolic syndrome. Med. (Baltim). 104, e43598. https:\/\/doi.org\/10.1097\/MD.0000000000043598 (2025).","journal-title":"Med. (Baltim)."},{"key":"52977_CR16","doi-asserted-by":"publisher","first-page":"142","DOI":"10.5271\/sjweh.4139","volume":"50","author":"S Jankowiak","year":"2024","unstructured":"Jankowiak, S. et al. Night shift work and cardiovascular diseases among employees in Germany: five-year follow-up of the Gutenberg Health Study. Scand. J. Work Environ. Health. 50, 142\u2013151. https:\/\/doi.org\/10.5271\/sjweh.4139 (2024).","journal-title":"Scand. J. Work Environ. Health"},{"key":"52977_CR17","doi-asserted-by":"publisher","first-page":"121503","DOI":"10.1016\/j.envres.2025.121503","volume":"276","author":"JS Erdem","year":"2025","unstructured":"Erdem, J. S. et al. Night shift work and indicators of cardiovascular risk: a systematic review and meta-analysis. Environ. Res. 276, 121503. https:\/\/doi.org\/10.1016\/j.envres.2025.121503 (2025).","journal-title":"Environ. Res."},{"key":"52977_CR18","doi-asserted-by":"publisher","first-page":"237796082412753","DOI":"10.1177\/23779608241275323","volume":"10","author":"AF Dartey","year":"2024","unstructured":"Dartey, A. F., Tackie, V., Lotse, C. W., Lily, D. & Sagbo, F. M. Experiences of nurses and midwives with indecorously structured duty rosters at selected health facilities in Ho, Volta Region of Ghana: a qualitative study. SAGE Open. Nurs. 10, 23779608241275323. https:\/\/doi.org\/10.1177\/23779608241275323 (2024).","journal-title":"SAGE Open. Nurs."},{"key":"52977_CR19","doi-asserted-by":"publisher","unstructured":"Ashwaq, A. A. S. & Kholoud, S. A. A. The role of pediatric nurses in promoting child health and well-being. J. Int. Crisis Risk Communication Res. 2024, 164\u2013170. https:\/\/doi.org\/10.63278\/jicrcr.vi.634 (2024).","DOI":"10.63278\/jicrcr.vi.634"},{"key":"52977_CR20","doi-asserted-by":"publisher","first-page":"1795","DOI":"10.21608\/ejhc.2021.276919","volume":"12","author":"M Hosny Elshater","year":"2021","unstructured":"Hosny Elshater, M., Abd -Elhamed Zaki, N., Abd-Elhamed, G. & Khamies Mohamed, A. Challenges facing pediatric nurses throughout the provision of nursing care for children with COVID-19. Egypt. J. Health Care. 12, 1795\u20131805. https:\/\/doi.org\/10.21608\/ejhc.2021.276919 (2021).","journal-title":"Egypt. J. Health Care"},{"key":"52977_CR21","unstructured":"Yamane, T. Statistics An Introductory Analysis (Harper and Row, 1967)."},{"key":"52977_CR22","doi-asserted-by":"publisher","first-page":"540","DOI":"10.1093\/sleep\/14.6.540","volume":"14","author":"MW Johns","year":"1991","unstructured":"Johns, M. W. A new method for measuring daytime sleepiness: the Epworth sleepiness scale. Sleep 14, 540\u2013545 (1991).","journal-title":"Sleep"},{"key":"52977_CR23","unstructured":"Johns, M. W. The Epworth Sleepiness Scale. About the ESS (2025). https:\/\/epworthsleepinessscale.com\/about-the-ess\/."},{"key":"52977_CR24","doi-asserted-by":"publisher","first-page":"1410","DOI":"10.3390\/healthcare11101410","volume":"11","author":"I Silva","year":"2023","unstructured":"Silva, I. & Costa, D. Consequences of shift work and night work: a literature review. Healthc. (Basel). 11, 1410. https:\/\/doi.org\/10.3390\/healthcare11101410 (2023).","journal-title":"Healthc. (Basel)"},{"key":"52977_CR25","doi-asserted-by":"publisher","unstructured":"Sukor, A. N. A. et al. A systematic review of literature on the association among sleep, cortisol level and cardiovascular health within the healthcare shift worker population. Biomedicines 2025, 13. https:\/\/doi.org\/10.3390\/biomedicines13102539 (2025).","DOI":"10.3390\/biomedicines13102539"},{"key":"52977_CR26","doi-asserted-by":"publisher","first-page":"e71003","DOI":"10.7759\/cureus.71003","volume":"16","author":"A Hanif","year":"2024","unstructured":"Hanif, A. et al. Shifting rhythms: a systematic review exploring the multifaceted effects of shift work and circadian disruption on employee cardiovascular health. Cureus 16, e71003. https:\/\/doi.org\/10.7759\/cureus.71003 (2024).","journal-title":"Cureus"},{"key":"52977_CR27","doi-asserted-by":"publisher","first-page":"28","DOI":"10.1186\/s41606-025-00139-6","volume":"9","author":"LM Zabin","year":"2025","unstructured":"Zabin, L. M. et al. Job stress and its impact on daytime sleepiness among nurses in Palestine: a cross-sectional study. Sleep. Sci. Pract. 9, 28. https:\/\/doi.org\/10.1186\/s41606-025-00139-6 (2025).","journal-title":"Sleep. Sci. Pract."},{"key":"52977_CR28","doi-asserted-by":"publisher","first-page":"e71542","DOI":"10.1002\/hsr2.71542","volume":"8","author":"RH Habybabady","year":"2025","unstructured":"Habybabady, R. H., Okati-Aliabad, H. & Mohammadi, M. Prevalence of poor sleep quality and associated factors among nurses in Southeast Iran: a cross\u2010sectional study. Health Sci. Rep. 8, e71542. https:\/\/doi.org\/10.1002\/hsr2.71542 (2025).","journal-title":"Health Sci. Rep."},{"key":"52977_CR29","doi-asserted-by":"publisher","first-page":"975","DOI":"10.2147\/RMHP.S511543","volume":"18","author":"RYH Mohamud","year":"2025","unstructured":"Mohamud, R. Y. H. et al. Prevalence and associated factors of poor sleep quality among nurses in a tertiary care hospital: a cross-sectional study. RMHP 18, 975\u2013986. https:\/\/doi.org\/10.2147\/RMHP.S511543 (2025).","journal-title":"RMHP"},{"key":"52977_CR30","doi-asserted-by":"publisher","first-page":"e13306","DOI":"10.1111\/jsr.13306","volume":"30","author":"MG de Rijk","year":"2021","unstructured":"de Rijk, M. G. et al. The association between eating frequency with alertness and gastrointestinal complaints in nurses during the night shift. J. Sleep Res. 30, e13306. https:\/\/doi.org\/10.1111\/jsr.13306 (2021).","journal-title":"J. Sleep Res."},{"key":"52977_CR31","doi-asserted-by":"publisher","unstructured":"Navruz-Varl\u0131, S. & Morta\u015f, H. Shift work, shifted diets: an observational follow-up study on diet quality and sustainability among healthcare workers on night shifts. Nutrients 2024, 16. https:\/\/doi.org\/10.3390\/nu16152404 (2024).","DOI":"10.3390\/nu16152404"},{"key":"52977_CR32","doi-asserted-by":"publisher","first-page":"1668848","DOI":"10.3389\/fpubh.2025.1668848","volume":"13","author":"J Xi","year":"2025","unstructured":"Xi, J. et al. Association between night shift work and cardiovascular disease: a systematic review and dose-response meta-analysis. Front. Public. Health. 13, 1668848. https:\/\/doi.org\/10.3389\/fpubh.2025.1668848 (2025).","journal-title":"Front. Public. Health"}],"container-title":["Scientific Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.nature.com\/articles\/s41598-026-52977-8","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nature.com\/articles\/s41598-026-52977-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nature.com\/articles\/s41598-026-52977-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T00:24:23Z","timestamp":1783643063000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.nature.com\/articles\/s41598-026-52977-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,11]]},"references-count":32,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["52977"],"URL":"https:\/\/doi.org\/10.1038\/s41598-026-52977-8","relation":{},"ISSN":["2045-2322"],"issn-type":[{"value":"2045-2322","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,11]]},"assertion":[{"value":"22 February 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"8 May 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"11 May 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The authors declare no competing interests.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}},{"value":"Ethical approval was obtained from the Institutional Review Board of the University for Development Studies, Tamale (Approval No. UDS\/RB\/291\/25), with additional permission from the selected public health facilities. Written and verbal informed consent were obtained from all participants after explaining the study\u2019s purpose and procedures. Participation was voluntary, and confidentiality and anonymity were ensured by excluding personal identifiers from the data collection instruments.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}}],"article-number":"21569"}}