{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T02:09:49Z","timestamp":1791598189635,"version":"4.3.4"},"reference-count":28,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2021,10,25]],"date-time":"2021-10-25T00:00:00Z","timestamp":1635120000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,12,24]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Sleepiness associated with night shift working (NSW) is known to adversely affect workers\u2019 health and well-being. It has been associated with adverse safety outcomes and is a recognized workplace hazard among healthcare workers.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Aims<\/jats:title>\n                  <jats:p>This study was aimed to assess the prevalence of self-reported sleepiness in NSW nurses and midwives. This study also explored the consequences of sleepiness on safety at work and driving.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A cross-sectional study of NSW nurses and midwives was conducted at an National Health Service (NHS) hospital trust from 16 March 2020 to 1 June 2020. Data were collected by online questionnaire and included information on demographics, shift work and safety aspects. Sleepiness was assessed with the Epworth Sleepiness Scale (ESS).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Data collection coincided with the first coronavirus pandemic peak in England. Out of 1985 eligible NSW nurses and midwives, 229 participated in the study, with a response rate of 12%. The prevalence of sleepiness was 28%. Following a night shift, 49% of nurses reported nodding off at the wheel and 44% reported a near-miss car accident in past 12 months. An abnormal ESS score was significantly associated with near-miss car accidents (odds ratio [OR] 2.75, 95% confidence interval [CI] 1.31\u20135.77) and with low confidence in undertaking complex tasks at night (OR 2.64, 95% CI 1.20\u20135.84).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>More than a quarter of NSW nurses and midwives reported excessive daytime sleepiness although, due to the low response rate, this may not be representative. Adverse driving events were common. Elevated ESS scores correlated well with safety issues relating to work and driving.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/occmed\/kqab137","type":"journal-article","created":{"date-parts":[[2021,9,8]],"date-time":"2021-09-08T11:41:00Z","timestamp":1631101260000},"page":"439-445","source":"Crossref","is-referenced-by-count":36,"title":["Sleepiness and safety at work among night shift NHS nurses"],"prefix":"10.1093","volume":"71","author":[{"given":"A","family":"Westwell","sequence":"first","affiliation":[{"name":"The Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, NE7 7DN, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P","family":"Cocco","sequence":"additional","affiliation":[{"name":"Centre for Occupational and Environmental Health, School of Health Sciences, University of Manchester, Manchester, M13 9PL, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Van Tongeren","sequence":"additional","affiliation":[{"name":"Centre for Occupational and Environmental Health, School of Health Sciences, University of Manchester, Manchester, M13 9PL, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E","family":"Murphy","sequence":"additional","affiliation":[{"name":"The Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, NE7 7DN, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2021,10,25]]},"reference":[{"key":"2021122407024687800_CIT0001","doi-asserted-by":"crossref","first-page":"i5210","DOI":"10.1136\/bmj.i5210","article-title":"Health consequences of shift work and insufficient sleep","volume":"355","author":"Kecklund","year":"2016","journal-title":"Br Med J"},{"key":"2021122407024687800_CIT0002","doi-asserted-by":"crossref","first-page":"5","DOI":"10.5271\/sjweh.3388","article-title":"The association between long working hours and health: a systematic review of epidemiological evidence","volume":"40","author":"Bannai","year":"2014","journal-title":"Scand J Work Environ Health"},{"key":"2021122407024687800_CIT0003","article-title":"Association of 12 h shifts and nurses\u2019 job satisfaction, burnout and intention to leave: findings from a cross-sectional study of 12 European countries","volume":"5","author":"Dall\u2019Ora","year":"2015","journal-title":"BMJ open"},{"key":"2021122407024687800_CIT0004","volume-title":"A Shift in the Right Direction: RCN Guidance on the Occupational Health and Safety of Shift Work in the Nursing Workforce","author":"Royal College of Nursing.","year":"2012"},{"key":"2021122407024687800_CIT0005","doi-asserted-by":"crossref","first-page":"621","DOI":"10.1093\/occmed\/kqx152","article-title":"The impact of shift work on sleep quality among nurses","volume":"67","author":"McDowall","year":"2017","journal-title":"Occup Med (Lond)"},{"key":"2021122407024687800_CIT0006","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1016\/j.ijnurstu.2019.06.011","article-title":"Fatigue and nurses\u2019 work patterns: an online questionnaire survey","volume":"98","author":"Gander","year":"2019","journal-title":"Int J Nurs Stud"},{"key":"2021122407024687800_CIT0007","doi-asserted-by":"crossref","first-page":"1055","DOI":"10.1001\/jama.296.9.1055","article-title":"Extended work duration and the risk of self-reported percutaneous injuries in interns","volume":"296","author":"Ayas","year":"2006","journal-title":"J Am Med Assoc"},{"key":"2021122407024687800_CIT0008","first-page":"4507","article-title":"Can nurses\u2019 shift work jeopardize the patient safety? 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