{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T17:43:31Z","timestamp":1791999811066,"version":"4.4.0"},"reference-count":68,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>The objective of this review was to examine the available evidence on the experiences and perceptions of nurses working the night shift within any specialty in the acute care, subacute, or long-term care setting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Nurses are required for around-the-clock patient care. Night shift nurses can experience detrimental effects because of their work hours, which disrupt their normal circadian rhythm. Understanding nurses\u2019 experiences and perceptions when working night shift will facilitate the development of strategies to minimize the potential negative effects of working at night. In examining nurses\u2019 experiences and perceptions of working night shift, there is scope to explore how to improve night shift nurses\u2019 practice environment and job satisfaction, which will then translate to improved nurse and patient outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Inclusion criteria:<\/jats:title>\n                    <jats:p>This review included qualitative studies focused on the experiences and perceptions of registered nurses and licensed practical nurses who work the night shift or rotate between day and night shift.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This review followed the JBI methodology for systematic reviews of qualitative evidence. The methodology used was consistent with the a priori protocol. Studies included in this review were those published in full text, English, and between 1983 (when the seminal work on hospitals that attract and retain nurses was published) and February 2021, when the search was completed. The main databases searched for published and unpublished studies included MEDLINE, CINAHL, Embase, PsycINFO, and Web of Science.<\/jats:p>\n                    <jats:p>From the search, two reviewers independently screened the studies against the inclusion criteria, and then papers selected for inclusion were assessed for methodological quality. Qualitative data were extracted from the included papers independently by the four reviewers. Results from each reviewer were discussed and clarified to reach agreement. The extracted findings were pooled and examined for shared meaning, coded, and grouped into categories. Common categories were grouped into meta-synthesis to produce a comprehensive set of synthesized findings. The final synthesized findings were graded using the ConQual approach to determine the level of confidence (trust) users may have in the value of the synthesized findings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Thirty-four papers, representing 33 studies, met the criteria for inclusion. The studies were conducted in 11 countries across six continents, with a total of 601 participants. From these, a total of 220 findings were extracted and combined to form 11 categories based on similarity in meaning, and three syntheses were derived: i) The \u201cOther\u201d Shift: the distinctiveness of night nursing; ii) Juggling sleep and all aspects of life when working nights; and iii) Existing in the Twilight Zone: battling the negative impact of sleep deprivation consumes nurses who strive to keep patients, self, and others safe.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The major conclusions from this review are the uniqueness of working the night shift and the sleep deprivation of night nurses. Organizational strategies and support are needed for those working this shift, which will enhance nurse and patient safety.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Systematic review registration number:<\/jats:title>\n                    <jats:p>PROSPERO CRD42019135294<\/jats:p>\n                  <\/jats:sec>","DOI":"10.11124\/jbies-21-00472","type":"journal-article","created":{"date-parts":[[2022,8,17]],"date-time":"2022-08-17T03:02:12Z","timestamp":1660705332000},"page":"33-97","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":35,"title":["Experiences and perceptions of nurses working night shift: a qualitative systematic review"],"prefix":"10.11124","volume":"21","author":[{"given":"Susan H.","family":"Weaver","sequence":"first","affiliation":[{"name":"Hackensack Meridian Health, Ann May Center for Nursing, Neptune, NJ, USA"},{"name":"School of Nursing, Rutgers, the State University of New Jersey, Newark, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pamela B.","family":"de Cordova","sequence":"additional","affiliation":[{"name":"School of Nursing, Rutgers, the State University of New Jersey, Newark, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tracy R.","family":"Vitale","sequence":"additional","affiliation":[{"name":"School of Nursing, Rutgers, the State University of New Jersey, Newark, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pamela","family":"Hargwood","sequence":"additional","affiliation":[{"name":"Robert Wood Johnson Library of the Health Sciences, Rutgers, the State University of New Jersey, New Brunswick, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan","family":"Salmond","sequence":"additional","affiliation":[{"name":"School of Nursing, Rutgers, the State University of New Jersey, Newark, NJ, USA"},{"name":"The Northeast Institute for Evidence Synthesis and Translation (NEST): A JBI Centre of Excellence, Rutgers, The State University of New Jersey, Newark, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,1]]},"reference":[{"issue":"12","key":"R2-20250613","first-page":"3","article-title":"A time to work: recent trends in shift work and flexible schedules","volume":"130","author":"McMenamin","year":"2007","journal-title":"Mon Labor Rev"},{"issue":"1","key":"R6-20250613","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1097\/DCC.0b013e3181fd03cd","article-title":"Off-peak nurse staffing: critical-care nurses speak","volume":"30","author":"Eschiti","year":"2011","journal-title":"Dimens Crit Care Nurs"},{"issue":"4","key":"R7-20250613","doi-asserted-by":"crossref","first-page":"323","DOI":"10.1097\/HMR.0b013e3181aaa920","article-title":"Nursing teamwork, staff characteristics, work schedules, and staffing","volume":"34","author":"Kalisch","year":"2009","journal-title":"Health Care Manage Rev"},{"issue":"2","key":"R8-20250613","doi-asserted-by":"crossref","first-page":"164","DOI":"10.1097\/NAQ.0000000000000126","article-title":"Administrative supervisors: qualitative exploration of their perceived role","volume":"40","author":"Weaver","year":"2016","journal-title":"Nurs Adm Q"},{"key":"R9-20250613","author":"Trinkoff"},{"issue":"Pt A","key":"R11-20250613","doi-asserted-by":"crossref","first-page":"320","DOI":"10.1016\/j.apergo.2016.09.007","article-title":"What work schedule characteristics constitute a problem to the individual? 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