{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T20:02:44Z","timestamp":1792267364513,"version":"4.4.0"},"reference-count":23,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Sage Open Nursing"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Nurse burnout remains a significant global challenge, exacerbated by rotating shift work, which disrupts circadian rhythms and contributes to psychological strain. Burnout is characterized by emotional exhaustion, depersonalization, and reduced personal accomplishment\u2014outcomes that can compromise patient care and workforce stability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This systematic review examines the association between rotating shift work and nurse burnout, focusing on how specific shift characteristics influence each burnout dimension and exploring contextual moderators such as organizational support and work environment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A systematic search of PubMed, Scopus, CINAHL, and PsycINFO was conducted to identify peer-reviewed studies published between 2015 and 2023. Eligible studies investigated hospital-based nurses and evaluated the effects of rotating shift work on burnout outcomes. The Joanna Briggs Institute (JBI) appraisal tool was used for quality assessment. Data were synthesized thematically due to study heterogeneity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Fifteen studies were included, primarily cross-sectional in design, with significant variability in burnout measurement tools and shift definitions. Emotional exhaustion was consistently associated with night shifts and irregular rotations. Depersonalization was linked to excessive workload and low social support, while reduced personal accomplishment appeared in contexts of prolonged shift exposure. Organizational support, sleep hygiene, and job autonomy emerged as potential protective factors. However, the lack of quantitative synthesis, high reliance on self-reported data, and publication bias limit the strength of conclusions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Rotating shift work contributes significantly to nurse burnout, especially emotional exhaustion. The findings underscore the need for more longitudinal studies, standardized burnout assessments, and tailored interventions. Future research should incorporate effect sizes, subgroup analyses, and moderator evaluations to enhance evidence-based recommendations for shift scheduling and occupational health.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23779608251374232","type":"journal-article","created":{"date-parts":[[2025,9,3]],"date-time":"2025-09-03T13:20:22Z","timestamp":1756905622000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":25,"title":["The Impact of Rotating Shift Work on Nurse Burnout: A Systematic Review of Contributing Factors and Organizational Strategies"],"prefix":"10.1177","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2414-7982","authenticated-orcid":false,"given":"Mohammed","family":"Qtait","sequence":"first","affiliation":[{"name":"Palestine Polytechnic University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad Faisal","family":"Al Ali","sequence":"additional","affiliation":[{"name":"Al-Zaytoonah University of Jordan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yousef","family":"Jaradat","sequence":"additional","affiliation":[{"name":"Palestine Polytechnic University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,9,3]]},"reference":[{"key":"e_1_3_3_2_1","unstructured":"Alston-Jackson N. (2022). Causally related factors affecting sleep-depravity and health consequences associated with circadian rhythm imbalance and long-term shift\/night-time work rotation effects [Doctoral dissertation Wilmington University (Delaware)]."},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.outlook.2024.102344"},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/nop2.1521"},{"key":"e_1_3_3_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ncl.2019.03.003"},{"key":"e_1_3_3_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12960-020-00469-9"},{"key":"e_1_3_3_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/occmed\/kqad046"},{"key":"e_1_3_3_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11920-013-0418-8"},{"issue":"1","key":"e_1_3_3_9_1","first-page":"2123","article-title":"The association between shift work and sleep quality, burnout, and health in nurses","volume":"62","author":"Huang C. F.","year":"2020","unstructured":"Huang C. F., Yang C. H., Wu H. S., Wu Y. K. (2020). The association between shift work and sleep quality, burnout, and health in nurses. Journal of Occupational Health, 62(1), 2123\u20132131. https:\/\/doi.org\/10.1111\/jonm.13351","journal-title":"Journal of Occupational Health"},{"key":"e_1_3_3_10_1","article-title":"Health consequences of shift work and insufficient sleep","volume":"355","author":"Kecklund G.","year":"2016","unstructured":"Kecklund G., Axelsson J. (2016). Health consequences of shift work and insufficient sleep. BMJ (Clinical Research ed.), 355, i5210. https:\/\/doi.org\/10.1136\/bmj.i5210","journal-title":"BMJ (Clinical Research ed.)"},{"issue":"3","key":"e_1_3_3_11_1","first-page":"539","article-title":"The impact of shift work on sleep and mental health among nurses","volume":"36","author":"Khan W. A.","year":"2020","unstructured":"Khan W. A., Tanveer W., Ijaz S., Khalid A., Nawaz M. A. (2020). The impact of shift work on sleep and mental health among nurses. Pakistan Journal of Medical Sciences, 36(3), 539\u2013544. https:\/\/doi.org\/10.32413\/pjph.v12i2.926","journal-title":"Pakistan Journal of Medical Sciences"},{"key":"e_1_3_3_12_1","doi-asserted-by":"publisher","DOI":"10.1539\/joh.13-0284-OA"},{"issue":"3","key":"e_1_3_3_13_1","first-page":"421","article-title":"Effects of rotating and fixed shift schedules on lifestyle, perceived stress, and work\u2013life balance among hospital nurses in Taiwan","volume":"21","author":"Lin P. H.","year":"2024","unstructured":"Lin P. H., Chen C. H., Hsieh W. J. (2024). Effects of rotating and fixed shift schedules on lifestyle, perceived stress, and work\u2013life balance among hospital nurses in Taiwan. International Journal of Environmental Research and Public Health, 21(3), 421. https:\/\/doi.org\/10.3390\/ijerph21030421","journal-title":"International Journal of Environmental Research and Public Health"},{"key":"e_1_3_3_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/wps.20311"},{"key":"e_1_3_3_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2025.105017"},{"issue":"2","key":"e_1_3_3_16_1","doi-asserted-by":"crossref","first-page":"01","DOI":"10.47626\/1679-4435-2021-881","article-title":"Medical shift work: A narrative review","volume":"21","author":"Rodrigues M. V.","year":"2023","unstructured":"Rodrigues M. V., Pereira M. R. G., Monteiro D. T., Oliveira P. A. B. (2023). Medical shift work: A narrative review. Revista Brasileira de Medicina do Trabalho : Publicacao Oficial da Associacao Nacional de Medicina do Trabalho-ANAMT, 21(2), 01\u201311. https:\/\/doi.org\/10.47626\/1679-4435-2021-881","journal-title":"Revista Brasileira de Medicina do Trabalho : Publicacao Oficial da Associacao Nacional de Medicina do Trabalho-ANAMT"},{"key":"e_1_3_3_17_1","doi-asserted-by":"publisher","DOI":"10.3390\/jpm13040627"},{"key":"e_1_3_3_18_1","doi-asserted-by":"publisher","DOI":"10.1108\/13620430910966406"},{"key":"e_1_3_3_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleh.2019.11.001"},{"key":"e_1_3_3_20_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2011.1377"},{"key":"e_1_3_3_21_1","doi-asserted-by":"publisher","DOI":"10.4102\/sajip.v42i1.1308"},{"key":"e_1_3_3_22_1","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2023.1125133"},{"key":"e_1_3_3_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10900-024-01426-6"},{"key":"e_1_3_3_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/pchj.214"}],"container-title":["Sage Open Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23779608251374232","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/23779608251374232","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23779608251374232","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,19]],"date-time":"2025-11-19T07:46:39Z","timestamp":1763538399000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/23779608251374232"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":23,"alternative-id":["10.1177\/23779608251374232"],"URL":"https:\/\/doi.org\/10.1177\/23779608251374232","relation":{},"ISSN":["2377-9608","2377-9608"],"issn-type":[{"value":"2377-9608","type":"print"},{"value":"2377-9608","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1]]},"article-number":"23779608251374232"}}