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Feasibility and Preliminary Efficacy of an m-Health Intervention Targeting Physical Activity, Diet, and Sleep Quality in Shift-Workers
Open AccessArticle

How Do Nurses Cope with Shift Work? A Qualitative Analysis of Open-Ended Responses from a Survey of Nurses

1
Eastern Health Clinical School, Monash University, Box Hill, VIC 3128, Australia
2
Turning Point, Eastern Health, Richmond, VIC 3121, Australia
3
Monash Addiction Research Centre, Frankston, VIC 3199, Australia
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(20), 3821; https://doi.org/10.3390/ijerph16203821
Received: 3 September 2019 / Revised: 2 October 2019 / Accepted: 5 October 2019 / Published: 10 October 2019
(This article belongs to the Special Issue Sleep and Wellbeing)
Nurses are frequently required to engage in shift work given the 24/7 nature of modern healthcare provision. Despite the health and wellbeing costs associated with shift work, little is known about the types of coping strategies employed by nurses. It may be important for nurses to adopt strategies to cope with shift work in order to prevent burnout, maintain wellbeing, and ensure high quality care to patients. This paper explores common strategies employed by nurses to cope with shift work. A workforce survey was completed by 449 shift working nurses that were recruited from a major metropolitan health service in Melbourne, Australia. Responses to open-ended questions about coping strategies were analysed using the framework approach to thematic analysis. Four interconnected main themes emerged from the data: (i) health practices, (ii) social and leisure, (iii) cognitive coping strategies, and (iv) work-related coping strategies. Although a range of coping strategies were identified, sleep difficulties often hindered the effective use of coping strategies, potentially exacerbating poor health outcomes. Findings suggest that in addition to improving nurses’ abilities to employ effective coping strategies on an individual level, workplaces also play an important role in facilitating nurses’ wellbeing. View Full-Text
Keywords: shift work; stress; sleep loss; exercise/physical activity; nurses; coping; health; wellbeing shift work; stress; sleep loss; exercise/physical activity; nurses; coping; health; wellbeing
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Savic, M.; Ogeil, R.P.; Sechtig, M.J.; Lee-Tobin, P.; Ferguson, N.; Lubman, D.I. How Do Nurses Cope with Shift Work? A Qualitative Analysis of Open-Ended Responses from a Survey of Nurses. Int. J. Environ. Res. Public Health 2019, 16, 3821.

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