Shift work and quality of sleep: effect of working in designed dynamic light

Purpose To examine the effect of designed dynamic light on staff’s quality of sleep with regard to sleep efficiency, level of melatonin in saliva, and subjective perceptions of quality of sleep. Methods An intervention group working in designed dynamic light was compared with a control group working...

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Veröffentlicht in:International archives of occupational and environmental health 2016-01, Vol.89 (1), p.49-61
Hauptverfasser: Jensen, Hanne Irene, Markvart, Jakob, Holst, René, Thomsen, Tina Damgaard, Larsen, Jette West, Eg, Dorthe Maria, Nielsen, Lisa Seest
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container_end_page 61
container_issue 1
container_start_page 49
container_title International archives of occupational and environmental health
container_volume 89
creator Jensen, Hanne Irene
Markvart, Jakob
Holst, René
Thomsen, Tina Damgaard
Larsen, Jette West
Eg, Dorthe Maria
Nielsen, Lisa Seest
description Purpose To examine the effect of designed dynamic light on staff’s quality of sleep with regard to sleep efficiency, level of melatonin in saliva, and subjective perceptions of quality of sleep. Methods An intervention group working in designed dynamic light was compared with a control group working in ordinary institutional light at two comparable intensive care units (ICUs). The study included examining (1) melatonin profiles obtained from saliva samples, (2) quality of sleep in terms of sleep efficiency, number of awakenings and subjective assessment of sleep through the use of sleep monitors and sleep diaries, and (3) subjective perceptions of well-being, health, and sleep quality using a questionnaire. Light conditions were measured at both locations. Results A total of 113 nurses (88 %) participated. There were no significant differences between the two groups regarding personal characteristics, and no significant differences in total sleep efficiency or melatonin level were found. The intervention group felt more rested (OR 2.03, p  = 0.003) and assessed their condition on awakening as better than the control group (OR 2.35, p  = 0.001). Intervention-ICU nurses received far more light both during day and evening shifts compared to the control-ICU. Conclusions The study found no significant differences in monitored sleep efficiency and melatonin level. Nurses from the intervention-ICU subjectively assessed their sleep as more effective than participants from the control-ICU.
doi_str_mv 10.1007/s00420-015-1051-0
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Methods An intervention group working in designed dynamic light was compared with a control group working in ordinary institutional light at two comparable intensive care units (ICUs). The study included examining (1) melatonin profiles obtained from saliva samples, (2) quality of sleep in terms of sleep efficiency, number of awakenings and subjective assessment of sleep through the use of sleep monitors and sleep diaries, and (3) subjective perceptions of well-being, health, and sleep quality using a questionnaire. Light conditions were measured at both locations. Results A total of 113 nurses (88 %) participated. There were no significant differences between the two groups regarding personal characteristics, and no significant differences in total sleep efficiency or melatonin level were found. The intervention group felt more rested (OR 2.03, p  = 0.003) and assessed their condition on awakening as better than the control group (OR 2.35, p  = 0.001). Intervention-ICU nurses received far more light both during day and evening shifts compared to the control-ICU. Conclusions The study found no significant differences in monitored sleep efficiency and melatonin level. Nurses from the intervention-ICU subjectively assessed their sleep as more effective than participants from the control-ICU.</description><identifier>ISSN: 0340-0131</identifier><identifier>EISSN: 1432-1246</identifier><identifier>DOI: 10.1007/s00420-015-1051-0</identifier><identifier>PMID: 25893465</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Circadian Rhythm ; Critical Care Nursing ; Earth and Environmental Science ; Environment ; Environmental Health ; Hospitals ; Humans ; Intensive Care Units ; Light ; Lighting - adverse effects ; Lighting - methods ; Melatonin - analysis ; Middle Aged ; Nurses - psychology ; Occupational Medicine/Industrial Medicine ; Original ; Original Article ; Quality of life ; Rehabilitation ; Saliva - chemistry ; Shift work ; Sleep ; Sleep - physiology ; Surveys and Questionnaires ; Work environment ; Work Schedule Tolerance - physiology ; Working conditions</subject><ispartof>International archives of occupational and environmental health, 2016-01, Vol.89 (1), p.49-61</ispartof><rights>The Author(s) 2015</rights><rights>Springer-Verlag Berlin Heidelberg 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c639t-f597845c8b17f78b422e8c221048cf6208df05e797e5f5313863264b1c8d4fab3</citedby><cites>FETCH-LOGICAL-c639t-f597845c8b17f78b422e8c221048cf6208df05e797e5f5313863264b1c8d4fab3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00420-015-1051-0$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00420-015-1051-0$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25893465$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jensen, Hanne Irene</creatorcontrib><creatorcontrib>Markvart, Jakob</creatorcontrib><creatorcontrib>Holst, René</creatorcontrib><creatorcontrib>Thomsen, Tina Damgaard</creatorcontrib><creatorcontrib>Larsen, Jette West</creatorcontrib><creatorcontrib>Eg, Dorthe Maria</creatorcontrib><creatorcontrib>Nielsen, Lisa Seest</creatorcontrib><title>Shift work and quality of sleep: effect of working in designed dynamic light</title><title>International archives of occupational and environmental health</title><addtitle>Int Arch Occup Environ Health</addtitle><addtitle>Int Arch Occup Environ Health</addtitle><description>Purpose To examine the effect of designed dynamic light on staff’s quality of sleep with regard to sleep efficiency, level of melatonin in saliva, and subjective perceptions of quality of sleep. 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Intervention-ICU nurses received far more light both during day and evening shifts compared to the control-ICU. Conclusions The study found no significant differences in monitored sleep efficiency and melatonin level. 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ispartof International archives of occupational and environmental health, 2016-01, Vol.89 (1), p.49-61
issn 0340-0131
1432-1246
language eng
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source MEDLINE; SpringerNature Journals
subjects Adult
Circadian Rhythm
Critical Care Nursing
Earth and Environmental Science
Environment
Environmental Health
Hospitals
Humans
Intensive Care Units
Light
Lighting - adverse effects
Lighting - methods
Melatonin - analysis
Middle Aged
Nurses - psychology
Occupational Medicine/Industrial Medicine
Original
Original Article
Quality of life
Rehabilitation
Saliva - chemistry
Shift work
Sleep
Sleep - physiology
Surveys and Questionnaires
Work environment
Work Schedule Tolerance - physiology
Working conditions
title Shift work and quality of sleep: effect of working in designed dynamic light
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