Article Text

Download PDFPDF
Nursing issues
Reduced alertness as a consequence of rotating shift patterns puts safe care delivery at risk
  1. Vittoria Sorice1,
  2. Emma Russell2
  1. 1 ED, Chesterfield Royal Hospital NHS Foundation Trust, Chesterfield, UK
  2. 2 Acute Frailty Unit, Chesterfield Royal Hospital NHS Foundation Trust, Chesterfield, UK
  1. Correspondence to Vittoria Sorice, ED, Chesterfield Royal Hospital NHS Foundation Trust, Chesterfield S44 5BL, UK; vittoria.sorice{at}

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

Commentary on: Min A, Hong HC, Son S, et al, Alertness during working hours among eight-hour rotating-shift nurses: an observational study. J Nurs Scholar 2021;75. doi:10.1111/JNU.12743

Implications for practice and research

  • Organisational measures to implement alertness are necessary to safeguard patient care and staff well-being.

  • Further research is needed in order to optimise shift design and develop suitable countermeasures for all shift-working healthcare professional.


Increasing evidence suggests that shift-pattern generated fatigue in nurses can impair their ability to offer high-quality care to patients. Nevertheless, to guarantee 24-hour care, most healthcare professionals (HP) must comply with shift-working. Specifically, rotating-shifts are more likely to cause a decreased alertness and increased tiredness effect on HP due to continuous changes in their sleep patterns. As the consequences of sleep deprivation are comparable to those of blood …

View Full Text


  • Twitter @vittoriasor

  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.