Buy this Article for $10.95

Have a coupon or promotional code? Enter it here:

When you buy this you'll get access to the ePub version, a downloadable PDF, and the ability to print the full article.


  1. Cho, Hyeonmi MSN, RN
  2. Brzozowski, Sarah MBA, RN, NEA-BC
  3. Arsenault Knudsen, Elise N. PhD, RN, ACNS-BC
  4. Steege, Linsey M. PhD


OBJECTIVE: The aims of this study were to explore nurses' fatigue levels and sleep measures during two 12-hour consecutive day shifts and examine the relationships between nurses' fatigue levels within shifts and their previous-night sleep characteristics.


BACKGROUND: Monitoring changes in fatigue and sleep is important to enable effective fatigue management.


METHODS: This was a descriptive, repeated-measures study. Data were collected using surveys and actigraphy 4 times during each consecutive shift (7:00 AM-7:30 PM).


RESULTS: General fatigue levels started trending up 4 hours after the start of work; highest levels were reported at 7:30 PM. Fatigue levels accumulated across consecutive shifts. Subjective sleep quality was higher the night before the 2nd shift than the night before the 1st shift. Nurses' poor sleep the night before a shift was related to increased fatigue levels during the next shift.


CONCLUSION: It is important to consider when fatigue management interventions will be most effective and to consider previous-night's sleep when monitoring fatigue.