A Qualitative Investigation into the Lived Experiences of Critical Care Nurses Working on Night Shifts

Authors

  • Halmat Authman Rasheed Department of Nursing, College of Nursing, Hawler Medical University, Erbil, Iraq.
  • Newroz Ghazi Aziz Department of Nursing, College of Nursing, Hawler Medical University, Erbil, Iraq.
  • Goran Aboobaker Osman Department of Nursing, College of Nursing, Hawler Medical University, Erbil, Iraq.

DOI:

https://doi.org/10.15218/ejnm.2021.07

Keywords:

Nurses, Critical care unit, Qualitative research, Interview, Lived experience

Abstract

Background and objectives: Shift work is used in the hospitals and residential treatment centres to provide patients with continuous health care. During their night shift, nurses are often faced with different health problems either due to the stressful work environment or because of the sophisticated instruments to be utilized in intensive care units. The present study was aimed at investigating the lived experience of nurses working on the night shifts at Rizgary Teaching Hospital located in Erbil, Iraqi Kurdistan Region.

Methods: A qualitative phenomenological study was conducted to describe the lived experiences of nurses working on night shifts. In doing so and in order to collect the required data, open-ended semi-structured in-depth interviews were carried out to explore thoughts, feelings, and lived experiences of 15 nurses who were working on the night shifts in the Intensive Care Unit (ICU) at Rizgary Teaching Hospital in Erbil. The collected data were then analyzed by Van Manen’s (1990) method.

Results: Study participants were between 26 and 38 years old. The majority were male (60%) and 40% were female. Regarding marital status, 10 participants were married and 5 were single. Most of the nurses had Bachelor degrees (86.6%). The respondents work experience was between 3 and 8 years. Almost all of the participating nurses had similar lived experiences during their night shifts. The nurses' lived experiences gave way to the emergence of four themes namely workload, psychosocial issues, sleep disturbance and physiological issues.

Conclusion: The present study showed that nurses working on night shifts faced many problems and issues such as poor sleep quality sleep, working for a long time, fatigue and anxiety, back pain, mood disturbance and lack of concentration.

References

[1] Chappel SE, Verswijveren SJ, Aisbett B, Considine J, Ridgers ND. Nurses’ occupational physical activity levels: A systematic review. International Journal of Nursing Studies. 2017; 73: 52–62.https://doi.org/https://doi.org/10.1016/j.ijnurstu.2017.05.006.
[2] Saksvik IB, Bjorvatn B, Hetland H, Sandal GM, Pallesen S. Individual differences in tolerance to shift work – A systematic review. Sleep Medicine Reviews. 2011; 15(4): 221-35.https://doi.org/https://doi.org/10.1016/j.smrv.2010.07.002.
[3] Cheng WJ, Cheng Y. Night shift and rotating shift in association with sleep problems, burnout and minor mental disorder in male and female employees. Occupational and Environmental Medicine. 2017; 74(7): 483–88. https://doi.org/10.1136/oemed-2016-103898.
[4] Shiffer D, Minonzio M, Dipaola F, Bertola M, Zamuner AR, Dalla Vecchia, et al. Effects of Clockwise and Counterclockwise Job Shift Work Rotation on Sleep and Work-Life Balance on Hospital Nurses. International Journal of Environmental Research and Public Health. 2018; 15(9): 2038.https://doi.org/10.3390/ijerph15092038.
[5] Raffenaud A, Unruh L, Fottler M, Liu AX, Andrews D. A comparative analysis of work-family conflict among staff, manage-rial, and executive nurses. Nursing Outlook.2020; 68(2): 231–41. https://doi.org/https://doi.org/10.1016/j.outlook.2019.08.003.
[6] Vahedian-Azimi A, Hajiesmaeili M, Kangas-niemi M, Fornés-Vives J, Hunsucker RL, Rahimibashar F, et al. Effects of Stress on Critical Care Nurses: A National Cross-Sectional Study. Journal of Intensive Care Medicine. 2019; 34(4): 311–22. https://doi.org/10.1177/0885066617696853.
[7] Redeker NS, Caruso CC, Hashmi SD, Mulling-ton JM, Grandner M, Morgenthaler TI. Workplace interventions to promote sleep health and an alert, healthy workforce. Journal of Clinical Sleep Medicine. 2019; 15(4): 649–57. https://doi.org/10.5664/jcsm.7734.
[8] Vidotti V, Ribeiro RP, Galdino MJ, Martins JT. Burnout syndrome and shift work among the nursing staff. Revista Latino-Americana de Enfermagem. 2018; 26(0). https://doi.org/10.1590/1518-8345.2550.3022
[9] Devadas B. A Critical Review of Qualitative Research Methods in Evaluating Nursing Curriculum Models: Implication for Nursing Education in the Arab World. Journal of Education and Practice. 2016; 7(7): 119–26.
[10] Burns M, Peacock S. Interpretive phenomenological methodologists in nursing: A critical analysis and comparison. Nursing Inquiry. 2019; 26(2): 1–10. https://doi.org/10.1111/nin.12280.
[11] Au A. Thinking about cross-cultural differences in qualitative interviewing: Practices for more responsive and trusting encounters. Qualitative Report. 2019; 24(1): 58–77.
[12] Johnson JL, Adkins D, Chauvin S. A review of the quality indicators of rigor in qualitative research. American Journal of Pharmaceutical Education. 2020; 84(1): 138–46. https://doi.org/10.5688/ajpe7120
[13] Saleh MY, Al-Amer R, Al Ashram SR, Dawani H, Randall S. Exploring the lived experience of Jordanian male nurses: A phenomenological study. Nursing Outlook. 2020; 68(3): 313–23.https://doi.org/https://doi.org/10.1016/j.outlook.2019.10.007
[14] Imani B, Mohamad Khan Kermanshahi S, Vanaki Z, Kazemnejad Lili A, Zoghipaydar MR. Iranian Hospital Nurses’ Lived Experiences of Emotional Intelligence: A Phenomenological Study. Issues in Mental Health Nursing. 2019; 40(8): 712–19. https://doi.org/10.1080/01612840.2017.1395497
[15] Nikbakht Nasrabadi A, Mohammadpour A, Fathi M. A New Horizon in Life: Experiences of Patients Receiving Chemotherapy. Global Journal of Health Science. 2016; 8(4): 102–08.https://doi.org/10.5539/gjhs.v8n4p102.
[16] Faghihi SA, Khankeh HR, Hosseini SJ, Ar-abshahi SK, Faghih Z, Parikh SV, et al. Im-proving continuing medical education by enhancing interactivity: lessons from Iran. Journal of Advances in Medical Education & Professionalism. 2016; 4(2), p.54.
[17] Moattari M, Jahromi MF. Novice Nurses’ Perception of Working Night Shifts: A Qualitative Study. Journal of Caring Scienc-es.2013;2(3):169–76.https://doi.org/10.5681/jcs.2013.021.
[18] Abdulla Karim M, Rafii F, Nikbakht Nasra-badi A, Kurdistan Nurses’ Feelings and Experiences About Patients’ Death in ICUs: A Case Study in Kurdistan Region, Iraq. Journal of Client-Centered Nursing Care. 2017; 3(1): 3-10.
[19] Nasrabadi AN, Rasoolzadeh N, Emami A, Seif H, Latifi M. Night shift work experiences among Iranian nurses: A qualitative study: Original Article. International Nurs-ing Review. 2009; 56(4): 498–503. https://doi.org/10.1111/j.1466-7657.2009.00747.x.
[20] Costa G. No Title. In: Iskra-Golec I, Barnes-Farrell J. ed. Social and Family Issues in Shift Work and Non-Standard Working Hours. Springer, Cham; 2016: 19–35. https://doi.org/https://doi.org/10.1007/978-3-319-42286-2_2.
[21] Zion N, Shochat T. Let them sleep: The effects of a scheduled nap during the night shift on sleepiness and cognition in hospital nurses. Journal of Advanced Nursing. 2019; 75(11): 2603–615. https://doi.org/10.1111/jan.14031.
[22] Mahmoued TM, Mohamed N, Saleh A, Ali N. Night Shift Work and Its Impact on Health Status of Nurses. Zagazig Nursing Journal. 2017; 13(2): 53–66.

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Published

2021-11-30

How to Cite

1.
Rasheed HA, Aziz NG, Osman GA. A Qualitative Investigation into the Lived Experiences of Critical Care Nurses Working on Night Shifts. Erbil j. nurs. midwifery [Internet]. 2021 Nov. 30 [cited 2022 Aug. 14];4(2):60-8. Available from: https://ejnm.hmu.edu.krd/index.php/ejnm/article/view/153

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Original Articles