Table 1

Symptoms of sleep and sleepiness problems in relation to rest-days, and day-, evening - and night shifts

Work schedules
Permanent day % (n)*Two-shift (day–evening) rotation % (n)*Permanent night % (n)*Three-shift (day–evening–night) rotation % (n)*Total % (n)*
(1) Sleep onset latency (using more than 30 min to fall asleep)
 Day shift11.6 (17)17.0 (65)11.9 (84)13.5 (166)
 Evening shift54.3 (207)55.2 (388)54.9 (595)
 Night shift13.2 (15)27.7 (193)25.6 (208)
 Rest-days9.3 (13)8.4 (33)13.6 (16)8.4 (62)8.9 (124)
(2) Wake after sleep onset (bouts of wakefulness lasting more than 30 min within the main sleep period)
 Day shift9.6 (14)7.1 (27)5.3 (37)6.4 (78)
 Evening shift19.5 (74)15.8 (111)17.1 (185)
 Night shift18.3 (21)29.0 (201)27.4 (222)
 Rest-days6.6 (9)3.0 (12)9.4 (11)3.5 (26)4.2 (58)
(3) Premature awakening (waking more than 30 min earlier than wished, without falling asleep again)
 Day shift11.0 (16)14.9 (57)8.3 (58)10.7 (131)
 Evening shift17.8 (68)11.1 (78)13.5 (146)
 Night shift24.6 (28)39.3 (273)37.2 (301)
 Rest-days7.3 (10)5.5 (22)5.9 (7)2.5 (18)4.1 (57)
(4) Not feeling adequately rested following sleep
 Day shift50.7 (75)43.6 (167)44.0 (310)44.7 (552)
 Evening shift49.9 (190)43.1 (304)45.5 (494
 Night shift41.7 (48)63.5 (444)60.4 (492)
 Rest-days14.2 (19)9.7 (38)13.6 (16)9.5 (70)10.4 (143)
(5) Experience of being tired/sleepy at work
 Day shift16.9 (25)29.8 (115)23.8 (168)24.8 (308)
 Evening shift22.4 (86)10.8 (76)14.9 (162)
 Night shift41.7 (48)70.2 (493)66.2 (541)
(6) Experience of being tired/sleepy during free periods on workdays
 Day shift41.8 (61)43.0 (166)44.4 (313)43.7 (540)
 Evening shift24.2 (93)18.5 (131)20.5 (224)
 Night shift42.9 (48)65.8 (459)62.6 (507)
(7) Experience of being tired/sleepy when not working/on vacation
 Rest-days11.0 (18)7.4 (30)14.5 (18)6.6 (50)8.0 (116)
  • The percentage distribution refers to the nurses within each work schedule (permanent day, permanent night, two-shift and three-shift rotation) reporting to ‘often’ or ‘always’ experiencing the symptoms.

  • *Columns depict the percentage (%) and number (n) of nurses within a given work schedule who reported to ‘often’ or ‘always’ experience a specific shift-related symptom.