Perceptions of Sleep Quality, Fatigue, and Cognition Among Women Shift Workers

Nurs Womens Health. 2024 Dec;28(6):429-437. doi: 10.1016/j.nwh.2024.06.003. Epub 2024 Sep 30.

Abstract

Objective: To explore the perceptions of sleep quality, levels of fatigue, and cognitive executive function in women shift workers.

Design: Qualitative, descriptive study of a sample of participants who participated in a cross-sectional, mixed-methods study.

Setting: Online focus groups.

Participants: Women shift workers (N = 14) recruited from the southeastern United States.

Methods: Four focus groups were conducted using the Zoom online videoconferencing platform. Transcripts were coded inductively, and data were analyzed using a thematic analysis approach.

Results: Five major themes were developed from the data: Lots of Sleep Lost, Day Sleep Difficulties, Negative Consequences, Missing Out, and Not in My Own Thoughts.

Conclusion: Shift work is associated with sleep loss, which has a negative impact on women's emotional, mental, and physical health. Further nursing science investigation into strategies to enable women to improve their sleep quality, sleep quantity, and social/domestic environment is warranted. Education to increase sleep knowledge and decrease accidents and errors that can result from insufficient sleep is vital.

Keywords: cognition; cognitive function; fatigue; qualitative research; shift work; sleep; sleep quality; women.

MeSH terms

  • Adult
  • Cognition / physiology
  • Cross-Sectional Studies
  • Fatigue* / psychology
  • Female
  • Focus Groups* / methods
  • Humans
  • Middle Aged
  • Perception
  • Qualitative Research*
  • Shift Work Schedule / adverse effects
  • Shift Work Schedule / psychology
  • Sleep Quality*
  • Southeastern United States
  • Work Schedule Tolerance / physiology
  • Work Schedule Tolerance / psychology