Shift work and work related injuries among health care workers: A systematic review

Zhao, Isabella, Bogossian, Fiona and Turner, Catherine (2010) Shift work and work related injuries among health care workers: A systematic review. Australian Journal of Advanced Nursing, 27 3: 62-74.

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Name Description MIMEType Size Downloads
Author Zhao, Isabella
Bogossian, Fiona
Turner, Catherine
Title Shift work and work related injuries among health care workers: A systematic review
Journal name Australian Journal of Advanced Nursing   Check publisher's open access policy
ISSN 1447-4328
Publication date 2010-03
Sub-type Article (original research)
Volume 27
Issue 3
Start page 62
End page 74
Total pages 13
Place of publication Melbourne, Vic, Australia
Publisher Australian Nursing Federation
Collection year 2011
Language eng
Subject C1
920505 Occupational Health
111705 Environmental and Occupational Health and Safety
Formatted abstract
To review the published scientific literature for studies analysing the associations between shift work and work related injuries among health care workers.

Systematic review.

The following selection criteria were used to systematically search the literature: primary research studies published in English; target populations were health care workers engaged in shiftwork; and outcome measures were work related injury/ injuries. Data extraction and quality assessment were performed independently by the authors using a standardised procedure. Synthesis of data is presented in text and tabular format. Meta-analysis was not possible due to the heterogenic nature of the studies reviewed.


This review retrieved 13 studies that met all inclusion criteria, none of which were conducted in Australia. The majority of study findings have shown that shift work is associated with a higher incidence or risk of sustaining work related injuries. However, most studies were cross sectional in design. The only case control study presented contrary results to the other studies. Furthermore, all study results could have been biased or confounded due to methodological limitations.


The relationship between shift work and work related injuries amongst health care workers could not be determined due to the relatively low level of evidence. High quality analytic studies should be conducted to provide better results explaining the causal relationship.
Copyright © 2011 RMIT Publishing
Keyword Motor vehicle crash
Musculoskeletal disorder
Needlestick injury
Shift work
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Published March-May, 2010.

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2011 Collection
School of Nursing, Midwifery and Social Work Publications
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Created: Sun, 04 Apr 2010, 00:07:45 EST