Shift Pattern Transition on the Health and Well-Being of Nurses: A Convergent Parallel Analysis

Abstract

This study aimed to examine the impact of shift pattern transitions on the health and well-being of nurses and to explore their experiences during this transition. This study utilized a mixed-method research design using the convergent parallel approach. The quantitative component employed a descriptive-correlational design involving 85 staff nurses in a government hospital in Surigao City. Data were collected using an adapted Standard Shiftwork Index (SSI). Descriptive and inferential statistics, including frequency, percentage, weighted mean, standard deviation, Chi-square, and Cramer’s V, were used for analysis. The qualitative component involved in-depth interviews with purposively selected nurses to explore their experiences regarding shift transitions, and the data were analyzed using thematic analysis. The findings revealed varying levels of health and well-being among nurses following the shift pattern transition, with experiences of sleep disruption, fatigue, and stress, while others reported improved work-life balance and adaptation over time. Qualitative themes highlighted physical and psychological effects, coping strategies, and the role of social and organizational support. Overall, shift pattern transitions influence nurses’ health, well-being, and work performance. The integration of quantitative and qualitative findings informed the development of a Health and Well-Being Enhancement Plan to support nurses in adapting to shift changes.