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The shift plan, rota or roster (esp. British) is the central component of a shift schedule in shift work. [1] The schedule includes considerations of shift overlap, shift change times and alignment with the clock, vacation, training, shift differentials, holidays, etc.
A weekly or monthly schedule is usually ordered alphabetically, employees being listed on the left hand side of a grid, with the days of the week on the top of the grid. [citation needed] In shift work, a schedule usually employs a recurring shift plan. A schedule is most often created by a manager.
Shift work is a contributing factor in many cases of medical errors. [9] Shift work has often been common in the armed forces. Military personnel, pilots, and others that regularly change time zones while performing shift work experience jet lag and consequently suffer sleep disorders. [9]
Shift work is often combined with extended hours of duty, so fatigue can be a compounding factor. [40] The symptoms coincide with the duration of shift work and usually remit with the adoption of a conventional sleep-wake schedule. [40] The boundary between a "normal response" to the rigors of shift work and a diagnosable disorder is not sharp.
A nurse does not work the day shift, night shift and late night shift on the same day (i.e. no 24-hour duties). A nurse may go on a holiday and will not work shifts during this time. A nurse does not do a late night shift followed by a day shift the next day. Two nurses dislike each other and thus cannot work on the same shift because of that.
The evidence for harm to people who are deprived of sleep, or work irregular hours, is robust. Research from Europe and the United States on nonstandard work hours and sleep deprivation found that late-hour workers are subject to higher risks of gastrointestinal disorders, cardiovascular disease, breast cancer, miscarriage, preterm birth, and low birth weight of their newborns.
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