West J Nurs Res. 2025 Jun 16:1939459251341832. doi: 10.1177/01939459251341832. Online ahead of print.

ABSTRACT

BACKGROUND: Shift work, a nonstandard work arrangement, is increasingly popular in the hospitality industry to meet consumer demands and boost productivity. However, its effects on the health and well-being of hotel workers in the United States remains underexplored.

OBJECTIVE: We aimed to explore the effects of shift work on mental health, sleep, and chronic fatigue among hotel workers.

METHODS: We collaborated with a community advisory board to develop a survey and recruit participants. Individuals aged 18 years or older, working in hotels in a Midwest state, completed surveys online or on paper. Data analysis included descriptive statistics, linear and logistic regression, and stepwise moderation to examine the impact of work schedules on chronic sleep problems, fatigue, and mental health outcomes.

RESULTS: Data from 518 participants were analyzed. The majority identified as white and female, with an average age of 32.05 years. Most were employed in housekeeping or front desk positions. Regression analyses showed that those working nonstandard hours were significantly more likely to report chronic fatigue and screen positive for posttraumatic stress disorder. Paid overtime was significantly associated with decreased symptoms of depression and anxiety. Significant interactions by job type were also observed, with front desk workers reporting increased depression with more overtime compared to other job types.

CONCLUSION: These findings address a crucial gap in understanding shift work’s impact on US hotel workers’ health and well-being. Future longitudinal studies should explore shift work’s effects on sleep, fatigue, and mental health. Tailored interventions and policies may mitigate the adverse effects of shift work.

PMID:40521775 | PMC:PMC12242826 | DOI:10.1177/01939459251341832