ArticlePloS one2025
The impact of shift work on paramedics and their practice: Protocol for a simulated paramedic shift work study.
Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
2 citing papers in PubMed.
- Designing Digital Mental Health Support for Paramedics Exposed to Trauma: Qualitative Study of Lived Experiences and Design Preferences.JMIR human factors · 2025Article
- The impact of insufficient sleep on the serial reproduction of information.Sleep advances : a journal of the Sleep Research Society · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Paramedics make up an integral part of modern healthcare systems, however, there remains a paucity of research on the occupational demands of their role. The majority of paramedics in Australia work on a rotating shift schedule. Despite the documented impact of shift work on sleep loss, and resultant performance and physiological impairments, few studies have examined the implications of shift work in paramedic populations. This study explores the impact of shift work, and the resultant circadian rhythm disruption, on paramedic decision making, work performance and underlying physiology. The study aims to recruit 22 Australian paramedics with an entry to practice scope. In pairs, participants complete a two 12-hour day shift, two 12-hour night shift simulated work rotation. All sleep opportunities during the rotation occur in the Monash Sleep and Circadian Medicine Laboratory and are monitored with polysomnography. Simulated paramedic shifts take place in the Monash Paramedic Simulation Centre, where participants engage in high-fidelity immersive paramedic scenarios throughout the shift. Paramedic scenarios are recorded for asynchronous evaluation by subject matter experts. In addition to paramedic scenarios, participants complete two cognitive and decision-making batteries during each shift. Biological markers are also collected throughout the rotation to assess changes in paramedics' stress responses (i.e., alpha-amylase, cortisol, heart rate variability, cytokines), as well as circadian phase (i.e., 6-sulfatoxymelatonin). The novel simulated work environment study design contributes significantly to the paramedic body of literature through advancing our understanding of the impacts of shift work on paramedics. This study provides valuable insights into the nature of paramedic work and generates future research directions that will allow for further examination and understanding of the occupational demands of the paramedic profession.
Indexed as
Identifiers
What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.