Rotating Shifts and their Influence on Sleep Quality in the Analysis of Work Performance of Prehospital Care Personnel in the Carchi-Tulcán District

Abstract

Rotating shift work is an inherent condition of prehospital care services and represents a significant challenge to workers’ health and job performance. This research article aimed to analyze the influence of rotating shifts on sleep quality and its relationship with job performance among prehospital care personnel in the Carchi–Tulcán District. Study was conducted using a qualitative, descriptive approach through interviews with twenty-five prehospital care professionals, including men and women, considering their work experiences, expectations regarding rest, and experiences associated with shift work. The literature review allowed the empirical findings to be contrasted with existing scientific evidence on circadian desynchronization, sleep quality, and job performance in the healthcare sector. The results showed that rotating shifts, particularly those involving night duties and frequent schedule changes, negatively affect sleep quality, generating persistent fatigue, daytime sleepiness, and difficulties in physical and mental recovery. These alterations directly impact job performance, manifested as reduced concentration, increased fatigue, and a perceived decrease in efficiency during emergency care. It is concluded that the organization of work shifts constitutes a key factor in the well-being of prehospital care personnel and in the quality of the services provided. The findings highlight the need to strengthen institutional strategies aimed at proper rest management and the comprehensive well-being of prehospital personnel in the area. These considerations are especially relevant in emergency contexts, where sustained alertness, rapid decision-making, and physical endurance are essential to ensure patient safety, effective teamwork, and the continuity of high-quality prehospital care services within demanding operational healthcare systems.