Comment on Kaplan et al.: Interpreting Cognitive and Handover Associations During Night Shifts

We read with interest the study by Kaplan et al. ( 2026 ) on sleepiness, self-reported cognitive control and flexibility, and self-reported handover effectiveness among 270 nurses working 16-hour night shifts.The authors acknowledge the cross-sectional design, inability to establish causality, exploratory and unadjusted structural equation model, and absence of objective performance measures.Our principal contribution concerns what the cognitive measure represents: relatively stable perceived abilities or acute within-shift impairment.This distinction, alongside the interpretation of time-specific correlations and the shared nature of handover, may refine the meaning of the reported associations.

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Publication Details

Journal
International Nursing Review
Published
2026-11-01
DOI
https://doi.org/10.1111/inr.70255
Primary Topic
Sleep and Work-Related Fatigue
Type
article
Field-Weighted Citation Impact
0.00
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article

Comment on Kaplan et al.: Interpreting Cognitive and Handover Associations During Night Shifts

Yiling Ying, Xiaoxiao Wang
International Nursing Review
Sleep and Work-Related Fatigue
article

Comment on Kaplan et al.: Interpreting Cognitive and Handover Associations During Night Shifts

Yiling Ying, Xiaoxiao Wang
article en

Abstract

We read with interest the study by Kaplan et al. ( 2026 ) on sleepiness, self-reported cognitive control and flexibility, and self-reported handover effectiveness among 270 nurses working 16-hour night shifts.The authors acknowledge the cross-sectional design, inability to establish causality, exploratory and unadjusted structural equation model, and absence of objective performance measures.Our principal contribution concerns what the cognitive measure represents: relatively stable perceived abilities or acute within-shift impairment.This distinction, alongside the interpretation of time-specific correlations and the shared nature of handover, may refine the meaning of the reported associations.

International Nursing ReviewVol. 73(4)
Zhejiang Provincial People's Hospital (CN), Hangzhou Medical College (CN)
Openalex Percentile: Top 8%
Sleep and Work-Related Fatigue
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