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| 主要な著者: | , , |
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| フォーマット: | Recurso digital |
| 言語: | 英語 |
| 出版事項: |
Zenodo
2025
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| 主題: | |
| オンライン･アクセス: | https://doi.org/10.5281/zenodo.17647805 |
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目次:
- <p>This study presents a targeted theoretical integration of the pathophysiological mechanisms described in the <em>Cycles of Strains</em> model, focusing on circadian rhythm disruption among shift-working nurses. Chronic dysregulation of the circadian system has been associated with cumulative biopsychosocial wear, hormonal imbalance, immune suppression, and impaired psychophysiological functioning. Building on the published analysis <em>Cycles of Strains</em> (Zenodo, DOI: 10.5281/zenodo.15309126), this study highlights that these effects represent systematic occupational strain rather than isolated functional disturbances.</p> <p>The conceptual framework developed here underpins future applications of the NER-SPEC D-7 tool, which aims to detect early patterns of hypervigilance and cyclic stress responses without disclosing technical specifications. The framework outlines five core elements: primary stressors, regulatory systems, dysregulation mechanisms, outcomes, and the logic of a screening tool. The hypotheses propose that cyclic stress phases correlate with hypervigilance indicators and circadian disruption, potentially influencing burnout and psychosomatic health outcomes.</p> <p>A conceptual pre-validation approach is adopted, laying the groundwork for future empirical evaluation through descriptive and correlational analyses, pilot implementations, and subsequent peer-reviewed publications. Limitations include the tool’s conceptual development stage and the absence of psychometric validation, emphasizing the need for further clinical studies.</p> <p>In conclusion, the NER-SPEC D-7 offers a novel, conceptually grounded method to link occupational experience with physiological and psychosocial outcomes in shift-working nurses, establishing a foundation for future empirical validation, intervention strategies, and policy development.</p>