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Unsafe commute driving behaviour among healthcare workers: a combined scoping review and concept analysis Cover

Unsafe commute driving behaviour among healthcare workers: a combined scoping review and concept analysis

Open Access
|Sep 2025

References

  1. World Health Organization (WHO). Road Traffic Injuries, 2023 [displayed 2 August 2025]. Available at https://www.who.int/news-room/fact-sheets/detail/road-traffic-injuries
  2. Moovit. Global Public Transport Report 2022 [displayed 22 September 2023]. Available at https://moovitapp.com/insights/en/Moovit_Insights_Public_Transit_Index-countries
  3. TomTom. TOMTOM Traffic Index 2022 [displayed 2 August 2025]. Available at https://www.tomtom.com/traffic-index/
  4. Becker J, Hugelius K. Driving the ambulance: an essential component of emergency medical services: an integrative review. BMC Emerg Med 2021;21(1):160. doi: 10.1186/s12873-021-00554-9
  5. Newnam S, Greenslade J, Newton C, Watson B. Safety in occupational driving: development of a driver behavior scale for the workplace context. Appl Psychol 2011;60:576–99. doi: 10.1111/j.1464-0597.2011.00448.x
  6. Roslin EN, Zakaria MZ, Nur NM, Sukadarin EH, Widia M, Hamzah A. An overview of the ambulance safety: towards the improvement in ASEAN countries. J Soc Automot Eng Malaysia 2021;5:369–80. doi: 10.56381/jsaem.v5i3.179
  7. Sitzman KL, Pett MA, Bloswick DS. An exploratory study of motor vehicle use in home visiting nurses. AAOHN J 2002;50:553–8. doi: 10.1177/216507990205001208
  8. Hours M, Fort E, Charbotel B, Chiron M. Jobs at risk of work-related road crashes: An analysis of the casualties from the Rhône Road Trauma Registry (France). Saf Sci 2011;49:1270–6. doi: 10.1016/j.ssci.2011.04.014
  9. Ponsin A, Fort E, Hours M, Charbotel B, Denis MA. Commuting accidents among non-physician staff of a large university hospital center from 2012 to 2016: A case-control study. Int J Environ Res Public Health 2020;17(9):2982. doi: 10.3390/ijerph17092982
  10. Yaacob SS, Ismail KI, Shaarial SZM, Noor NM, Selvaraju R, Ab Ghani H. Commuting accidents among health care workers working in Malaysia Government Hospitals. KnE Life Sci 2018;4:79–87. doi: 10.18502/kls.v4i5.2541
  11. Zuwairy MS, Harith AA, Nobuyaki H, Naim NM, Yon R. Road traffic accidents: a descriptive study of commuting injury among healthcare workers in Malaysia 2014–2016. Int J Public Health Clin Sci 2020;7:58–71. doi: 10.32827/ijphcs.7.1.58
  12. Marcus CL, Loughlin GM. Effect of sleep deprivation on driving safety in housestaff. Sleep 1996;19:763–6. doi: 10.1093/sleep/19.10.763
  13. Barger LK, Cade BE, Ayas NT, Cronin JW, Rosner B, Speizer FE, Czeisler CA; Harvard Work Hours, Health, and Safety Group. Extended work shifts and the risk of motor vehicle crashes among interns. N Engl J Med 2005;352:125–34. doi: 10.1056/NEJMoa041401
  14. Newnam S, Vonschuckmann C. Identifying an appropriate driving behaviour scale for the occupational driving context: The DBQ vs. the ODBQ. Saf Sci 2012;50:1268–74. doi: 10.1016/j.ssci.2011.12.009
  15. Reason J, Manstead A, Stradling S, Baxter J, Campbell K. Errors and violations on the roads: a real distinction? Ergonomics 1990;33:1315–32. doi: 10.1080/00140139008925335
  16. Higgins JS, Michael J, Austin R, Åkerstedt T, Van Dongen HPA, Watson N, Czeisler C, Pack AI, Rosekind MR. Asleep at the wheel-the road to addressing drowsy driving. Sleep 2017;40(2). doi: 10.1093/sleep/zsx001
  17. Knott M, Classen S, Krasniuk S, Tippett M, Alvarez L. Insufficient sleep and fitness to drive in shift workers: A systematic literature review. Accid Anal Prev 2019;134:105234. doi: 10.1016/j.aap.2019.07.010
  18. Lam P, Shun W, Swaine B, Bottari C. Combining scoping review and concept analysis methodologies to clarify the meaning of rehabilitation potential after acquired brain injury. Disabil Rehabil 2020;44:817–25. doi: 10.1080/09638288.2020.1779825
  19. Atombo C, Wu C, Zhong M, Zhang H. Investigating the motivational factors influencing drivers intentions to unsafe driving behaviours: Speeding and overtaking violations. Transp Res Part F Traffic Psychol Behav 2016;43:104–21. doi: 10.1016/j.trf.2016.09.029
  20. Scott-Parker B, Hyde MK, Watson B, King MJ. Speeding by young novice drivers: What can personal characteristics and psychosocial theory add to our understanding? Accid Anal Prev 2013;50:242–50. doi: 10.1016/j.aap.2012.04.010
  21. Mehdizadeh M, Shariat-Mohaymany A, Nordfjaern T. Driver behaviour and crash involvement among professional taxi and truck drivers: Light passenger cars versus heavy goods vehicles. Transp Res Part F Traffic Psychol Behav 2019;62:86–98. doi: 10.1016/j.trf.2018.12.010
  22. Schwebel DC, Severson J, Ball KK, Rizzo M. Individual difference factors in risky driving: The roles of anger/hostility, conscientiousness, and sensation-seeking. Accid Anal Prev 2006;38:801–10. doi: 10.1016/j.aap.2006.02.004
  23. Smith AP. A UK survey of driving behaviour, fatigue, risk taking and road traffic accidents. BMJ Open 2016;6(8):e011461. doi: 10.1136/bmjopen-2016-011461
  24. Anderson C, Ftouni S, Ronda JM, Rajaratnam SMW, Czeisler CA, Lockley SW. Self-reported drowsiness and safety outcomes while driving after an extended duration work shift in trainee physicians. Sleep 2017;41(2):zsx195. doi: 10.1093/sleep/zsx195
  25. Lenné MG, Jacobs EE. Predicting drowsiness-related driving events: a review of recent research methods and future opportunities. Theor Issues Ergon Sci. 2016;17:533–53. doi: 10.1080/1463922X.2016.1155239
  26. Mollicone D, Kan K, Mott C, Bartels R, Bruneau S, van Wollen M. Predicting performance and safety based on driver fatigue. Accid Anal Prev 2019;126:142–5. doi: 10.1016/j.aap.2018.03.004
  27. Gil-Jardiné C, Née M, Lagarde E, Schooler J, Contrand B, Orriols L, Galera C. The distracted mind on the wheel: Overall propensity to mind wandering is associated with road crash responsibility. PLoS One 2017;12(8):e0181327. doi: 10.1371/journal.pone.01081327
  28. Kaber D, Jin S, Zahabi M, Pankok C. The effect of driver cognitive abilities and distractions on situation awareness and performance under hazard conditions. Transp Res Part F Traffic Psychol Behav 2016;42:177–94. doi: 10.1016/j.trf.2016.07.014
  29. Calderwood C, Mitropoulos T. Commuting spillover: A systematic review and agenda for research. J Organ Behav 2020;42:162–87. doi: 10.1002/job.2462
  30. Chatterjee K, Chng S, Clark B, Davis A, De Vos J, Handy S, Martin A, Reardon L. Commuting and wellbeing: a critical overview of the literature with implications for policy and future research. Transport Rev 2020;40:5–34. doi: 10.1080/01441647.2019.1649317
  31. Clark B, Chatterjee K, Martin A, Davis A. How commuting affects subjective wellbeing. Transportation 2019;47:2777–805. doi: 10.1007/s11116-019-09983-9
  32. Liu J, Ettema D, Helbich M. Systematic review of the association between commuting, subjective wellbeing and mental health. Travel Behav Soc 2022;28:59–74. doi: 10.1016/j.tbs.2022.02.006
  33. Schardt C, Adams MB, Owens T, Keitz S, Fontelo P. Utilization of the PICO framework to improve searching PubMed for clinical questions. BMC Med Inform Decis Mak 2017;7:16. doi: 10.1186/1472-6947-7-16
  34. Richardson WS, Wilson MC, Nishikawa J, Hayward RS. The well-built clinical question: a key to evidence-based decisions. ACP J Club 1995;123(3):A12–3. PMID: 7582737
  35. Tricco AC, Lillie E, Zarin W, O’Brien KK, Colquhoun H, Levac D, Moher D, Peters MDJ, Horsley T, Weeks L, Hempel S, Akl EA, Chang C, McGowan J, Stewart L, Hartling L, Aldcroft A, Wilson MG, Garritty C, Lewin S, Godfrey CM, Macdonald MT, Langlois EV, Soares-Weiser K, Moriarty J, Clifford T, Tunçalp Ö, Straus SE. PRISMA extension for scoping reviews (PRISMA-ScR): Checklist and explanation. Ann Intern Med 2018;169:467–73. doi: 10.7326/M18-0850
  36. Clarivate Analytics. EndNote X9. Philadelphia: Clarivate; 2018.
  37. Lee KA, Lipscomb J. Sleep among shiftworkers - A priority for clinical practice and research in occupational health nursing. AAOHN J 2003;51(10):418–20. doi: 10.1177/2165079903051010
  38. O’Grady G, Harper S, Loveday B, Adams B, Civil ID, Peters M. Appropriate working hours for surgical training according to Australasian trainees. ANZ J Surg 2012;82:225–9. doi: 10.1111/j.1445-2197.2011.05992.x
  39. Gold DR, Rogacz S, Bock N, Tosteson TD, Baum TM, Speizer FE, Czeisler CA. Rotating shift work, sleep, and accidents related to sleepiness in hospital nurses. Am J Public Health 1992;82:1011–4. doi: 10.2105/ajph.82.7.1011
  40. Mcclelland L, Holland JP, Redfern N, Plunkett E. A National Survey of the effects of fatigue on trainees in anaesthesia in the UK. Anaesthesia 2017;72:1069–77. doi: 10.1111/anae.13965
  41. Tucker PE, Cohen PA, Bulsara MK, Acton J. Fatigue and training of obstetrics and gynaecology trainees in Australia and New Zealand. Aust N Z J Obstet Gynaecol 2017;57:502–7. doi: 10.1111/ajo.12604
  42. Fruchtman Y, Moser AM, Perry ZH. Fatigue in medical residents - lessons to be learned. Med Lav 2011;102:455–63. PMID: 22022764
  43. McElroy SF, Olney A, Hunt C, Glennon C. Shift work and hospital employees: A descriptive multi-site study. Int J Nurs Stud 2020;112:103746. doi: 10.1016/j.ijnurstu.2020.103746
  44. HaGani N, Englard Hershler M, Ben Shlush E. The relationship between burnout, commuting crashes and drowsy driving among hospital health care workers. Int Arch Occup Environ Health 2022;95:1357–67. doi: 10.1007/s00420-022-01855-7
  45. Vedaa Ø, Harris A, Erevik EK, Waage S, Bjorvatn B, Sivertsen B, Moen BE, Pallesen S. Short rest between shifts (quick returns) and night work is associated with work-related accidents. Int Arch Occup Environ Health 2019;92:829–35. doi: 10.1007/s00420-019-01421-8
  46. Schlick CJR, Hewitt DB, Quinn CM, Ellis RJ, Shapiro KE, Jones A, Bilimoria KY, Yang AD. A national survey of motor vehicle crashes among general surgery residents. Ann Surg 2022;274:1001–8. doi: 10.1097/SLA.0000000000003729
  47. Freedman-weiss MR, Heller DR, White EM, Chiu AS, Jean RA, Yoo PS. Driving safety among surgical residents in the era of duty hour restrictions. J Surg Educ 2020;78:770–6. doi: 10.1016/j.jsurg.2020.08.041
  48. Sampson C, Borenstein M. Effect of commuter time on emergency medicine residents. Cureus 2018;10(1):e2056. doi: 10.7759/cureus.2056
  49. Westley JA, Peterson J, Cook B. Drowsy driving among nurses: potential impetus to support napping. Workplace Health Saf 2022;70:551–5. doi: 10.1177/21650799221111300
  50. Scott LD, Hwang W ting, Rogers AE, Nysse T, Dean GE, Dinges DF. The relationship between nurse work schedules, sleep duration, and drowsy driving. Sleep 2007;30:1801–7. doi: 10.1093/sleep/30.12.1801
  51. Dorrian J, Tolley C, Lamond N, Van Den Heuvel C, Pincombe J, Rogers AE, Drew D. Sleep and errors in a group of Australian hospital nurses at work and during the commute. Appl Ergon 2008;39:605–13. doi: 10.1016/j.apergo.2008.01.012
  52. Ftouni S, Sletten TL, Howard M, Anderson C, Lenné MG, Lockley SW, Rajaratnam SMW. Objective and subjective measures of sleepiness, and their associations with on-road driving events in shift workers. J Sleep Res 2013;22:58–69. doi: 10.1111/j.1365-2869.2012.01038.x
  53. Mulhall MD, Sletten TL, Magee M, Stone JE, Ganesan S, Collins A, Anderson C, Lockley SW, Howard ME, Rajaratnam SMW. Sleepiness and driving events in shift workers: the impact of circadian and homeostatic factors. Sleep 2019;42(6):zsz074. doi: 10.1093/sleep/zsz074
  54. Mulhall MD, Cori J, Sletten TL, Kuo J, Lenné MG, Magee M, Spina MA, Collins A, Anderson C, Rajaratnam SMW, Howard ME. A pre-drive ocular assessment predicts alertness and driving impairment: A naturalistic driving study in shift workers. Accid Anal Prev 2020;135:105386. doi: 10.1016/j.aap.2019.105386
  55. Rhodes G, Bernstein J, Grendell R. Nurses’ drowsy driving prevention strategies: A qualitative exploratory multiple-case study. J Nurs Educ Pract 2019;9:73–81. doi: 10.5430/jnep.v9n6p73
  56. Smith A, McDonald AD, Sasangohar F. Night-shift nurses and drowsy driving: A qualitative study. Int J Nurs Stud 2020;112:103600. doi: 10.1016/j.ijnurstu.2020.103600
  57. Novak RD, Auvil-Novak SE. Focus group evaluation of night nurse shiftwork difficulties and coping strategies. Chronobiol Int 1996;13:457–63. doi: 10.3109/07420529609020916
  58. Vitale SA, Varrone-Ganesh J, Vu M. Nurses working the night shift: Impact on home, family and social life. J Nurs Educ Pract 2015;5:70–8. doi: 10.5430/jnep.v5n10p70
  59. Scott LD, Hofmeister N, Rogness N, Rogers AE. Implementing a fatigue countermeasures program for nurses: A focus group analysis. J Nurs Adm 2010;40:233–40. doi: 10.1097/NNA.0b013e3181da4078
  60. Parthasarathy S, Hettiger K, Budhiraja R, Sullivan B. Sleep and wellbeing of ICU housestaff. Chest 2007;131:1685–93. doi: 10.1378/chest.06-1398
  61. Janke F, Dobbs B, Mckay R, Linsdell M. Family medicine residents’ risk of adverse motor vehicle events: a comparison between rural and urban placements. Can Med Educ J 2013;4(2):e28–40. doi: 10.36834/cmej.36609
  62. Arnedt JT, Owens J, Crouch M, Stahl J, Carskadon MA. Neurobehavioral performance of residents after heavy night call vs after alcohol ingestion. JAMA 2005;294:1025–33. doi: 10.1001/jama.294.9.1025
  63. McManus B, Heaton K, Mrug S, Porterfield J, Shall M, Stavrinos D. The effect of poor sleep and occupational demands on driving safety in medical residents. Traffic Inj Prev 2018;19(Suppl 2):S137–40. doi: 10.1080/15389588.2018.1532202
  64. Huffmyer JL, Moncrief M, Tashjian JA, Kleiman AM, Scalzo DC, Cox DJ, Nemergut EC. Driving performance of residents after six consecutive overnight work shifts. Anesthesiology 2016;124:1396–403. doi: 10.1097/ALN.0000000000001104
  65. Zimerman A, Worsham C, Woo J, Jena AB. The need for speed: observational study of physician driving behaviors. BMJ Open 2019;367:16354. doi: 10.1136/bmj.l6354
  66. Talusan PG, Long T, Halim A, Guliani L, Carroll N, Reach J. Effects of fatigue on driving safety: A comparison of brake reaction times in night float and postcall physicians in training. J Grad Med Educ 2014;6:653–7. doi: 10.4300/JGME-D-14-00006.1
  67. Koslowsky M, Krausz M. On the relationship between commuting, stress symptoms, and attitudinal measures: A LISREL application. J Appl Behav Sci 1993;29:485–92. doi: 10.1177/0021886393294007
  68. West CP, Tan AD, Shanafelt TD. Association of resident fatigue and distress with occupational blood and body fluid exposures and motor vehicle incidents. Mayo Clin Proc 2012;87:1138–44. doi: 10.1016/j.mayocp.2012.07.021
  69. Ware JC, Risser MR, Manser T, Karlson KH. Medical resident driving simulator performance following a night on call. Behav Sleep Med 2006;4(1):1–12. doi: 10.1207/s15402010bsm0401_1
  70. Huffmyer JL, Kleiman AM, Moncrief M, Scalzo DC, Cox DJ. Impact of caffeine ingestion on the driving performance of anesthesiology residents after 6 consecutive overnight work shifts. Anesth Analg 2020;130:66–75. doi: 10.1213/ANE.0000000000004252
  71. Smith-coggins R, Howard SK, Mac DT, Wang C, Kwan S, Rosekind MR, Sowb Y, Balise R, Levis J, Gaba DM. Improving alertness and performance in emergency department physicians and nurses: the use of planned naps. Ann Emerg Med 2006;48:596–604. doi: 10.1016/j.annemergmed.2006.02.005
  72. Folkard S, Tucker P. Shift work, safety and productivity. Occup Med (Lond) 2003;53:95–101. doi: 10.1093/occmed/kqg047
  73. Mak NT, Li J, Wiseman SM. Resident physicians are at increased risk for dangerous driving after extended-duration work shifts: A systematic review. Cureus 2019;11(6):e4843. doi: 10.7759/cureus.4843
  74. Dula CS, Ballard ME. Development and evaluation of a measure of dangerous, aggressive, negative emotional, and risky driving. J Appl Soc Psychol 2003;33:263–82. doi: 10.1111/j.1559-1816.2003.tb01896.x
  75. Steele MT, Ma OJ, Watson WA, Thomas HA, Muelleman RL. The occupational risk of motor vehicle collisions for emergency medicine residents. Acad Emerg Med 1999;6:1050–3. doi: 10.1111/j.1553-2712.1999.tb01191.x
  76. Landrigan CP, Fahrenkopf AM, Lewin D, Sharek PJ, Barger LK, Eisner M, Edwards S, Chiang VW, Wiedermann BL, Sectish TC. Effects of the accreditation council for graduate medical education duty hour limits on sleep, work Hours, and safety. Pediatrics 2008;122:250–8. doi: 10.1542/peds.2007-2306
  77. White EM, Freedman-Weiss MR, Heller DR, Huot SJ, Yoo PS. What’s it worth?: The costs and benefits of an initiative to decrease post-call fatigued driving among surgery residents. J Surg Res 2021;261:248–52. doi: 10.1016/j.jss.2020.12.039
  78. Green W, Gao X, Li K, Banz BC, Wu J, Crowley MJ, Camenga DR, Vaca FE. The association of sleep hygiene and drowsiness with adverse driving events in emergency medicine residents. West J Emerg Med 2020;21:219–24. doi: 10.5811/westjem.2020.8.47357
  79. Smith A, Mcdonald AD, Sasangohar F, Smith A, Mcdonald AD, Sasangohar F. The impact of commutes, work schedules, and sleep on near-crashes during nurses’ post shift-work commutes: a naturalistic driving study the impact of commutes, work schedules, and sleep on near-crashes during nurses’ post shift-work commutes: a naturalistic driving study. IISE Trans Occup Ergon Hum Factors 2021;9:13–22. doi: 10.1080/24725838.2021.1945708
  80. Hockey GRJ. Compensatory control in the regulation of human performance under stress and high workload: a cognitive-energetical framework. Biol Psychol 1997;45:73–93. doi: 10.1016/s0301-0511(96)05223-4
  81. Heinrich HW. Industrial Accident Prevention: A Scientific Approach. New York (NY): McGraw-Hill; 1931.
DOI: https://doi.org/10.2478/aiht-2025-76-3930 | Journal eISSN: 1848-6312 | Journal ISSN: 0004-1254
Language: English, Croatian, Slovenian
Page range: 148 - 158
Submitted on: Dec 1, 2024
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Accepted on: Aug 1, 2025
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Published on: Sep 30, 2025
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2025 Khairil Idham Ismail, Hanin Farhana Kamaruzaman, Mohd Faiz Ibrahim, Jonathan Michael Bryce, Rosnah Ismail, Hanizah Mohd Yusoff, published by Institute for Medical Research and Occupational Health
This work is licensed under the Creative Commons Attribution 4.0 License.