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. 2021 Oct 8;16(10):e0258346. doi: 10.1371/journal.pone.0258346

Table 6. Included studies on the potential association of time of day and aggression development.

Author Time as a ward factor
Yang et al., 2018 [29] Of all the incidents:
54.3% during the day shift
Giarelli et al., 2018 [112] Of all the incidents:
57% during the day shift
40% during the evening shift
Ewing & Castle, 2018 [105] Of all the incidents:
38.3% in the morning
39.4% in the afternoon
22.3% in the night
Sato et al., 2017 [130] Of all the incidents:
Between 9.00–16.59: 49.6%
Between 17.00–24.59: 31.5%
Between 01.00–8.59: 17.5%
Al-Azzam et al., 2017 [120] Of all the incidents:
Day shift: 20%
Evening shift: 7%
Night shift: 2%
Not specified: 39%
Teitelbaum et al., 2016 [161] Of all the incidents:
44% in the morning shift
41% in the afternoon shift
15% in the night shift
Bowers, 2012 [137] Highest rate of conflict in morning shifts: mean 4.88 incidents (mean in the evening 3.69): χ2 = 164.31; df = 2, p < .001
Highest rate on Wednesday (mean 4.75), lowest on Sunday (mean 4.05): χ2 = 25.13; df = 6; p < .001
Bowers et al., 2007 [146] All incidents together: less likely to appear in weekends: χ2 = 10.96; df-1; p = .001
No significant difference for physical aggression during days of the week
No significant difference for days on which ward round took place
Bowers et al., 2007 [147] Winter season: more incidents: adj r2 = 0.059; p < .0005
Abderhalden et al., 2007 [72] Peak of incidents between 10–11 am and 5–8 pm
Equally distributed over days of the week, except for Sundays: less incidents
El Bari & Mellsop, 2006 [73] 52% in evening shift
27% in day shift
21% in night shift
Hamadeh et al., 2003 [150] 56.7% in the evening
16.4% in May (highest percentage), only 3% in February and December (lowest percentage)
Chou et al., 2002 [104] 44.6% in the day shift
46.7% in the evening shift
8.7% in the night shift
Nijman, 2002 [6] 32% of outwardly directed aggression took place between 6 and 12 pm and 7% between 8 and 9 pm
Ng et al., 2001 [162] Of the 33 physical incidents 32 happened in the morning and afternoon shiftp
Shift time was related to whether or not an incident occurred: χ2 = 12.3; df = 2; p = .002
Manfredini et al., 2001 [163] Of all the incidents:
4.5% between 0.00–5.59
32.6% between 6.00–11.59
39.5% between 12.00–17.59
23.4% between 18.00–23.59 p < .001)
Grassi et al., 2001 [87] Of all the incidents:
45.6% between 8.00–13.00
35.9% between 14.00–20.00
18.5% between 21.00–7.00
Barlow et al., 2000 [91] 49% between 7.00–15.30
36% between 15.30–22.30
15% between 22.30–7.00

First colum is first author and year of publication and reference, χ2: Chi-square, df: degrees of freedom, r: correlation coefficient.