1
|
Booker LA, Mills J, Bish M, Spong J, Deacon-Crouch M, Skinner TC. Nurse rostering: understanding the current shift work scheduling processes, benefits, limitations, and potential fatigue risks. BMC Nurs 2024; 23:295. [PMID: 38685019 PMCID: PMC11057102 DOI: 10.1186/s12912-024-01949-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2023] [Accepted: 04/18/2024] [Indexed: 05/02/2024] Open
Abstract
BACKGROUND Implementing appropriate shift work schedules can help mitigate the risk of sleep impairment and reduce fatigue of healthcare workers, reducing occupational health and safety risks. In Australia, the organisation has a responsibility to make sure all reasonable measures are taken to reduce fatigue of staff. Therefore, it is important to assess what the current rostering processes is for staff responsible for creating the rosters for nurses. AIM The aims of the project were to understand (1) who creates the rosters and what the process is, (2) what training and knowledge these staff have in establishing rostering schedules that optimise the sleep and wellbeing of staff, and (3) what the benefits and limitations are of current rostering practices. METHODS Findings were generated through semi-structured interviews, using cluster coding to form categories. Twenty four nurses responsible for rostering staff were interviewed from three different sites in Victoria (one metropolitan and two regional/rural hospitals). Data was analysed using selected grounded theory methods with thematic analysis. RESULTS The common themes that came out of the interviews were that rostering staff were under prepared, unaware of fatigue and safety guidelines and polices from governing bodies and had not received any education or training before taking on the role. The most common rostering style was self-rostering, where staff could submit preferences. However, there were concerns about staff fatigue but were divided as to who should be responsible, with many saying it was up to staff to preference shifts that they could cope with. The final theme was cultural barriers to change. CONCLUSION While self-rostering resulted in staff having more freedom and flexibility, shift preferences may be influenced more so by a need to fit with lifestyle rather than to minimise fatigue and increase safety in the workplace. Greater consideration of the impact of shift work schedules on fatigue is required to ensure that the layers of clinical governance in health care organisations minimise the risk of occupation health and safety issues for employees delivering direct patient care.
Collapse
Affiliation(s)
- Lauren A Booker
- School of Psychology & Public Health, La Trobe University, Bendigo, VIC, 3552, Australia.
- Institute for Breathing and Sleep, Austin Health, Melbourne, 3084, Australia.
| | - Jane Mills
- Department of Rural Health Sciences, La Trobe Rural Health School, La Trobe University, Bendigo, VIC, 3552, Australia
| | - Melanie Bish
- Department of Rural Health Sciences, La Trobe Rural Health School, La Trobe University, Bendigo, VIC, 3552, Australia
| | - Jo Spong
- Department of Rural Health Sciences, La Trobe Rural Health School, La Trobe University, Bendigo, VIC, 3552, Australia
- Institute for Breathing and Sleep, Austin Health, Melbourne, 3084, Australia
| | - Melissa Deacon-Crouch
- Department of Rural Health Sciences, La Trobe Rural Health School, La Trobe University, Bendigo, VIC, 3552, Australia
| | - Timothy C Skinner
- School of Psychology & Public Health, La Trobe University, Bendigo, VIC, 3552, Australia
- Department of Psychology, Centre for Health and Society, University of Copenhagen, Copenhagen, Denmark
| |
Collapse
|
2
|
Stempien J, Gibson M, Harrison A. "We want to change the system": a qualitative study on emergency medicine physician leadership. CAN J EMERG MED 2024; 26:266-270. [PMID: 38520497 DOI: 10.1007/s43678-024-00667-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2023] [Accepted: 01/31/2024] [Indexed: 03/25/2024]
Abstract
OBJECTIVE The significance of physician leadership to help transform the healthcare system has been increasingly discussed. This study looked at the qualities of emergency medicine (EM) physicians that support or inhibit their work as healthcare leaders. METHODS Through an iterative process of semi-structured interviews and then focus groups, we examined why EM physicians pursue leadership roles, the strengths they bring and the frustrations they encounter. Thematic analysis identified factors that facilitate and inhibit the work of EM physicians as they enter leadership roles. RESULTS These findings can be summarized in four key themes. (1) A desire to improve the wider health system was often a prime motivator for entering a leadership role. (2) EM physicians' clinical skills such as confident decision-making, relationship building through communication, and comfort with uncertainty supported their successful transition to leadership. (3) EM physician leaders perceived shiftwork as both a potential benefit and a challenge in their leadership role and felt it needed to be carefully managed to ensure personal wellness and success. And (4) participants were not driven to take on leadership positions by financial remuneration but stated that the discrepancy between EM clinical and leadership compensation was a point of stress. CONCLUSION As physician leadership is explored as a mechanism to support the healthcare system's success, this project provides insights into the realities experiences by EM physicians and considerations for healthcare professionals as they encourage physicians into leadership positions.
Collapse
Affiliation(s)
- J Stempien
- University of Saskatchewan College of Medicine, Saskatoon, SK, Canada.
| | - M Gibson
- Department of Sociology, University of Saskatchewan, Saskatoon, SK, Canada
| | - A Harrison
- Royal Roads University, Vancouver, BC, Canada
| |
Collapse
|
3
|
Farag A, Gallagher J, Carr L. Examining the Relationship Between Nurse Fatigue, Alertness, and Medication Errors. West J Nurs Res 2024; 46:288-295. [PMID: 38454783 DOI: 10.1177/01939459241236631] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/09/2024]
Abstract
BACKGROUND Working for extended hours in a physically and mentally demanding profession has subjected nurses to occupational fatigue. Limited evidence exists about nurse fatigue and alertness changes throughout shift work and their relationship with medication errors and near misses. PURPOSE The purposes of this study were to: (1) assess the relationship between nurses' fatigue and alertness, (2) evaluate nurses' fatigue and alertness changes throughout their shift, and (3) examine the relationship between nurses' fatigue, alertness, and medication errors and near misses. METHODS This prospective study is part of a larger mixed-method study. Fatigue and alertness data from 14 work and non-workdays were collected from a convenience sample of 90 nurses. A wearable actigraph (ReadibandTM) was used to measure alertness, while ecological momentary assessment (EMA) using text messaging was used to measure nurses' fatigue. RESULTS A 1-unit increase in fatigue was associated with a 1.06-unit reduction in nurses' alertness score (β = -1.06, 95% CI: [-1.33, -0.78], p < .01). Night-shift nurses experienced a 31-point reduction in alertness from the start to the end of the work shift. Nurses' fatigue, but not alertness, was associated with medication errors and near misses (OR = 1.26, 95% CI [1.07, 1.48], p = .01). CONCLUSION Initiating fatigue mitigation measures during mid-shift, especially for night-shift nurses, may be a viable option to mitigate fatigue and alertness deterioration among nurses and to maintain patient safety. The multifaceted nature of fatigue, as captured by EMA, is a stronger predictor of medication errors and near misses than device-measured alertness.
Collapse
Affiliation(s)
- Amany Farag
- College of Nursing, The University of Iowa, Iowa City, IA, USA
| | - Jacob Gallagher
- Department of Health and Human Physiology, The University of Iowa, Iowa City, IA, USA
| | - Lucas Carr
- Department of Health and Human Physiology, The University of Iowa, Iowa City, IA, USA
| |
Collapse
|
4
|
Chang HE. Relationships among meal time, break time and workplace characteristics of nurses who work day, evening and night shifts: a cross-sectional study. INTERNATIONAL JOURNAL OF OCCUPATIONAL SAFETY AND ERGONOMICS 2024; 30:312-318. [PMID: 38124390 DOI: 10.1080/10803548.2023.2298116] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2023]
Abstract
Objectives. This study aimed to examine the relationships among shift-working nurses' meal time, break time and workplace characteristics. Methods. The cross-sectional study analyzed 351 questionnaires from 117 nurses who worked three shifts, drawn from eight nursing units in two tertiary hospitals located in South Korea. Meal time and break time during work were investigated through a questionnaire that participants completed immediately after the end of each shift. Regression analysis was conducted to investigate the associations between nurses' work characteristics and meal time and break time. Results. Meal time and break time were less than 30 min on all shifts and significantly longer on the night shift than on the other shifts. As patients' average length of stay increased, meal time increased on day and night shifts, while break time decreased on evening shifts. Overall, a higher nursing staff-to-patient ratio was associated with shorter meal and break times. Conclusions. It was found that nurses were not able to take proper time for meals and breaks while working. A realistic and specific strategy should be prepared to address this issue, with appropriate consideration of the specific characteristics of nurse staffing, patients' conditions and shifts.
Collapse
Affiliation(s)
- Hyoung Eun Chang
- College of Nursing, Research Institute of Nursing Science, Jeonbuk National University, Republic of Korea
| |
Collapse
|
5
|
Booker LA, Spong J, Hodge B, Deacon-Crouch M, Bish M, Mills J, Skinner TC. Differences in shift and work-related patterns between metropolitan and regional/rural healthcare shift workers and the occupational health and safety risks. Aust J Rural Health 2024; 32:141-151. [PMID: 38063243 DOI: 10.1111/ajr.13075] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2023] [Revised: 11/20/2023] [Accepted: 11/24/2023] [Indexed: 02/16/2024] Open
Abstract
OBJECTIVES To explore if there are differences in shift patterns and work-related factors between metropolitan and regional/rural healthcare shift workers and their risk of poor sleep and mental health. Furthermore, explore whether these factors impact on medical errors, workplace and car/near car accidents. DESIGN A cross-sectional study. SETTING An anonymous online survey of healthcare shift workers in Australia. PARTICIPANTS A total of 403 nurses, midwives and paramedics completed the survey. MAIN OUTCOME MEASURES Sample characteristics, employment location, shift work-related features, sleep and mental health measurements, workplace accidents, medical errors and car/near car accident post shift. RESULTS Regional/rural healthcare shift workers were significantly older, had more years' experience, worked more nights, on-call and hours per week. Those in metropolitan areas took significantly longer (minutes) to travel to work, had higher levels of anxiety, increased risk of shift work disorder, reported significantly more workplace accidents and were more likely to have a car/near car accident when commuting home post shift. Both groups reported ~25% having a medical error in the past year. Workplace accidents were related to more on-call shifts and poor sleep quality. Medical errors were associated with fewer years' experience, more evening shifts and increased stress. Car accidents were associated with metropolitan location and increased depression. CONCLUSION Differences in work-related factors between metropolitan and regional/rural healthcare shift workers were observed. Some of these factors contributed to occupational health and safety risks. Further exploration is needed to understand how to reduce occupational health and safety risks, and improve employee and patient safety both in both regional/rural and metropolitan areas.
Collapse
Affiliation(s)
- Lauren A Booker
- School of Psychology & Public Health, La Trobe University, Bendigo, Victoria, Australia
- Institute for Breathing and Sleep, Austin Health, Melbourne, Victoria, Australia
| | - Jo Spong
- Institute for Breathing and Sleep, Austin Health, Melbourne, Victoria, Australia
- Department of Rural Health Sciences, La Trobe Rural Health School, La Trobe University, Bendigo, Victoria, Australia
| | - Brad Hodge
- Department of Rural Health Sciences, La Trobe Rural Health School, La Trobe University, Bendigo, Victoria, Australia
| | - Melissa Deacon-Crouch
- Department of Rural Health Sciences, La Trobe Rural Health School, La Trobe University, Bendigo, Victoria, Australia
| | - Melanie Bish
- Department of Rural Health Sciences, La Trobe Rural Health School, La Trobe University, Bendigo, Victoria, Australia
| | - Jane Mills
- Department of Rural Health Sciences, La Trobe Rural Health School, La Trobe University, Bendigo, Victoria, Australia
| | - Timothy C Skinner
- School of Psychology & Public Health, La Trobe University, Bendigo, Victoria, Australia
- Department of Psychology, Centre for Health and Society, University of Copenhagen, Copenhagen, Denmark
| |
Collapse
|
6
|
Jacobs K, Jarrett P, Ballard E, Fox A. Accuracy of intra-arterial line transducer levelling practice in a general intensive care unit. Aust Crit Care 2024; 37:51-57. [PMID: 37798197 DOI: 10.1016/j.aucc.2023.07.042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2023] [Revised: 07/23/2023] [Accepted: 07/24/2023] [Indexed: 10/07/2023] Open
Abstract
BACKGROUND The intra-arterial line is a common device intervention used in the intensive care environment to provide continuous blood pressure measurement. The transducer line is levelled to the patient's phlebostatic axis to provide accurate measurements. AIM The aim of this study was to investigate registered nurses' accuracy at levelling the transducer to the correct anatomical position using visual judgement, compared to one done using a laser level. METHODS Patient transducers were levelled by visual judgement and then by using a laser level. Time and mean arterial pressure (MAP) were recorded with each measurement along with any difference in transducer level between the two methods and subsequent changes in inotrope administration. RESULTS A total of 577 MAP measurements were recorded from 178 patients; 70% of observations had a difference in transducer level, 30% of the time the inotrope rate was increased and 18% of the time the inotrope rate was reduced. The prevalence of clinically significant observations with an absolute difference of 50 mm or more in transducer placement was 25%. The mean difference in MAP measurements when a cut-off of 64 mmHg or more for laser was applied to the data was 0.22 (95% confidence interval: -0.14, 0.58, n = 513, p = 0.23), and for a cut-off of less than 64 for laser, a larger mean difference of 4.36 (95% confidence interval: 3.75, 5.28], n = 64, p < 0.001) was observed. CONCLUSIONS Transducers were unable to be accurately levelled for haemodynamic monitoring using visual means alone. Over the range of patient MAP values examined, 25% of all observations had a clinically significant absolute difference of 50 mm or more in the transducer level position between the two methods. The visual method became increasingly inaccurate and unreliable at low MAP levels requiring medical intervention.
Collapse
Affiliation(s)
- Kylie Jacobs
- Redcliffe Hospital, Metro North Health Service, Queensland Health, Brisbane, Queensland, Australia.
| | - Paul Jarrett
- School of Nursing, Faculty of Health, Queensland University of Technology, Brisbane, Queensland, Australia
| | - Emma Ballard
- QIMR Berghofer Medical Research Institute, Statistics Unit, Brisbane, Queensland, Australia; University of Queensland, School of Nursing, Midwifery and Social Work, Brisbane, Queensland, Australia
| | - Amanda Fox
- Redcliffe Hospital, Metro North Health Service, Queensland Health, Brisbane, Queensland, Australia; School of Nursing, Faculty of Health, Queensland University of Technology, Brisbane, Queensland, Australia; Centre for Healthcare Transformation, Queensland University of Technology, Brisbane, Queensland, Australia
| |
Collapse
|
7
|
Booker LA, Fitzgerald J, Mills J, Bish M, Spong J, Deacon‐Crouch M, Skinner TC. Sleep and fatigue management strategies: How nurses, midwives and paramedics cope with their shift work schedules-a qualitative study. Nurs Open 2024; 11:e2099. [PMID: 38268269 PMCID: PMC10803889 DOI: 10.1002/nop2.2099] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2023] [Revised: 12/07/2023] [Accepted: 01/05/2024] [Indexed: 01/26/2024] Open
Abstract
AIMS To understand the benefits and challenges of shift work, and the coping strategies used by nurses, midwives and paramedics to manage the impact of shift work on sleep and fatigue from shift work. DESIGN A single case study with embedded units. METHODS Twenty-seven participants were interviewed exploring their shift work experiences, coping strategies used to improve sleep, and what their recommendations are for improving shift work management. Interviews were completed between November and December 2022. RESULTS Participants enjoyed the lifestyle, flexibility and financial rewards offered by working shift work. However, fatigue and sleep deprivation undermined these benefits, as it impacted their ability to enjoy social and family events. There were also concerns of long-term health consequences of shift work and delivery of care. Changes to rostering practices and sleep and shift work education were common recommendations. CONCLUSION This study provides insights on how healthcare professionals manage sleep and fatigue due to shift work and the inadequate support. There is absence of adequate policies, processes and training at an organizational, academic and personal level on how to best manage sleep and fatigue when working shift work. Future research is needed to explore how to equip healthcare shift workers with the skills to successfully manage their schedules to mitigate the negative impact that poor sleep and fatigue has on the health and safety of themselves and their patients. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE Understanding the specific challenges of shift work and how workers manage their shift work schedules is critical for improving the health and safety of themselves and their patients. This study identified that there is insufficient training regarding sleep and shift work management strategies, potentially leading to occupational health and safety concerns. Further education and training to equip staff with the necessary information, training and guidance to staff on how to reduce fatigue risk is required. PATIENT OR PUBLIC CONTRIBUTION This study involved healthcare shift workers in semi-structured interviews. Data gathered from a previous survey that participants were involved in helped shape the interview topics and the study design.
Collapse
Affiliation(s)
- Lauren A. Booker
- School of Psychology & Public HealthLa Trobe UniversityBendigoVictoriaAustralia
- Institute for Breathing and Sleep, Austin HealthMelbourneAustralia
| | - Jarrah Fitzgerald
- Department of Rural Health Sciences, La Trobe Rural Health SchoolLa Trobe UniversityBendigoVictoriaAustralia
| | - Jane Mills
- Department of Rural Health Sciences, La Trobe Rural Health SchoolLa Trobe UniversityBendigoVictoriaAustralia
| | - Melanie Bish
- Department of Rural Health Sciences, La Trobe Rural Health SchoolLa Trobe UniversityBendigoVictoriaAustralia
| | - Jo Spong
- Institute for Breathing and Sleep, Austin HealthMelbourneAustralia
- Department of Rural Health Sciences, La Trobe Rural Health SchoolLa Trobe UniversityBendigoVictoriaAustralia
| | - Melissa Deacon‐Crouch
- Department of Rural Health Sciences, La Trobe Rural Health SchoolLa Trobe UniversityBendigoVictoriaAustralia
| | - Timothy C. Skinner
- School of Psychology & Public HealthLa Trobe UniversityBendigoVictoriaAustralia
- Department of Psychology, Centre for Health and SocietyUniversity of CopenhagenCopenhagenDenmark
| |
Collapse
|
8
|
Yazdi F, Chaboksavar F, Malekzadeh R, Ziapour A, Yoosefi Lebni J, Janjani P, Hamidipour N, Fard Azar AAE, Darabi F, Garosi VH, Kianipour N. Role of demographic variables in investigating occupational stress of disaster and emergency medical management center. JOURNAL OF EDUCATION AND HEALTH PROMOTION 2023; 12:289. [PMID: 37849883 PMCID: PMC10578552 DOI: 10.4103/jehp.jehp_1300_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/04/2022] [Accepted: 10/25/2022] [Indexed: 10/19/2023]
Abstract
BACKGROUND Emergency medical services face stressful environments such as departments dealing with injuries and sick patients that pose challenging situations for the healthcare staff. This present study investigates the role of demographic variables in investigating occupational stress of disaster and emergency medical management center in 2021. MATERIALS AND METHODS This present descriptive study selected a sample size of 200 medical personnel associated with disaster and emergency medical management center in Iran, according to the inclusion chosen criteria. The study used a tool consisting of two parts, including demographic information and a job stress Health and Safety Executive (HSE) standard questionnaire. The study selected respondents through Cochran's sample size formula using stratified random sampling with a cross-sectional research design for data collection. This present study has analyzed received data using performed the descriptive and inferential information (t-test and one-way ANOVA) at a significance level P < 0.05. The participants of the survey were males only. RESULTS The study results specified that the mean age of respondents was 30.14 ± 5.96. The study results exhibited that the mean score of total occupational stress was 3.41 ± 0.26. The results showed the highest (4.34 ± 0.35) and the lowest (2.72 ± 0.86) stress levels were related to role dimensions. CONCLUSIONS The study findings revealed a significant relationship between stress level and participants' age, marital status, educational level, type of base, workplace, and the number of work hours per month. Emergency medical personnel experience a high level of occupational stress. Senior managers can use similar studies to implement measures to reduce the experience of employees' stress.
Collapse
Affiliation(s)
- Fateme Yazdi
- School of Nursing and Midwifery, Dezful University of Medical Sciences, Dezful, Iran
| | - Fakhreddin Chaboksavar
- Nursing Care Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, I.R. Iran
| | - Roya Malekzadeh
- Department of Public Health, Faculty of Health, Mazandaran University of Medical Sciences, Sari, Iran
| | - Arash Ziapour
- Cardiovascular Research Center, Health Institute, Imam-Ali Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Javad Yoosefi Lebni
- Social Determinants of Health Research Center, Lorestan University of Medical Sciences, Khorramabad, Iran
| | - Parisa Janjani
- Cardiovascular Research Center, Health Institute, Imam-Ali Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Nasim Hamidipour
- School of Nursing and Midwifery, Dezful University of Medical Sciences, Dezful, Iran
| | | | - Fatemeh Darabi
- Department of Public Health, Asadabad School of Medical Sciences, Asadabad, Iran
| | - Vahid Hatami Garosi
- Cardiovascular Research Center, Health Institute, Imam-Ali Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Neda Kianipour
- Student Research Committee, Kermanshah University of Medical Sciences, Kermanshah, Iran
| |
Collapse
|
9
|
Barnes-Farrell JL, Laguerre RA, Di Milia LV. An evaluation of morningness and schedule misfit using the revised Preferences Scale (PS-6): Implications for work and health outcomes among healthcare workers. Chronobiol Int 2023:1-14. [PMID: 36942679 DOI: 10.1080/07420528.2023.2193272] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/23/2023]
Abstract
The last several decades of shift work tolerance and circadian misalignment research has had mixed results regarding the adverse impact of shift work on work and health outcomes. This inconsistency is, in part, due to the circadian typology measure employed and the study methodology. Based on models of shift work and health, the present study examined associations between circadian misalignment, end-of-day strain, and job- and health-related outcomes using the revised Preferences Scale (PS-6). A sample of 129 healthcare workers (76.7% female) from the United States (67%) and Australia (34.1%) aged 22 to 64 responded to a self-report questionnaire on work schedules, work stressors, and well-being. Multiple regression analysis found that the preferences for cognitive activity subscale of the PS-6 moderated the association between shift work and strain (b = -.36, p < .001). Those who worked nights experienced more strain if their preferences for cognitive activity were misaligned, whereas no differences in strain were observed among day workers. Moderated-mediation analyses, on the basis 95% confidence intervals, found that shift work had a conditional indirect effect on work-family conflict, job satisfaction, and health-related quality of life, via strain, and the effect was moderated by preferences for cognitive activity. Findings provide additional evidence for the criterion and external validity of the PS-6, and importantly, the present study establishes further support for models of shift work and health. Overall, the analyses highlight the importance of exploring the interactions between shift work and different dimensions of morningness in shift work tolerance research.
Collapse
Affiliation(s)
- Janet L Barnes-Farrell
- Department of Psychological Sciences, University of Connecticut, Storrs, Connecticut, USA
| | - Rick A Laguerre
- Department of Psychology, Montclair State University, Montclair, New Jersey, USA
| | - Lee V Di Milia
- School of Business and Law, Central Queensland University, Rockhampton, Australia
| |
Collapse
|
10
|
Yin M, Li W, Yang Q, Yue Y, Fang X, Yang Z, Wang X, Liu Q, Kong F, Ji C, Lv X, Wang H, Yuan N, Li Z, Zhang C, Li K, Yang Y, Du X. The Mediating Role of Coping Style in the Relationship Between Sleep Quality and Burnout: A Cross-Sectional Study Among Psychiatric Nurses. Front Psychiatry 2022; 13:926040. [PMID: 35815050 PMCID: PMC9260227 DOI: 10.3389/fpsyt.2022.926040] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/22/2022] [Accepted: 05/20/2022] [Indexed: 11/15/2022] Open
Abstract
Background Although sleep quality is clearly associated with job burnout as shown in the existing research, the mechanism underpinning such relationship remains undefined. This work, thus, aimed to assess the current situation of sleep quality and burnout in Chinese psychiatric nurses, and to analyze the relationships between sleep quality, burnout and coping style, in order to provide possible targets to enhance mental health and wellbeing among psychiatric nurses. Method This cross-sectional study was carried out in seven rehabilitation centers located in four different regions of China. The Pittsburgh Sleep Quality Index, the Epworth Sleeping Scale, the Maslach Burnout Inventory General Survey, and the Coping Style Questionnaire were distributed to 853 nurses in various mental hospitals, with a total of 664 participants being recruited in the final research. Results The results of this current study showed a high prevalence of sleep disorders and burnout in Chinese psychiatric nurses. Moreover, emotional exhaustion (r = 0.456), cynicism (r = 0.323) and negative coping style (r = 0.191) in nurses were all positively correlated with total Pittsburgh Sleep Quality Index (PSQI) score, while professional efficacy (r = -0.079) and positive coping style (r = -0.140) were negatively correlated with total PSQI score. More interestingly, of all negative coping strategies, we found that self-blame had the most significant effect (β = 0.156). Conclusions The above results showed that coping style mediates the association of poor sleep quality with job burnout in Chinese psychiatric nurses. This study claimed that there is an urgent need to development the coping skills to sustain a healthy work life for nurses.
Collapse
Affiliation(s)
- Ming Yin
- Suzhou Guangji Hospital, The Affiliated Guangji Hospital of Soochow University, Suzhou, China
| | - Weiqin Li
- Suzhou Guangji Hospital, The Affiliated Guangji Hospital of Soochow University, Suzhou, China
| | - Qun Yang
- Nanchong Psychosomatic Hospital, Nanchong, China
| | - Yan Yue
- Suzhou Guangji Hospital, The Affiliated Guangji Hospital of Soochow University, Suzhou, China
- Medical College of Soochow University, Suzhou, China
| | - Xiaojia Fang
- Suzhou Guangji Hospital, The Affiliated Guangji Hospital of Soochow University, Suzhou, China
- Affiliated Hospital of Xuzhou Medical University, Xuzhou, China
| | - Zhong Yang
- The Third People's Hospital of Changshu, Suzhou, China
| | - Xinda Wang
- Taicang Third People's Hospital, Suzhou, China
| | - Qin Liu
- Suzhou Guangji Hospital, The Affiliated Guangji Hospital of Soochow University, Suzhou, China
| | - Fanzhen Kong
- Suzhou Guangji Hospital, The Affiliated Guangji Hospital of Soochow University, Suzhou, China
| | - Caifang Ji
- Suzhou Guangji Hospital, The Affiliated Guangji Hospital of Soochow University, Suzhou, China
| | - Xiaoli Lv
- Suzhou Guangji Hospital, The Affiliated Guangji Hospital of Soochow University, Suzhou, China
| | - Hao Wang
- Suzhou Guangji Hospital, The Affiliated Guangji Hospital of Soochow University, Suzhou, China
| | - Nian Yuan
- Suzhou Guangji Hospital, The Affiliated Guangji Hospital of Soochow University, Suzhou, China
| | - Zhe Li
- Suzhou Guangji Hospital, The Affiliated Guangji Hospital of Soochow University, Suzhou, China
| | - Caiyi Zhang
- Affiliated Hospital of Xuzhou Medical University, Xuzhou, China
| | - Kan Li
- Jiangxi Mental Hospital, Nanchang, China
| | - Yang Yang
- Mental Hospital of Yunnan Province, Kunming, China
| | - Xiangdong Du
- Suzhou Guangji Hospital, The Affiliated Guangji Hospital of Soochow University, Suzhou, China
| |
Collapse
|
11
|
An R, Li C, Ai S, Wu Y, Luo X, Li X, Xu Y, He C. Effect of shift work on fatigue, reaction time and accuracy of nurses in the department of neurology: A cross-sectional observational study. J Nurs Manag 2022; 30:2074-2083. [PMID: 35510385 DOI: 10.1111/jonm.13665] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2021] [Revised: 04/25/2022] [Accepted: 05/03/2022] [Indexed: 02/05/2023]
Abstract
AIMS The purpose of our study was mainly to explore the effect of different shift work on cognitive and executive performance in a real clinical environment among nurses from China. BACKGROUND Working in shifts can disrupt circadian rhythm, resulting in reduced sleep duration, which can have a detrimental effect on cognitive function. To provide continuous service for patient care, shift work is often a special requirement for nurses. The Stroop test can be used to measure selective attention and reaction time during executive function. However, there have been limited studies about the effect of shift work on the cognitive performance of nurses by Stroop tests. Additionally, no study has been conducted in nurses working in shifts from China. METHODS Registered nurses in general ward, Department of Neurology, from West China Hospital of Sichuan University, were eligible and consecutively included if they were simultaneously responsible for the day, evening and night shifts on the shift work schedule. A fatigue questionnaire and Stroop tests were performed for each subject separately before and after three working shifts (morning, evening and night shift) to measure changes in fatigue, reaction time and accuracy. RESULTS Eighteen registered nurses (4 males and 14 females) were included in our study, with a median age of 25 years old. The fatigue degree was significantly increased after day and evening shifts (p=0.015 and <0.001, respectively). Compared with those in the preshifts, the reaction time in the neutral task and incongruent task was significantly quicker after the day shift (p=0.001, p<0.001) and night shift (p=0.008, 0.019). In contrast, the reaction time after the evening shift was mildly increased, although without significance. There was no significant difference in accuracy among the three different working shifts. In addition, there was a negative correlation between the fatigue score and reaction time on the incongruent task in the Stroop test before the day shift (r=-0.542, p=0.020). The fatigue score in the postday shift was found to be inversely related to working hours in the daytime (r=-0.500, p=0.034). CONCLUSIONS Our study showed that increased fatigue was found in nurses after day and evening shifts, and shift work can affect the reaction time after the evening shift. However, there was no significant difference in accuracy and a high level of attention could be maintained among the three working shifts, suggesting a highly developed sense of responsibility in our nurses. IMPLICATIONS FOR NURSING MANAGEMENT In addition to focusing on the common adverse effects of evening or night shifts on nurses, fatigue in the day shift should be paid special attention to by the leadership in the nursing management. Also, nurse managers can implement specific strategies to reduce fatigue after the day shift by shortening the working hours in the daytime appropriately, setting rest periods in the day shift or dividing nurses into morning and afternoon shifts.
Collapse
Affiliation(s)
- Ran An
- Department of Rehabilitation Medicine, West China Hospital, Sichuan University; Key Laboratory of Rehabilitation Medicine in Sichuan Province
| | - Cheng Li
- Department of Rehabilitation Medicine, West China Hospital, Sichuan University; Key Laboratory of Rehabilitation Medicine in Sichuan Province
| | - Shaolong Ai
- Department of Rehabilitation Medicine, West China Hospital, Sichuan University; Key Laboratory of Rehabilitation Medicine in Sichuan Province
| | - Yuan Wu
- Department of Rehabilitation Medicine, West China Hospital, Sichuan University; Key Laboratory of Rehabilitation Medicine in Sichuan Province
| | - Xi Luo
- Department of Neurology, West China Hospital, Sichuan University
| | - Xin Li
- Department of Neurology, West China Hospital, Sichuan University
| | - Yanming Xu
- Department of Neurology, West China Hospital, Sichuan University
| | - Chengqi He
- Department of Rehabilitation Medicine, West China Hospital, Sichuan University; Key Laboratory of Rehabilitation Medicine in Sichuan Province
| |
Collapse
|
12
|
Farag A, Scott LD, Perkhounkova Y, Saeidzadeh S, Hein M. A human factors approach to evaluate predicators of acute care nurse occupational fatigue. APPLIED ERGONOMICS 2022; 100:103647. [PMID: 34837749 DOI: 10.1016/j.apergo.2021.103647] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/09/2021] [Revised: 10/13/2021] [Accepted: 11/12/2021] [Indexed: 06/13/2023]
Abstract
Nurses function at the point of care and assume a significant role in intercepting errors. They work in a mentally and physically demanding profession that is comprised of shift-work, subjecting nurses to considerable fatigue. Yet, few studies constructed a comprehensive model that integrates personal and occupational factors to explore their relationship with various types of fatigue (acute, chronic, physical, mental, and total). Here, we examine this type of comprehensive fatigue-model, in a report that represents one aim of a larger, mixed-methods study. The study sample comprised of 1137 registered nurses working in eight hospitals in a Midwestern state. Nurses reported higher levels of acute and total fatigue than chronic and physical fatigue. Staffing and resource adequacy, exercise, and sleep were among the strongest predictors. Since fatigue is a multi-faceted construct, a comprehensive fatigue-management strategy that targets both day and night-shift nurses is the optimal way to manage nurse fatigue.
Collapse
Affiliation(s)
- Amany Farag
- University of Iowa, College of Nursing, Iowa City, IA, USA.
| | - L D Scott
- University of Wisconsin Madison, School of Nursing, Wisconsin, Madison, USA
| | - Y Perkhounkova
- University of Iowa, College of Nursing, Iowa City, IA, USA
| | - S Saeidzadeh
- University of Wisconsin Madison, School of Nursing, Wisconsin, Madison, USA
| | - M Hein
- University of Iowa, College of Nursing, Iowa City, IA, USA
| |
Collapse
|
13
|
Akbari H, Asgarian FS, Mozafari S, Hajijafari M. Reliability and validity of Persian version of Bergen Shift Work Sleep Questionnaire in nursing. BIOL RHYTHM RES 2022. [DOI: 10.1080/09291016.2022.2050505] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
Affiliation(s)
- Hossein Akbari
- Social Determinants of Health (SDH) Research Center, Kashan University of Medical Sciences, Kashan, Iran
| | - Fatemeh Sadat Asgarian
- Social Determinants of Health (SDH) Research Center, Kashan University of Medical Sciences, Kashan, Iran
| | - Sahar Mozafari
- Clinical Psychology Registered Psychotherapist (Qualifying) Yourk University Alumni, Ontario, Canada
| | | |
Collapse
|
14
|
Gohar B, Larivière M, Lightfoot N, Wenghofer E, Larivière C, Nowrouzi-Kia B. Meta-analysis of nursing-related organizational and psychosocial predictors of sickness absence. Occup Med (Lond) 2021; 70:593-601. [PMID: 33313909 DOI: 10.1093/occmed/kqaa144] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Open
Abstract
BACKGROUND Nursing is a stressful occupation with high rates of sickness absence. To date, there are no meta-analyses that statistically determined the correlates of sickness absence in this population. AIMS This meta-analysis examined organizational and psychosocial predictors of sickness absence among nursing staff. METHODS As a registered systematic review (PROSPERO: CRD42017071040), which followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses, five databases (CINAHL, PROQuest Allied, PROQuest database theses, PsycINFO, PubMed) were reviewed to examine predictors of sickness absence in nurses and nursing assistants between 1990 and 2019. The Population/Intervention/Comparison/Outcome tool was used to support our searches. Effect sizes were analysed using random-effects model. RESULTS Following critical appraisals using (i) National Institutes of Health's Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies and (ii) Strengthening the Reporting of Observational Studies in Epidemiology, 21 studies were included. Nursing assistants had greater odds of sickness absence than nurses. Working night shifts, in paediatrics or psychiatric units, experiencing poor mental health, and fatigue, also increased the odds of sickness absence. There was no evidence that job satisfaction or job strain influenced sickness absence; however, job demand increased the likelihood. Finally, work support reduced the odds of lost-time. CONCLUSIONS We synthesized three decades of research where several factors influenced sickness absence. Due to limited recent research, the results should be interpreted with caution as some practices may have changed overtime or between countries. Nevertheless, these findings could help in applying preventative strategies to mitigate lost-time in a vulnerable working population.
Collapse
Affiliation(s)
- B Gohar
- Psychology Department, University of Guelph, Guelph, Canada.,Centre for Research in Occupational Safety & Health, Laurentian University, Sudbury, Canada
| | - M Larivière
- School of Human Kinetics, Northern Ontario School of Medicine, Centre for Research in Occupational Safety & Health, Laurentian University, Sudbury, Canada
| | - N Lightfoot
- School of Rural & Northern Health, Centre for Research in Occupational Safety & Health, Laurentian University, Sudbury, Canada
| | - E Wenghofer
- School of Rural & Northern Health, Laurentian University, Sudbury, Canada
| | - C Larivière
- School of Human Kinetics, Centre for Research in Occupational Safety & Health, Laurentian University, Sudbury, Canada
| | - B Nowrouzi-Kia
- Centre for Research in Occupational Safety & Health, Laurentian University, Sudbury, Canada.,Department of Occupational Science & Occupational Therapy, University of Toronto, Toronto, Canada
| |
Collapse
|
15
|
Park SY, Kim H, Ma C. Factors associated with difficulty in adapting and intent to leave among new graduate nurses in South Korea. Health Care Manage Rev 2021; 47:168-178. [PMID: 34319282 DOI: 10.1097/hmr.0000000000000317] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
BACKGROUND New graduate nurses experience difficulty in adapting to a new environment, which affects intent to leave. However, data on the factors contributing to difficulty in adapting and intent to leave among new graduate nurses are insufficient. PURPOSE The aim of the study was to explore and compare factors associated with difficulty in adapting and the intent to leave among new graduate nurses in South Korea. METHODOLOGY This cross-sectional study used secondary data analysis. Primary data were obtained from the 2015-2016 Korean National Graduates Occupational Mobility Survey. Descriptive statistics, independent t tests, and chi-square statistics with weighted samples besides multivariate logistic regression analyses were conducted (N = 467). RESULTS Roughly 46% of nurses reported difficulty adapting, and 16% expressed their intent to leave. The factors linked to difficulty in adapting were working at large hospitals with rotating shifts, low person-job fit, and low satisfaction with personal competency; intent to leave was associated with high monthly salary and low satisfaction with the workplace (all ps < .05). Difficulty in adapting did not equate to their intent to leave. CONCLUSIONS There were high rates of difficulty in adapting and intent to leave among new graduate nurses. Although different factors were associated with difficulty adapting and intent to leave, workplace condition is a common factor. PRACTICE IMPLICATIONS Different strategies are needed to improve adaptation and intention of leaving among new graduate nurses. For better adaptation, developing training programs enhancing professional competency with a sufficient training period is required. In addition, providing staff and resources to reduce the intent to leave is crucial.
Collapse
Affiliation(s)
- Sun-Young Park
- Sun-young Park, MSN, RN, is Doctoral Student, College of Nursing, Yonsei University, and Associate Research Fellow, Division of New Health Technology Assessment, National Evidence-Based Healthcare Collaborating Agency, Seoul, South Korea. Heejung Kim, PhD, RN, is Associate Professor, College of Nursing, Yonsei University, and Principal Researcher, Mo-Im Kim Nursing Research Institute, Yonsei University, Seoul, South Korea. E-mail: . Chenjuan Ma, PhD, MSN, RN, is Assistant Professor, Rory Meyers College of Nursing, New York University, New York
| | | | | |
Collapse
|
16
|
Feng HL, Qi XX, Xia CL, Xiao SQ, Fan L. Association between night shift and sleep quality and health among Chinese nurses: A cross-sectional study. J Nurs Manag 2021; 29:2123-2131. [PMID: 33908108 DOI: 10.1111/jonm.13351] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2021] [Revised: 04/20/2021] [Accepted: 04/22/2021] [Indexed: 12/01/2022]
Abstract
AIM To explore the sleep quality among Chinese nurses and identify the association between night shift and sleep quality and health. BACKGROUND Chinese nurses have many night shifts; the effect of it regarding nurses' sleep quality and health is still not being explored. METHODS This was a cross-sectional study. There were 3,206 nurse participants. The participants self-completed a sociodemographic questionnaire, the Pittsburgh Sleep Quality Index (PSQI) and the Cornell Medical Index (CMI). RESULTS Night shift nurses demonstrated relatively worse sleep quality (55.1%) and more health problems (20.7%). Night shift work was significantly associated with poor sleep quality (β = 0.96, confidence interval [CI] = 0.67-1.26) and poor health (β = 2.01, CI = 0.15-3.88). Except for sleep medication (β = 0.02, CI = -0.01, 0.05) and psychological health (β = 0.38, CI = -0.27, 1.03), night shift work was significantly associated with other PSQI domains and physical health. CONCLUSION Night shift work was a risk factor for nurses' sleep quality and health. Night shift nurses have more sleep disorders and physical health problems. IMPLICATIONS FOR NURSING MANAGEMENT Nurse managers should pay attention to the impact of shift work on nurses' sleep quality and health and reform the rotating shift work system to improve nurses' occupational health.
Collapse
Affiliation(s)
- Hui-Ling Feng
- School of Nursing, China Medical University, Shenyang, China.,School of Nursing, Hebei University of Chinese Medicine, Shijiazhuang, China
| | - Xiang-Xiu Qi
- Department of Nursing, Shengjing Hospital of China Medical University, Shenyang, China
| | - Chun-Ling Xia
- Department of Nursing, Shengjing Hospital of China Medical University, Shenyang, China
| | - Shi-Qi Xiao
- Department of Nursing, Shengjing Hospital of China Medical University, Shenyang, China
| | - Ling Fan
- School of Nursing, China Medical University, Shenyang, China.,Department of Nursing, Shengjing Hospital of China Medical University, Shenyang, China
| |
Collapse
|
17
|
Khurrum M, Asmar S, Joseph B. Telemedicine in the ICU: Innovation in the Critical Care Process. J Intensive Care Med 2020; 36:1377-1384. [PMID: 33111599 DOI: 10.1177/0885066620968518] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Tele-ICU is a technology-based model designed to deliver effective critical care in the intensive care unit (ICU). The tele-ICU system has been developed to address the increasing demand for intensive care services and the shortage of intensivists. A finite number of intensivists from remote locations provide real-time services to multiple ICUs and assist in the treatment of critically ill patients. Risk prediction algorithms, smart alarm systems, and machine learning tools augment conventional coverage and can potentially improve the quality of care. Tele-ICU is associated with substantial improvements in mortality, reduced hospital and ICU length of stay, and decreased health care costs. Although multiple studies show improved outcomes following the implementation of tele-ICU, results are not consistent. Several factors, including the heterogeneity of tele-ICU infrastructure deployed in different facilities and the reluctance of health care workers to accept tele-ICU, could be associated with these varied results. Considerably high installation and ongoing operational costs might also be limiting the widespread utilization of this innovative service. While we believe that the implementation of tele-ICU offers potential advantages and makes critical care delivery more efficient, further research on the impact of this technology in critical care settings is warranted.
Collapse
Affiliation(s)
- Muhammad Khurrum
- Division of Trauma, Critical Care, Emergency Surgery, and Burns, Department of Surgery, College of Medicine, University of Arizona, Tucson, AZ, USA
| | - Samer Asmar
- Division of Trauma, Critical Care, Emergency Surgery, and Burns, Department of Surgery, College of Medicine, University of Arizona, Tucson, AZ, USA
| | - Bellal Joseph
- Division of Trauma, Critical Care, Emergency Surgery, and Burns, Department of Surgery, College of Medicine, University of Arizona, Tucson, AZ, USA
| |
Collapse
|
18
|
Leng C, Challoner T, Hausien O, Filobbos G, Baden J. From chaos to a new norm: The Birmingham experience of restructuring the largest plastics department in the UK in response to the COVID-19 pandemic. J Plast Reconstr Aesthet Surg 2020; 73:2136-2141. [PMID: 33039307 PMCID: PMC7502238 DOI: 10.1016/j.bjps.2020.08.127] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2020] [Accepted: 08/18/2020] [Indexed: 12/03/2022]
Abstract
The coronavirus disease 2019 (COVID-19) pandemic presented unprecedented challenges for healthcare systems worldwide. The Queen Elizabeth Hospital, Birmingham, has one of the largest burns, hands and plastics department in the UK, totalling 83 doctors. Our response to the COVID-19 response was uniquely far reaching, with our department being given responsibility of an entire 36 bed medical COVID-19 ward in addition to our commitment to specialty-specific work, and saw half of our work force re-deployed to Intensive Treatment Unit (ITU). Our aim was to exploit the high calibre of doctors found in plastic surgery, and to demonstrate, we were able to support the COVID-19 effort beyond our normal scope of practice. In order to achieve this aim, the department underwent significant structural and leadership changes. Factors considered included: rota and shift pattern changes to implement depth and resilience to sudden fluctuations in staffing levels; a preparatory phase for focussed upskilling and relevant training packages to be delivered; managing the COVID-19 ward cover and ITU deployment; adjustments to our front of house and elective specialty-specific service, including developing alternative and streamlined patient pathways; mitigating the effects on plastic surgical training during the pandemic; the importance of communications for patient care and physician wellbeing; and leadership techniques and styles we considered important. By sharing our experience during this pandemic, we hope to reflect on and share lessons learned, as well as to demonstrate that it is possible to rapidly mobilise and retrain plastic surgeons at all levels to contribute safely and productively beyond a specialty-specific scope of care.
Collapse
Affiliation(s)
- C Leng
- Burns, Hands and Plastics Department, Queen Elizabeth Hospital, Mindelsohn Way, Birmingham B15 2TH, United Kingdom.
| | - T Challoner
- Burns, Hands and Plastics Department, Queen Elizabeth Hospital, Mindelsohn Way, Birmingham B15 2TH, United Kingdom
| | - O Hausien
- Burns, Hands and Plastics Department, Queen Elizabeth Hospital, Mindelsohn Way, Birmingham B15 2TH, United Kingdom
| | - G Filobbos
- Burns, Hands and Plastics Department, Queen Elizabeth Hospital, Mindelsohn Way, Birmingham B15 2TH, United Kingdom
| | - J Baden
- Burns, Hands and Plastics Department, Queen Elizabeth Hospital, Mindelsohn Way, Birmingham B15 2TH, United Kingdom
| |
Collapse
|
19
|
|
20
|
Sleep hygiene in shift workers: A systematic literature review. Sleep Med Rev 2020; 53:101336. [PMID: 32593135 DOI: 10.1016/j.smrv.2020.101336] [Citation(s) in RCA: 26] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2019] [Revised: 04/03/2020] [Accepted: 04/06/2020] [Indexed: 11/21/2022]
Abstract
In response to demand for the '24/7' service availability, shift work has become increasingly common. Given their non-traditional working hours, shift workers sleep at non-traditional times, with significant research undertaken to understand shift worker sleep. However, sleep hygiene in shift workers has been paid little research attention. To investigate shift worker engagement with sleep hygiene, a systematic review using the databases Sage, ScienceDirect, and Scopus was undertaken. The search terms utilised were: shift work, shiftwork, shift-work, sleep hygiene, sleep routine, and sleep habit. Sixteen studies were included for review. Findings show that shift workers frequently report caffeine consumption and daytime napping, in line with best-practice fatigue-management strategies, but contrary to existing sleep hygiene recommendations. Shift workers also altered their bedroom environment to optimise sleep. Diet, exercise, alcohol and nicotine consumption were investigated minimally from a sleep hygiene perspective. Given that shift workers are engaging in practices in-line with current fatigue-management strategies, but contrary to sleep hygiene recommendations, further research is required. Specifically, assessment of the applicability of current sleep hygiene guidelines to shift workers (particularly caffeine and napping recommendations) is required, in addition to the development of shift work-specific sleep hygiene guidelines and interventions for this sleep-vulnerable population.
Collapse
|
21
|
Night-shift nurses and drowsy driving: A qualitative study. Int J Nurs Stud 2020; 112:103600. [PMID: 32703687 DOI: 10.1016/j.ijnurstu.2020.103600] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2019] [Revised: 03/23/2020] [Accepted: 03/27/2020] [Indexed: 11/20/2022]
Abstract
BACKGROUND Drowsy driving following the night shift is persistent among nurses resulting in elevated rates of vehicle crashes and crash-related injuries and deaths. While considerable effort has been dedicated to the development of countermeasures, implementation of these countermeasures in nursing has lagged behind other shift work oriented industries. Developing effective countermeasures for drowsy driving in nurses requires a thorough characterization of nurse's perceptions of drowsy driving and potential mitigations. OBJECTIVE The objective of this research was to elicit night shift nurses' perceptions of drowsy driving, countermeasures, and educational and technological interventions. DESIGN Perceptions were elicited through a semi-structured interview protocol. The protocol design was driven by previously identified research gaps. Questions focused on four topics: perceptions of drowsy driving, current practices and methods to mitigate drowsiness during the shift and commute, preferences and expectations for training on drowsiness management, and, preferences and expectations for technological mitigations. SETTING The data collection took place at a large urban hospital in Texas, USA. PARTICIPANTS Thirty night-shift nurses were recruited with voluntary sampling. No nurses declined to participate after initially consenting. The participants were male and female nurses who currently worked a 12 hour night shift. The nurses had between 1 and more than 20 years of experience and worked in a variety of units. METHOD The interview recordings were transcribed by the research team and entered into a qualitative data analysis software. Transcripts were analyzed by two independent coders with a grounded theory approach to identify common themes and subthemes across participants. FINDINGS Feelings of drowsiness typically manifested immediately following the shift or during the post work commute. Nurses responded to drowsiness by engaging in multiple ineffective countermeasures (e.g., listening to music) and effective countermeasures (e.g., naps) were used sparingly. Experiences and mitigation methods traversed through the nurses' social network although they did not always alter behavior. Nurses were uncertain but enthusiastic about educational and technological interventions preferring practical training and auditory interactive alerts. CONCLUSIONS The findings suggest a strong need for real time drowsiness interventions during or immediately prior to nurses' post work commutes. Nurses' enthusiasm for training and technology to prevent drowsy driving suggests high levels of readiness and acceptance for such interventions. Future work should focus on the development and implementation of practical training and technological interventions for drowsy driving in nurses.
Collapse
|
22
|
Tangul SU, Hacimusalar Y, Karaaslan O. The Effects of Working Hours on Sleep Quality and Burnout in Turkish Pediatric Surgeons. Indian J Surg 2020. [DOI: 10.1007/s12262-019-01923-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
|
23
|
International Nursing: A Study of Sleep Quality Among Nurses and Its Correlation With Cognitive Factors. Nurs Adm Q 2020; 44:E1-E10. [PMID: 31789753 DOI: 10.1097/naq.0000000000000397] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
The objective of this study was to evaluate sleep quality and its relationship to cognitive factors among nurses. Sleep quality among nurses is an important issue, which requires more extensive study. Its correlation with cognitive ability has not been sufficiently considered. Five hundred forty nurses (66.3% female) working in 6 hospitals were selected as the sample of the study. Results show that nurses do not experience good quality of sleep. That is, 77.4% of the sample population of nurses have a poor quality of sleep, and nurses working the night shift have more sleep problems than other nurses. The results show that there is a relationship between dysfunctional beliefs and attitudes about sleep and metacognitive process and the quality of sleep, and that these variables can predict sleep quality. Based on the results of the study, it can be said that cognitive and metacognitive processes play an important role in sleep quality. Lack of sufficient sleep can create numerous problems for nurses and patients. Attention to the role of cognitive and metacognitive processes can help improve the sleep quality of nurses.
Collapse
|
24
|
Rivard MK, Cash RE, Chrzan K, Panchal AR. The Impact of Working Overtime or Multiple Jobs in Emergency Medical Services. PREHOSP EMERG CARE 2019; 24:657-664. [PMID: 31750761 DOI: 10.1080/10903127.2019.1695301] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
Background: EMS professionals frequently work more than a standard 40-hour work week. For some EMS professionals, working overtime or multiple jobs may be necessary to make ends meet. Our objective was to evaluate the association between job satisfaction, intention to leave EMS, and financial dependence on overtime or working multiple jobs.Methods: We conducted a cross-sectional analysis of nationally-certified EMS professionals who completed an online questionnaire after submitting their recertification application (22,626/101,363, response rate = 22%) between October 2017 - May 2018. Items included dependence on additional work, satisfaction with job, and intentions of leaving the profession. Multivariable logistic regression models were used to describe the association between dependence on additional work, and job satisfaction and intention to leave EMS within 1 year and 5 years, controlling for age, sex, minority status, agency type, employment status, and urbanicity.Results: A total of 18,285 respondents were included in the analysis. The majority of EMS professionals (75%) worked over 40 hours per week. Most respondents (71%) were dependent on overtime or multiple jobs to make ends meet. Those who were dependent on extra work had higher odds of being dissatisfied with their job (aOR 1.92, 95% CI:1.64-2.44, and higher odds of intentions to leave EMS within 1 year and 5 years respectively (aOR 1.32, 95%CI:1.14-1.54; aOR 1.16, 95%CI:1.07-1.25).Conclusion: Many EMS professionals depend on additional work to make a living. Financial dependence was associated with increased odds of workforce-reducing factors, including job satisfaction and intention of leaving. This can lead to poor individual outcomes such as stress and burnout, as well as to turnover within the workforce, thus reducing the number of individuals available to provide high quality emergency care.
Collapse
|
25
|
Chen CP, Javid-Yazdi M. Career counselling strategies to enhance the vocational wellness of journalists. AUSTRALIAN JOURNAL OF CAREER DEVELOPMENT 2019. [DOI: 10.1177/1038416218790239] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The journalism industry and particularly the professionals it employs are facing considerable amounts of stress and tension in a living world that is now entangled by many issues and challenges. As a result, making a career in the realm of journalism has brought unique issues that can have a vital impact on the vocational well-being of journalists. This article examines the contributing factors – in particular, emotional distress, unfavourable working conditions, and a poor balance between work and life – which are putting the career well-being of journalists in jeopardy. It also provides recommendations for how career counsellors, who are directed by key tenants from career development theoretical approaches, can utilize counselling interventions to address the issues affecting the career well-being of journalists.
Collapse
|
26
|
Hulsegge G, Loef B, van Kerkhof LW, Roenneberg T, van der Beek AJ, Proper KI. Shift work, sleep disturbances and social jetlag in healthcare workers. J Sleep Res 2018; 28:e12802. [DOI: 10.1111/jsr.12802] [Citation(s) in RCA: 38] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2018] [Revised: 10/15/2018] [Accepted: 11/01/2018] [Indexed: 12/18/2022]
Affiliation(s)
- Gerben Hulsegge
- Department of Public and Occupational Health; Amsterdam UMC; Vrije Universiteit Amsterdam; Amsterdam Public Health Research Institute; Amsterdam The Netherlands
| | - Bette Loef
- Department of Public and Occupational Health; Amsterdam UMC; Vrije Universiteit Amsterdam; Amsterdam Public Health Research Institute; Amsterdam The Netherlands
- Centre for Nutrition, Prevention and Health Services; National Institute for Public Health and the Environment; Bilthoven The Netherlands
| | - Linda W. van Kerkhof
- Center for Health Protection; National Institute for Public Health and the Environment, Bilthoven; Bilthoven The Netherlands
| | - Till Roenneberg
- Institute for Medical Psychology; Ludwig Maximilian University of Munich; Munich Germany
| | - Allard J. van der Beek
- Department of Public and Occupational Health; Amsterdam UMC; Vrije Universiteit Amsterdam; Amsterdam Public Health Research Institute; Amsterdam The Netherlands
| | - Karin I. Proper
- Centre for Nutrition, Prevention and Health Services; National Institute for Public Health and the Environment; Bilthoven The Netherlands
| |
Collapse
|
27
|
|
28
|
Effects of Clockwise and Counterclockwise Job Shift Work Rotation on Sleep and Work-Life Balance on Hospital Nurses. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2018; 15:ijerph15092038. [PMID: 30231514 PMCID: PMC6164402 DOI: 10.3390/ijerph15092038] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/30/2018] [Revised: 08/27/2018] [Accepted: 09/08/2018] [Indexed: 12/31/2022]
Abstract
Rotational shift work is associated with sleep disturbances, increased risk of cardiovascular and psychological disorders, and may negatively impact work⁻life balance. The direction of shift rotation (Clockwise, CW or counterclockwise, CCW) and its role in these disorders are poorly understood. The aim of the study was to investigate the effect of the shift schedule direction on sleep quantity and quality, alertness and work performance, and on work⁻life balance on hospital nurses. One-hundred female nurses, working a continuous rapid shift schedule in hospitals in the north of Italy, participated in this cross-sectional study. Fifty worked on CW rotation schedule (Morning: 6 a.m.⁻2 p.m., Afternoon: 2 p.m.⁻10 p.m., Night: 10 p.m.⁻6 a.m., 2 rest days) and fifty on CCW rotation (Afternoon, Morning, Morning, Night, 3 rest days). Data were collected by ad hoc questionnaire and daily diary. During the shift cycle CW nurses slept longer (7.40 ± 2.24 h) than CCW (6.09 ± 1.73; p < 0.001). CW nurses reported less frequently than CCW awakening during sleep (40% vs. 80%; p < 0.001), attention disturbance during work (20% vs. 64%; p < 0.001), and interference with social and family life (60% vs. 96% and 20% vs. 70%, respectively; p < 0.001). CCW rotating shift schedule seems to be characterized by higher sleep disturbances and a worse work⁻life balance.
Collapse
|
29
|
Panczyk M, Woynarowska-Sołdan M, Żmuda-Trzebiatowska H, Gotlib J. Health-enhancing behaviours of nurses in Poland and their association with shift work and age. Collegian 2018. [DOI: 10.1016/j.colegn.2017.07.001] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
|
30
|
Güzel Özdemir P, Ökmen AC, Yılmaz O. Vardiyalı Çalışma Bozukluğu ve Vardiyalı Çalışmanın Ruhsal ve Bedensel Etkileri. PSIKIYATRIDE GUNCEL YAKLASIMLAR 2018. [DOI: 10.18863/pgy.336513] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
|
31
|
Grant CL, Coates AM, Dorrian J, Paech GM, Pajcin M, Della Vedova C, Johnson K, Kamimori GH, Fidock J, Aidman E, Banks S. The impact of caffeine consumption during 50 hr of extended wakefulness on glucose metabolism, self-reported hunger and mood state. J Sleep Res 2018; 27:e12681. [DOI: 10.1111/jsr.12681] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2017] [Revised: 01/18/2018] [Accepted: 01/24/2018] [Indexed: 12/29/2022]
Affiliation(s)
- Crystal L. Grant
- Sleep and Chronobiology Laboratory; School of Psychology, Social Work and Social Policy; University of South Australia; Adelaide SA Australia
| | - Alison M. Coates
- Alliance for Research in Exercise, Nutrition and Activity; University of South Australia; Adelaide SA Australia
| | - Jillian Dorrian
- Sleep and Chronobiology Laboratory; School of Psychology, Social Work and Social Policy; University of South Australia; Adelaide SA Australia
| | - Gemma M. Paech
- Sleep and Chronobiology Laboratory; School of Psychology, Social Work and Social Policy; University of South Australia; Adelaide SA Australia
| | - Maja Pajcin
- School of Pharmacy and Medical Sciences; University of South Australia; Adelaide SA Australia
| | - Chris Della Vedova
- School of Pharmacy and Medical Sciences; University of South Australia; Adelaide SA Australia
| | - Kayla Johnson
- Defence Science and Technology (DST) Group; Adelaide SA Australia
| | - Gary H. Kamimori
- Behavioral Biology Branch; Walter Reed Army Institute for Research; Silver Spring MD USA
| | - Justin Fidock
- Defence Science and Technology (DST) Group; Adelaide SA Australia
| | - Eugene Aidman
- Defence Science and Technology (DST) Group; Adelaide SA Australia
| | - Siobhan Banks
- Sleep and Chronobiology Laboratory; School of Psychology, Social Work and Social Policy; University of South Australia; Adelaide SA Australia
| |
Collapse
|
32
|
Hanna TN, Zygmont ME, Peterson R, Theriot D, Shekhani H, Johnson JO, Krupinski EA. The Effects of Fatigue From Overnight Shifts on Radiology Search Patterns and Diagnostic Performance. J Am Coll Radiol 2018; 15:1709-1716. [PMID: 29366599 DOI: 10.1016/j.jacr.2017.12.019] [Citation(s) in RCA: 37] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2017] [Revised: 12/02/2017] [Accepted: 12/12/2017] [Indexed: 11/25/2022]
Abstract
PURPOSE The aim of this study was to assess the effect of overnight shifts (ONS) on radiologist fatigue, visual search pattern, and diagnostic performance. METHODS This experimental study was approved by the institutional review board. Twelve radiologists (five faculty members and seven residents) each completed two sessions: one during a normal workday ("not fatigued") and another in the morning after an ONS ("fatigued"). Each radiologist completed the Swedish Occupational Fatigue Inventory. During each session, radiologists viewed 20 bone radiographs consisting of normal and abnormal findings. Viewing time, diagnostic confidence, and eye-tracking data were recorded. RESULTS Swedish Occupational Fatigue Inventory results demonstrated worsening in all five variables (lack of energy, physical exertion, physical discomfort, lack of motivation, and sleepiness) after ONS (P < .01). Overall, participants demonstrated worse diagnostic performance in the fatigued versus not fatigued state (P < .05). Total viewing time per case was longer when fatigued (35.9 ± 25.8 seconds) than not fatigued (24.8 ± 16.3 seconds) (P < .0001). Total viewing time per case was longer for residents (P < .05). Mean total fixations generated during the search increased by 60% during fatigued sessions (P < .0001). Mean time to first fixate on the fracture increased by 34% during fatigued sessions (P < .0001) and was longer for residents (P < .01). Dwell times associated with true- and false-positive decisions increased, whereas those with false negatives decreased. CONCLUSIONS After ONS, radiologists were more fatigued with worse diagnostic performance, a 45% increase in view time per case, a 60% increase in total gaze fixations, and a 34% increase in time to fixate on the fracture. The effects of fatigue were more pronounced in residents.
Collapse
Affiliation(s)
- Tarek N Hanna
- Division of Emergency and Trauma Imaging, Department of Radiology and Imaging Sciences, Emory University, Emory University Midtown Hospital, Atlanta, Georgia.
| | - Matthew E Zygmont
- Division of Emergency and Trauma Imaging, Department of Radiology and Imaging Sciences, Emory University, Emory University Midtown Hospital, Atlanta, Georgia
| | - Ryan Peterson
- Division of Emergency and Trauma Imaging, Department of Radiology and Imaging Sciences, Emory University, Emory University Midtown Hospital, Atlanta, Georgia
| | - David Theriot
- Division of Emergency and Trauma Imaging, Department of Radiology and Imaging Sciences, Emory University, Emory University Midtown Hospital, Atlanta, Georgia
| | - Haris Shekhani
- Division of Emergency and Trauma Imaging, Department of Radiology and Imaging Sciences, Emory University, Emory University Midtown Hospital, Atlanta, Georgia
| | - Jamlik-Omari Johnson
- Division of Emergency and Trauma Imaging, Department of Radiology and Imaging Sciences, Emory University, Emory University Midtown Hospital, Atlanta, Georgia
| | - Elizabeth A Krupinski
- Division of Emergency and Trauma Imaging, Department of Radiology and Imaging Sciences, Emory University, Emory University Midtown Hospital, Atlanta, Georgia
| |
Collapse
|
33
|
Chestovich PJ, McNicoll CF, Ingalls NK, Kuhls DA, Fraser DR, Morrissey SL, Fildes JJ. Evaluating the traditional day and night shift in an acute care surgery fellowship: Is the swing shift a better choice? J Trauma Acute Care Surg 2018; 84:165-169. [DOI: 10.1097/ta.0000000000001704] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
|
34
|
Jensen HI, Larsen JW, Thomsen TD. The impact of shift work on intensive care nurses' lives outside work: A cross-sectional study. J Clin Nurs 2017; 27:e703-e709. [PMID: 29193498 DOI: 10.1111/jocn.14197] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/19/2017] [Indexed: 11/27/2022]
Abstract
AIMS AND OBJECTIVES To examine how shift work affects intensive care nurses' lives outside work. BACKGROUND Shift work is unavoidable for many nurses. When attempting to minimise negative effects of shift work, it is important to identify areas which affect nurses working shifts. DESIGN A cross-sectional study. METHODS A questionnaire survey among Danish intensive care nurses concerning experiences with shift work and family life, spare time activities, sleep and health. RESULTS A total of 114 nurses (88%) participated. Shift work was found to influence the opportunities for spare time activities, and about 25% of both evening- and night-shift groups found that working shifts sometimes led to social isolation. A total of 58% of nurses working evening shifts sometimes to very often experienced having trouble falling asleep when working shifts. Night-shift workers had a higher percentage of physical and mental symptoms when working shifts compared with evening-shift workers, with mood swings and headaches being the most common. The median score for thriving on working shifts was 8 (IQR 5-9) for evening-shift workers and 8 (IQR 7-9) for night-shift workers (scale 0-10 with 10 being the highest level of thriving). CONCLUSION Shift workers reported that working shifts had a negative impact on life outside work. Opportunities for participating in spare time activities and difficulties falling asleep after shifts were the main issues for evening-shift workers, whereas physical symptoms such as headaches and mood swings were more dominant among night-shift workers. Despite the negative effects, the participants generally thrived on working shifts. RELEVANCE TO CLINICAL PRACTICE By identifying modifiable areas which negatively influence life outside work when working shifts, it will be possible subsequently to plan interventions aimed at decreasing the negative effects. Interventions may include nurses having increased influence on their work schedules and education in sleep hygiene and dietary habits.
Collapse
Affiliation(s)
- Hanne Irene Jensen
- Department of Anaesthesiology and Intensive Care, Kolding Hospital, Kolding, Denmark.,Institute of Regional Health Research, University of Southern Denmark, Odense C, Denmark
| | - Jette West Larsen
- Department of Anaesthesiology and Intensive Care, Kolding Hospital, Kolding, Denmark
| | - Tina Damgaard Thomsen
- Department of Anaesthesiology and Intensive Care, Kolding Hospital, Kolding, Denmark
| |
Collapse
|
35
|
McDowall K, Murphy E, Anderson K. The impact of shift work on sleep quality among nurses. Occup Med (Lond) 2017; 67:621-625. [DOI: 10.1093/occmed/kqx152] [Citation(s) in RCA: 43] [Impact Index Per Article: 6.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
|
36
|
Blake H, Stanulewicz N, Griffiths K. Healthy Lifestyle Behaviors and Health Promotion Attitudes in Preregistered Nurses: A Questionnaire Study. J Nurs Educ 2017; 56:94-103. [PMID: 28141883 DOI: 10.3928/01484834-20170123-06] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2016] [Accepted: 10/26/2016] [Indexed: 12/23/2022]
Abstract
BACKGROUND Nurses report inadequacies in health promotion practices. This study investigated attitudes toward being role models for healthy eating, and examined predictors of health promotion attitudes in preregistered nurses. METHOD A questionnaire was completed by 493 preregistered nurses. Measures included health promotion attitudes, healthy lifestyle index, self-esteem, and body satisfaction. RESULTS Preregistered nurses (89.5%) felt that nurses should be role models for health. However, 37% had a negative health promotion attitude and were more likely to be dissatisfied with their body and lead less healthy lifestyles. Most preregistered nurses (96%) felt that delivering health promotion would be a key element of their job and held positive health promotion attitudes. Healthy lifestyle was the most consistent significant predictor of health promotion attitude. CONCLUSION Preregistered nurses with an unhealthy lifestyle and lower self-esteem held a more negative health promotion attitude. Intervention is needed to support preregistered nurses in making healthy lifestyle choices, improving their self-perception and health promotion attitude. [J Nurs Educ. 2017;56(2):94-103.].
Collapse
|
37
|
Abstract
Extensive evidence exists on the multiple physical and psychological benefits of physical activity (PA) across the lifespan. Yet, the vast majority of Americans engage in highly sedentary lifestyles, and most do not meet recommended PA levels that can achieve health benefits. Moreover, nurses and other healthcare providers are highly inconsistent in their PA recommendations to patients in all settings, as well as in achieving their own levels of PA. The consequences are growing obesity and health-related conditions, disability, and mortality. A culture change is sorely needed that reimagines and reintegrates PA into the course of daily life activities. In this article, we present the research on PA benefits, declining PA levels, and healthcare practice deficits and propose designing an inpatient unit of the future with a mission of PA for all that is integrated into the fabric and operations of the unit. Malcolm Gladwell's Tipping Point ideas are used as a change framework to guide strategies recommended in this futuristic unit. These strategies include leadership by clinical nurse specialists, engagement of other key people, resources, and structures. The entire process will require bold leadership and a willingness to think outside existing models of hospital care, which are costly and outdated.
Collapse
|
38
|
Huyghebaert T, Gillet N, Becker C, Kerhardy S, Fouquereau E. Examining the effect of affective commitment to the supervisor on nurses’ psychological health as a function of internal locus of control. J Nurs Manag 2017; 25:297-306. [DOI: 10.1111/jonm.12466] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/27/2016] [Indexed: 11/30/2022]
Affiliation(s)
- Tiphaine Huyghebaert
- Département de Psychologie; Université François-Rabelais de Tours; France
- AD Conseil; Villemomble France
| | - Nicolas Gillet
- Département de Psychologie; Université François-Rabelais de Tours; France
| | - Caroline Becker
- Département de Psychologie; Université François-Rabelais de Tours; France
- Centre d’études et de recherches psychologiques de l'armée de l'air (CERP'AIR); Tours France
| | - Solene Kerhardy
- Département de Psychologie; Université François-Rabelais de Tours; France
| | - Evelyne Fouquereau
- Département de Psychologie; Université François-Rabelais de Tours; France
| |
Collapse
|
39
|
Hanna TN, Shekhani H, Lamoureux C, Mar H, Nicola R, Sliker C, Johnson JO. Emergency Radiology Practice Patterns: Shifts, Schedules, and Job Satisfaction. J Am Coll Radiol 2017; 14:345-352. [DOI: 10.1016/j.jacr.2016.09.018] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2016] [Revised: 09/11/2016] [Accepted: 09/19/2016] [Indexed: 01/27/2023]
|
40
|
Merchaoui I, Bouzgarrou L, Mnasri A, Mghanem M, Akrout M, Malchaire J, Chaari N. Influence of shift work on the physical work capacity of Tunisian nurses: a cross-sectional study in two university hospitals. Pan Afr Med J 2017; 26:59. [PMID: 28451036 PMCID: PMC5398879 DOI: 10.11604/pamj.2017.26.59.11279] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2016] [Accepted: 01/28/2017] [Indexed: 01/20/2023] Open
Abstract
Introduction This study has been performed to determine the influence of rotating shift work on physical working capacity of Tunisian nurses and to design recommendations to managers so that they implement effective preventive measures. Methods It is a cross-sectional design using a standardized questionnaire and many physical capacity tests on a representative sample of 1181 nurses and nursing assistants from two university hospital centers of the school of Medicine of Monastir located in the Tunisian Sahel. 293 participants have been recruited by stratified random sampling according to gender and departments. Maximum Grip strength, 30s sit-to-stand test, one leg test, Fingertip-to-Floor test, Saltsa test and peak expiratory flow were used to assess physical capacity. Work ability was assessed through the workability index. Results Mental and physical loads were heavily perceived in shift healthcare workers (p=0.01; p=0.02). The maximum grip force was stronger in rotating shift work nurses (p=0.0001). Regarding to the seniority subgroups in each kind of work schedule, the Body Mass Index was increasing with seniority in both schedules. All the physical tests, were better in less-than-ten-year groups. Peak Flow and grip strength were significantly better in less-than-ten-year seniority in shift work group. Conclusion There is a need to improve the design of the existing shift systems and to reduce as much as possible shift schedule as well as to avoid shift schedule for over-10-year-seniority nurses.
Collapse
Affiliation(s)
- Irtyah Merchaoui
- School of Medicine, Occupational Health & Ergonomics Department, University of Monastir, Tunisia
| | - Lamia Bouzgarrou
- School of Medicine, Occupational Health & Ergonomics Department, University of Monastir, Tunisia
| | - Ahlem Mnasri
- School of Medicine, Occupational Health & Ergonomics Department, University of Monastir, Tunisia
| | - Mounir Mghanem
- School of Medicine, Occupational Health & Ergonomics Department, University of Monastir, Tunisia
| | - Mohamed Akrout
- School of Medicine, Occupational Health & Ergonomics Department, University of Monastir, Tunisia
| | - Jacques Malchaire
- Catholic university of Louvain, Rue rosier bois 75, 1331 Rosières, Belgium
| | - Neila Chaari
- School of Medicine, Occupational Health & Ergonomics Department, University of Monastir, Tunisia
| |
Collapse
|
41
|
Abstract
Patients with cancer tend to suffer sleep-wake disturbances at a higher rate than the general population. Insomnia and fatigue should be regarded as a significant patient safety issue, as poor sleep can elevate patients' risks of falls, motor vehicle accidents, and acute infectious illnesses. To alleviate those risks, oncology nurses should be familiar with effective evidence-based practices for assessing and improving patients' sleep quality.
Collapse
Affiliation(s)
- Mary Patricia Lamberti
- Department of Nursing, Student Health Services at Southern Connecticut State University, New Haven
| |
Collapse
|
42
|
Richter K, Acker J, Adam S, Niklewski G. Prevention of fatigue and insomnia in shift workers-a review of non-pharmacological measures. EPMA J 2016; 7:16. [PMID: 27486484 PMCID: PMC4970219 DOI: 10.1186/s13167-016-0064-4] [Citation(s) in RCA: 62] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2016] [Accepted: 06/03/2016] [Indexed: 01/12/2023]
Abstract
Background Excessive fatigue and insomnia are common among shift workers and can lead to negative effects such as reduced work performance, processing errors, accidents at work, absenteeism, reduced quality of life, and symptoms of depression. Moreover, work in rotating shifts can be a risk factor for different somatic and psychiatric diseases and may contribute to poor health, especially in elder adults and women. This review aims to show non-pharmacological preventive measures against fatigue and insomnia in shift workers. Method Computerized literature searches in MedLine and in the Cochrane Library were performed with the following key words: shift work disorder, fatigue, insomnia, shift work, measures, treatment, therapy, strategies and coping. The search was limited to non-pharmacological studies that were conducted on human subjects and published as English-language articles in peer-reviewed journals since 1970. Additional studies were identified through the reference sections of relevant articles. Eighteen articles on fatigue in shift workers, including six original research articles with a total sample size of 3504 probands consisting of industrial workers, office employees, aircraft maintenance engineers, and non-shift workers working in simulated shifts, were analyzed, as well as seven articles on insomnia, including an original research article with a sample size of 26 media workers. Also, 4 reviews on shift work disorder were analyzed. Main The occurrence of fatigue and insomnia in shift workers associated with a working period is described as shift work disorder. Estimations on the prevalence of shift work disorder in shift workers vary between 5 % and about 20 %; about one in three shift workers is affected by insomnia and up to 90 % of shift workers report regular fatigue and sleepiness at the workplace. We concluded that there is a necessity for treatments to improve the sleep quality of the shift working population. The most common non-pharmacological recommendations to improve sleep quality and to reduce insomnia and fatigue were scheduling, bright light exposure, napping, psychoeducation for sleep hygiene, and cognitive-behavioral measures. Conclusion Some important preventive coping strategies for fatigue associated with shift work such as napping and exposure to bright light have already been investigated and are generally approved. A few studies also provide good evidence for the efficacy of cognitive-behavioral techniques in the treatment of chronic primary and comorbid insomnia. These coping strategies summarized in this paper should be considered in the workplace health promotion programs of each work environment to improve working conditions for shift workers and to save money.
Collapse
Affiliation(s)
- Kneginja Richter
- Center for Sleep Medicine, University Clinic for Psychiatry and Psychotherapy, Paracelsus Medical University Nuremberg, Prof.-Ernst-Nathan-Straße 1, D-90419 Nuremberg, Germany ; Faculty for Social Sciences, Georg Simon Ohm University for Applied Sciences, Nuremberg, Germany ; Medical Faculty, University of Goce Delcev, Stip, Macedonia
| | - Jens Acker
- Clinic for Sleep Medicine, Bad Zurzach, Switzerland
| | - Sophia Adam
- Department of Psychology, Faculty of Humanities, Social Sciences, and Theology, Friedrich-Alexander University Erlangen-Nuremberg, Erlangen, Germany
| | - Guenter Niklewski
- Center for Sleep Medicine, University Clinic for Psychiatry and Psychotherapy, Paracelsus Medical University Nuremberg, Prof.-Ernst-Nathan-Straße 1, D-90419 Nuremberg, Germany ; Medical Faculty, University of Goce Delcev, Stip, Macedonia
| |
Collapse
|
43
|
de Cordova PB, Bradford MA, Stone PW. Increased errors and decreased performance at night: A systematic review of the evidence concerning shift work and quality. Work 2016; 53:825-34. [DOI: 10.3233/wor-162250] [Citation(s) in RCA: 40] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022] Open
Affiliation(s)
| | | | - Patricia W. Stone
- Center for Health Policy, Columbia University School of Nursing, New York, NY, USA
| |
Collapse
|
44
|
Shen SH, Yen M, Yang SL, Lee CY. Insomnia, anxiety, and heart rate variability among nurses working different shift systems in Taiwan. Nurs Health Sci 2016; 18:223-9. [DOI: 10.1111/nhs.12257] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2015] [Revised: 09/22/2015] [Accepted: 09/28/2015] [Indexed: 12/30/2022]
Affiliation(s)
- Shu-Hua Shen
- National Cheng Kung University; Department of Allied Health Sciences; Tainan City Taiwan
- Jianan Psychiatric center, Ministry of health welfare; Tainan City Taiwan
| | - Miaofen Yen
- National Cheng Kung University; Department of Nursing, College of Medicine; Tainan City Taiwan
- National Cheng Kung University; Department of Allied Health Sciences; Tainan City Taiwan
| | - Shou-Lin Yang
- Department of Business Administration; Da-Yeh University; Changhua Taiwan
| | - Chiung-Ying Lee
- Chang Jung Christian University; Department of Finance; Tainan City Taiwan
| |
Collapse
|
45
|
Durosaiye IO, Hadjri K, Liyanage CL. Identifying Challenging Job and Environmental Demands of Older Nurses Within the National Health Service. HERD-HEALTH ENVIRONMENTS RESEARCH & DESIGN JOURNAL 2015; 9:82-105. [DOI: 10.1177/1937586715613586] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Objectives: To explore the existing theoretical contexts of the job and environmental demands of the nursing profession in the National Health Service (NHS) and to investigate how these job and environmental demands impact on the personal constructs of older nurses within the NHS. Background: Nursing is the single most widely practiced profession in the healthcare sector in the United Kingdom. However, nurses contend with challenging job and environmental demands on a daily basis, which deplete them of personal constructs (or resources) required to stay in the profession. Methods: A multilevel exploratory qualitative research design was employed. Ten managers were interviewed for the preliminary study, based on which the three characteristics of an age-friendly NHS workplace were established: health, retirement, and flexibility. Then an in-depth literature review revealed that the most adversely affected job within the NHS was the nursing profession. Finally, a focus group study was undertaken with six older nurses working in the NHS. Results: The most compelling finding of this study is that older nurses would generally not want to stay on the job if they had to work in the ward area. The physical, cognitive, and sensory constructs of older nurses are negatively affected by the job and environmental demands of the ward areas. Conclusions: Understanding how these job and environmental demands of the workplace affect an older nurse’s personal constructs may help support a better design of nurse work and the wards and help extend the working lives of older nurses in the NHS.
Collapse
|
46
|
After-Hours Radiology: Challenges and Strategies for the Radiologist. AJR Am J Roentgenol 2015; 205:956-61. [DOI: 10.2214/ajr.15.14605] [Citation(s) in RCA: 38] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
|
47
|
Lin P, Chen C, Pan S, Chen Y, Pan C, Hung H, Wu M. The association between rotating shift work and increased occupational stress in nurses. J Occup Health 2015; 57:307-15. [DOI: 10.1539/joh.13-0284-oa] [Citation(s) in RCA: 32] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Affiliation(s)
- Pei‐Chen Lin
- Department of Public HealthCollege of Health Sciences, Kaohsiung Medical UniversityTaiwan
| | - Chung‐Hey Chen
- Institute of Allied Health Sciences & Department of NursingNational Cheng Kung UniversityTaiwan
- College of Nursing, Kaohsiung Medical UniversityTaiwan
| | - Shung‐Mei Pan
- Department of NursingKaohsiung Medical University Hospital, Kaohsiung Medical UniversityTaiwan
- Department of NursingKaohsiung Municipal Ta‐Tung HospitalTaiwan
| | - Yao‐Mei Chen
- College of Nursing, Kaohsiung Medical UniversityTaiwan
- Department of NursingKaohsiung Municipal Hsiao‐Kang HospitalTaiwan
| | - Chih‐Hong Pan
- Institute of Occupational Safety and Health, Council of Labor AffairsExecutive YuanTaiwan
| | - Hsin‐Chia Hung
- Department of NursingCollege of Health and Nursing, Meiho UniversityTaiwan
| | - Ming‐Tsang Wu
- Department of Public HealthCollege of Health Sciences, Kaohsiung Medical UniversityTaiwan
- Department of Family MedicineKaohsiung Medical University Hospital, Kaohsiung Medical UniversityTaiwan
- Center of Environmental and Occupational Medicine, Kaohsiung Municipal Hsiao‐Kang, HospitalTaiwan
| |
Collapse
|
48
|
Overnight shift work: factors contributing to diagnostic discrepancies. Emerg Radiol 2015; 23:41-47. [DOI: 10.1007/s10140-015-1355-0] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2015] [Accepted: 10/09/2015] [Indexed: 10/22/2022]
|
49
|
Zhang Y, Punnett L, McEnany GP, Gore R. Contributing influences of work environment on sleep quantity and quality of nursing assistants in long-term care facilities: A cross-sectional study. Geriatr Nurs 2015; 37:13-8. [PMID: 26384714 DOI: 10.1016/j.gerinurse.2015.08.010] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2015] [Revised: 08/20/2015] [Accepted: 08/24/2015] [Indexed: 01/28/2023]
Abstract
The effect of shift work on nurses' sleep is well-studied, but there are other challenging aspects of health care work that might also affect the sleep of direct caregivers. This study examined the influence of the long-term care work environment on sleep quantity and quality of nursing assistants. A cross-sectional survey collected data from 650 nursing assistants in 15 long-term care facilities; 46% reported short sleep duration and 23% reported poor sleep quality. A simple additive index of the number of beneficial work features (up to 7) was constructed for analysis with Poisson regression. With each unit increase of beneficial work features, nursing assistants were 7% less likely to report short sleep duration and 17% less likely to report poor sleep quality. These results suggest that effective workplace interventions should address a variety of work stressors, not only work schedule arrangements, in order to improve nursing assistants' sleep health.
Collapse
Affiliation(s)
- Yuan Zhang
- School of Nursing, University of Massachusetts Lowell, 113 Wilder Street, Lowell, MA 01854, USA.
| | - Laura Punnett
- Department of Work Environment, One University Ave., University of Massachusetts Lowell, Lowell, MA 01854, USA
| | | | - Rebecca Gore
- Department of Work Environment, One University Ave., University of Massachusetts Lowell, Lowell, MA 01854, USA
| |
Collapse
|
50
|
Belcher R, Gumenyuk V, Roth T. Insomnia in shift work disorder relates to occupational and neurophysiological impairment. J Clin Sleep Med 2015; 11:457-65. [PMID: 25665690 DOI: 10.5664/jcsm.4606] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2014] [Accepted: 12/17/2014] [Indexed: 11/13/2022]
Abstract
STUDY OBJECTIVES To determine whether occupational and neurophysiological decrements within shift work disorder (SWD) are differentially related to its two diagnostic symptoms, insomnia and excessive sleepiness. METHODS Thirty-four permanent night workers participated in an overnight lab protocol including a multiple sleep latency test (MSLT) and an event-related brain potential (ERP) task testing auditory target detection (P3a and P3b). At 16:00, each subject completed an Endicott Work Productivity Scale (EWPS), two Insomnia Severity Indices (ISI-Day, ISI-Night), and an Epworth Sleepiness Scale (ESS). Subjects were grouped by ISI and ESS scores into clinical phenotypes. This study compared EWPS and ERP results between alert insomniacs ("AI," reporting insomnia without sleepiness), sleepy insomniacs ("SI," reporting both insomnia and sleepiness), and controls. RESULTS The AI group was most impaired on the EWPS, significantly more impaired than controls (25.8 ± 14.8 vs. 12.3 ± 9.4, p < 0.05). SI were not statistically different from controls (19.5 ± 8.7 vs. 12.3 ± 9.4, p > 0.05). Compared to controls, AI showed significantly attenuated P3a response (Fcz, Czp, Cpz, mean difference [MD] 1.62-1.77, p < 0.05) and target-detection P3b response (Fcz, Czp, Cpz, MD 1.28-1.64, p < 0.05). P3b in SI was not different from controls (p > 0.10), and P3a was only different at one electrode site (Cpz, MD 1.43, p < 0.01). Neither the MSLT nor the ESS correlated with EWPS scores or ERP (P3a/P3b) amplitudes (p > 0.10). However, the mean of the ISI measurements correlated with the EWPS (r = 0.409, p < 0.01) and the attention-to-novelty P3a (r = -0.410, p < 0.01). CONCLUSIONS Among shift work disorder patients, insomnia is linked to functional and cognitive impairments. Insomniacs with normal sleepiness showed more severe impairments than insomniacs who also reported excessive sleepiness.
Collapse
Affiliation(s)
- Ren Belcher
- Sleep Disorders and Research Center, Henry Ford Hospital, Detroit, MI.,Pritzker School of Medicine, University of Chicago, Chicago, IL
| | - Valentina Gumenyuk
- Sleep Disorders and Research Center, Henry Ford Hospital, Detroit, MI.,Magnetoencephalography Laboratory, Meadowlands Hospital, Secaucus, NJ
| | - Thomas Roth
- Sleep Disorders and Research Center, Henry Ford Hospital, Detroit, MI
| |
Collapse
|