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Sleep, sleepiness, fatigue and performance in 12-hour shift nurses.

Authors
Geiger-Brown-J; Rogers-VE; Trinkoff-A; Kane-RL; Bausell-RB; Scharf-SM
Source
Chronobiol Int 2012 Mar; 29(2):211-219
NIOSHTIC No.
20042041
Abstract
Nurses working 12-h shifts complain of fatigue and insufficient/poor-quality sleep. Objectively measured sleep times have not been often reported. This study describes sleep, sleepiness, fatigue, and neurobehavioral performance over three consecutive 12-h (day and night) shifts for hospital registered nurses. Sleep (actigraphy), sleepiness (Karolinska Sleepiness Scale [KSS]), and vigilance (Performance Vigilance Task [PVT]), were measured serially in 80 registered nurses (RNs). Occupational fatigue (Occupational Fatigue Exhaustion Recovery Scale [OFER]) was assessed at baseline. Sleep was short (mean 5.5 h) between shifts, with little difference between day shift (5.7 h) and night shift (5.4 h). Sleepiness scores were low overall (3 on a 1-9 scale, with higher score indicating greater sleepiness), with 45% of nurses having high level of sleepiness (score > 7) on at least one shift. Nurses were progressively sleepier each shift, and night nurses were sleepier toward the end of the shift compared to the beginning. There was extensive caffeine use, presumably to preserve or improve alertness. Fatigue was high in one-third of nurses, with intershift fatigue (not feeling recovered from previous shift at the start of the next shift) being most prominent. There were no statistically significant differences in mean reaction time between day/night shift, consecutive work shift, and time into shift. Lapsing was traitlike, with rare (39% of sample), moderate (53%), and frequent (8%) lapsers. Nurses accrue a considerable sleep debt while working successive 12-h shifts with accompanying fatigue and sleepiness. Certain nurses appear more vulnerable to sleep loss than others, as measured by attention lapses.
Keywords
Nurses; Nursing; Medical-personnel; Health-care-personnel; Sleep-deprivation; Shift-work; Shift-workers; Work-environment; Workers; Fatigue; Neurological-reactions; Neurophysiological-effects; Behavior; Statistical-analysis; Author Keywords: Attention; Extended work hours; Fatigue; Neurocognition; Nurses; Sleep deprivation; Sleepiness; Vigilance; Work schedule tolerance
Contact
Dr. Jeanne Geiger-Brown, University of Maryland School of Nursing, 655 W Lombard Street, Suite 575, Baltimore, MD 21201
CODEN
CHBIE4
Publication Date
20120301
Document Type
Journal Article
Email Address
jgeiger@son.umaryland.edu
Funding Type
Grant
Fiscal Year
2012
NTIS Accession No.
NTIS Price
Identifying No.
Grant-Number-R21-OH-008392; B20130124
Issue of Publication
2
ISSN
0742-0528
Source Name
Chronobiology International
State
MD
Performing Organization
University of Maryland - Baltimore
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