Optimising sleep and performance during night float: A systematic review of evidence and implications for graduate medical education trainees.
Adaptation, Physiological
/ drug effects
Attention
/ drug effects
Caffeine
/ pharmacology
Education, Medical, Graduate
Energy Drinks
Fatigue
/ physiopathology
Humans
Melatonin
/ pharmacology
Modafinil
/ pharmacology
Reaction Time
/ drug effects
Sleep
/ drug effects
Sleep Deprivation
/ physiopathology
Sleep Disorders, Circadian Rhythm
/ physiopathology
Work Schedule Tolerance
/ physiology
ACGME
graduate medical education
night float
night shift
residency
shift work
Journal
Journal of sleep research
ISSN: 1365-2869
Titre abrégé: J Sleep Res
Pays: England
ID NLM: 9214441
Informations de publication
Date de publication:
08 2021
08 2021
Historique:
received:
22
08
2020
accepted:
17
09
2020
pubmed:
16
10
2020
medline:
25
9
2021
entrez:
15
10
2020
Statut:
ppublish
Résumé
Graduate medical education (GME) training commonly requires residents and fellows to engage in night float shift work. This review aims to assess the effectiveness of interventions for trainees when preparing for, completing, and recovering from working night float shifts. We reviewed all available studies published prior to September 2019 using PubMed, Scopus, CINAHL, the Cochrane library, PsycINFO, and Google Scholar databases. We included all original, primary research articles assessing either non-pharmacological or pharmacological interventions on the chronobiological and physiological effects of night float shift work among GME trainees. Five studies (n = 179 patients) met inclusion criteria. Interventions included melatonin in the morning before sleep after night float shifts, napping during night float shifts, modafinil after a night of sleep deprivation, and caffeinated energy drinks after 6 consecutive night float shifts. Melatonin improved one measure of attention. A 2-hr nap was associated with improved speed related to task switching. Modafinil improved performance in tests of cognition. Caffeinated energy drinks led to improvement in select driving performance variables and reaction time. Effect sizes for outcome variables were calculated. Heterogeneity among the studies precluded combining the data in a meta-analysis. According to GRADE criteria, the quality of the evidence in these studies was low or very low. Our findings suggest GME trainees may benefit from utilising a limited number of interventions when preparing for or recovering from night float shift work. More investigation is needed to identify interventions that could help GME trainees adapt to and recover from working night float shifts.
Substances chimiques
Caffeine
3G6A5W338E
Melatonin
JL5DK93RCL
Modafinil
R3UK8X3U3D
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
e13212Informations de copyright
© 2020 European Sleep Research Society.
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