Vigilance and sleepiness in nurses working 12-hr shifts and their coping strategies.
12-hr shift work
coping strategies
nurses
quality of health care
sleepiness
vigilance
Journal
Journal of nursing management
ISSN: 1365-2834
Titre abrégé: J Nurs Manag
Pays: England
ID NLM: 9306050
Informations de publication
Date de publication:
Jul 2021
Jul 2021
Historique:
revised:
03
12
2020
received:
10
11
2020
accepted:
05
12
2020
pubmed:
12
12
2020
medline:
28
7
2021
entrez:
11
12
2020
Statut:
ppublish
Résumé
To describe the progression of vigilance and sleepiness over the shift and the coping strategies of nurses working 12-hr day or night shifts. The spread of 12-hr shift work in nursing raises the question of whether sufficient vigilance can be maintained to ensure quality of care. 18 nurses working 12-hr shifts filled out a Karolinska Sleepiness Scale questionnaire and a Brief Psychomotor Vigilance Test, at the beginning of the shift and then every 3 hr. Coping strategies and quality of care were assessed on self-administered questionnaires, filled out at 3 hr, 6 hr, 9 hr and 12 hr after the start of the shift. The present investigation did not show significantly excessive sleepiness or vigilance impairment or poor self-perception of quality of work during 12-hr nursing work shifts, although Psychomotor Vigilance Test results gradually deteriorated slightly over duty time (from start to end of shift). Certain coping strategies were preferred such as 'having a nap' later in the night shift. Attention needs to be paid to the health status of nurses working 12-hr shifts, with regular medical monitoring by the occupational health service. Coping strategies to maintain sufficient vigilance to ensure quality of care should be facilitated.
Sections du résumé
AIM
OBJECTIVE
To describe the progression of vigilance and sleepiness over the shift and the coping strategies of nurses working 12-hr day or night shifts.
BACKGROUND
BACKGROUND
The spread of 12-hr shift work in nursing raises the question of whether sufficient vigilance can be maintained to ensure quality of care.
METHOD
METHODS
18 nurses working 12-hr shifts filled out a Karolinska Sleepiness Scale questionnaire and a Brief Psychomotor Vigilance Test, at the beginning of the shift and then every 3 hr. Coping strategies and quality of care were assessed on self-administered questionnaires, filled out at 3 hr, 6 hr, 9 hr and 12 hr after the start of the shift.
RESULTS
RESULTS
The present investigation did not show significantly excessive sleepiness or vigilance impairment or poor self-perception of quality of work during 12-hr nursing work shifts, although Psychomotor Vigilance Test results gradually deteriorated slightly over duty time (from start to end of shift). Certain coping strategies were preferred such as 'having a nap' later in the night shift.
CONCLUSION
CONCLUSIONS
Attention needs to be paid to the health status of nurses working 12-hr shifts, with regular medical monitoring by the occupational health service.
IMPLICATIONS FOR NURSING MANAGEMENT
CONCLUSIONS
Coping strategies to maintain sufficient vigilance to ensure quality of care should be facilitated.
Types de publication
Journal Article
Langues
eng
Pagination
962-970Informations de copyright
© 2020 John Wiley & Sons Ltd.
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