A quality improvement project to improve pediatric medical provider sleep and communication during night shifts

Loew, Megan; Niel, Kristin; Burlison, Jonathan D.; Russell, Kathryn; Karol, Seth E.; Talleur, Aimee C; Christy, L; Johnson, Liza‐Marie; Crabtree, Valerie Mc Laughlin

doi:10.1093/intqhc/mzy221

Cited by 5 publications

(15 citation statements)

References 18 publications

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“…After reviewing the full text, we selected a final list of 32 studies ( Figure 1 ). Of these, 15 (46.9%) were cross-sectional surveys [ 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 ], 11 (34.4%) were RCTs [ 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 ], 4 (12.5%) were quasi-experimental studies [ 35 , 36 , 37 , 38 ], and 2 (6.3%) were cohort design studies [ 39 , 40 ].…”

Section: Resultsmentioning

confidence: 99%

“…Overall, 2822 adults were included in the final 32 studies. The study population of night-shift workers included health care workers (n = 18, 56.3%) [ 10 , 12 , 13 , 15 , 18 , 21 , 24 , 25 , 27 , 29 , 31 , 32 , 33 , 35 , 36 , 38 , 39 , 40 ], production workers (n = 6, 18.8%) [ 11 , 14 , 19 , 20 , 22 , 30 ], transportation workers (n = 3, 9.4%) [ 17 , 20 , 28 ], mixed types of workers (n = 1, 3.1%) [ 23 ] and no specific types of workers (n = 4, 12.5%) [ 9 , 16 , 26 , 34 ].…”

Section: Resultsmentioning

confidence: 99%

“…Most studies (n = 24, 75%) [ 10 , 11 , 12 , 13 , 15 , 16 , 17 , 18 , 20 , 21 , 23 , 24 , 25 , 27 , 28 , 29 , 30 , 31 , 33 , 34 , 35 , 36 , 39 , 40 ] were published after 2011. The study types encompassed intervention evaluation studies (n = 15, 46.9%) [ 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 ], observational studies (n = 16, 50%) [ 9 , 10 , 11 , 12 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 39 ,…”

Section: Resultsmentioning

confidence: 99%

“…Of the 32 studies that used devices to measure the sleep patterns of night-shift workers, 6 (18.8%) studies measured sleep patterns in a laboratory [ 9 , 13 , 14 , 26 , 29 , 32 ] and 26 (81.2%) performed measurements using a wearable device in daily living conditions [ 10 , 11 , 12 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 27 , 28 , 30 , 31 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 ]. None of the studies utilized laboratory tests and wearable sleep trackers together.…”

Section: Resultsmentioning

confidence: 99%

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Objective Assessment of Sleep Patterns among Night-Shift Workers: A Scoping Review

Shin

Kim

Jeon

2021

IJERPH

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In this scoping review of the literature, we identified the types and the parameters of objective measurements to assess sleep patterns among night-shift workers. We conducted a literature search using electronic databases for studies published from 1991 to 2020 and charted and summarized key information. We included 32 studies in the review. Polysomnography was used in 6 studies and wearable sleep detection devices were utilized in 26 studies. The duration of sleep assessment using the wearable devices ranged from 1 day to > 4 weeks, and more than half of the studies collected data for > 2 weeks. The majority of the studies used subjective questionnaires, such as the Karolinska Sleepiness Scale, Epworth Sleepiness Scale, and Pittsburgh Sleep Quality Index, in addition to objective sleep measurements. Total sleep time was the most common parameter, followed by sleep efficiency, sleep onset latency, and time or frequency of being awake. As the utilization of wearable devices to assess the sleep patterns of night-shift workers is expected to increase, further evaluation of device accuracy and precision, optimal data collection period, and key parameters is warranted.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Objective Assessment of Sleep Patterns among Night-Shift Workers: A Scoping Review

Shin

Kim

Jeon

2021

IJERPH

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“…Studies indicate that physician–nurse communication is centred on work scenes and that team goals are often overlooked (Becker, 2013). Night shift communication should focus on the goal to achieve this orientation as well as the details of the goal (Loew et al, 2018). This study found night shift physician–nurse communication to be an important guide to achieve goals, and despite the night shift, doctors and nurses unconsciously mentioned the three important communication needs of process, timing and content.…”

Section: Resultsmentioning

confidence: 99%

General phenomenon and communication experience of physician and nurse in night shift communication: A qualitative study

Hou

Kang

et al. 2020

J Nurs Manag

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CorrespondenceFengying Kang, Resident standardized training central, The First Abstract Aim: This paper explored the general phenomenon and psychological experience of the special background communication in night shift medical staff and provides better reference for night shift communication between doctors and nurses.Background: Physician-nurse communication has always been an important agenda for health care work and an important concept in nursing theory. During night shifts, effective doctor and nurse communication can enhance mutual trust, provide timely and appropriate medical services to patients, reduce adverse events and enhance patient safety.Design: A qualitative study was conducted. Methods:Husserl's descriptive phenomenology method and semi-structured indepth interviews were used to collect data from 8 nurses and 5 doctors. Colaizzi's method was used to analyse data using MAXQDA 12. The Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist was followed (see Appendix S1). Results: Three themes were extracted after sorting out and refining: the need to achieve goals in night-time physician-nurse communication; obstacles in night-time physician-nurse communication; and relationship culture in night-time physiciannurse communication. Conclusion: Attention should be paid to the particularity of night shift and efficiency of achieving the goal of communication between doctors and nurses on night shift, and the hidden obstacles behind communication between doctors and nurses. Managers should pay attention to the cultural construction of night shift communication in the system, form a good night shift communication process and regularly train doctors' and nurses' related communication skills. And they should also study relationship culture rationally to improve the communication efficiency of night shift. Implications for nursing management: The experiences described in this study contribute to a better understanding of obstacles hidden behind night shift physician-nurse communication. This also provides valuable information to professional managers who develop good doctor-nurse relationship culture. K E Y W O R D S communication, night shift, phenomenology, physician-nurse, qualitative study Night shift physician-nurse communication has the characteristics of special time and complicated patient situation. It should emphasize the efficiency of the ultimate goal, target patients' safety and solve their problems timely and appropriately. Foreign literature reports (Young et al., 2012) that the introduction of new night nurses and physician paging systems to reduce the number of non-emergency scenarios could further improve the night communication performance of nurses and doctors as well as ensure patient safety. The study found that the communication process (pre-judgment-handling-communication-solution), communication timing (finding timing, reducing non-emergency calls and focusing on problem-focused reporting) and communication content (doctor-related, disease changes and special sit...

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A prospective observational study of sleep patterns and work-related communications during home call for a pediatric surgery fellow

Raymond,

Tagge

2024

Surgery Open Science

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A quality improvement project to improve pediatric medical provider sleep and communication during night shifts

Cited by 5 publications

References 18 publications

Objective Assessment of Sleep Patterns among Night-Shift Workers: A Scoping Review

Objective Assessment of Sleep Patterns among Night-Shift Workers: A Scoping Review

General phenomenon and communication experience of physician and nurse in night shift communication: A qualitative study

A prospective observational study of sleep patterns and work-related communications during home call for a pediatric surgery fellow

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