Alertness management strategies for operational contexts

Caldwell, John A.; Caldwell, J. L.; Schmidt, Regina

doi:10.1016/j.smrv.2008.01.002

Cited by 95 publications

(72 citation statements)

References 99 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The recommendations of other researchers also support a brief nap during the shift period to combat the sleep loss and fatigue associated with night shift work. 14,57 Well-rested nurses are expected to have increased central nervous system arousal, increased vigilance, faster reaction times, improved mood, and a better overall work performance. Participants in our study identified impairments in cognitive functioning and decision making when naps were desired but not possible, experiences congruent with findings that nurses were at increased risk for making and not catching errors during periods of sleep deprivation.…”

Section: Discussionmentioning

confidence: 99%

“…[10][11][12] Restorative napping, defined as a purposeful, brief sleep period, has been identified as a potential strategy to improve performance, reduce fatigue, and increase vigilance for individuals working extended hours or during night shift. [13][14][15][16][17] In order for restorative napping to occur, it has been suggested that managers of health care facilities provide a safe and comfortable resting place for nurses working night shift, ensure that nurses do not miss breaks, and use strategies to combat shift work issues such as fatigue. [18][19][20][21][22] Historically, napping by health care staff during night shift has not been condoned by management, with anecdotal evidence to suggest this still may be the case in some jurisdictions.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Napping During Night Shift: Practices, Preferences, and Perceptions of Critical Care and Emergency Department Nurses

Fallis

McMillan

Edwards

2011

Critical Care Nurse

View full text Add to dashboard Cite

BACKGROUND Nurses working night shifts are at risk for sleep deprivation, which threatens patient and nurse safety. Little nursing research has addressed napping, an effective strategy to improve performance, reduce fatigue, and increase vigilance.OBJECTIVE To explore nurses' perceptions, experiences, barriers, and safety issues related to napping/not napping during night shift.METHODS A convenience sample of critical care nurses working night shift were interviewed to explore demographics, work schedule and environment, and napping/ not napping experiences, perceptions, and barriers. Transcripts were constantly compared, and categories and themes were identified. RESULTS Participants were 13 critical care nurses with an average of 17 years' experience. Ten nurses napped regularly; 2 avoided napping because of sleep inertia. The need for and benefits of napping or not during night shift break were linked to patient and nurse safety. Ability to nap was affected by the demands of patient care and safety, staffing needs, and organizational and environmental factors.CONCLUSIONS Nurses identified personal health, safety, and patient care issues supporting the need for a restorative nap during night shift. Barriers to napping exist within the organization/work environment. (Critical Care Nurse. 2011;31[2]: e1-e11)

show abstract

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Napping During Night Shift: Practices, Preferences, and Perceptions of Critical Care and Emergency Department Nurses

Fallis

McMillan

Edwards

2011

Critical Care Nurse

View full text Add to dashboard Cite

show abstract

“…However, measures based on the abovementioned parameters are, to date, not really well established, although they have been tested within the transportation sector (153). Ongoing research within this field may result in more and better real-time devices that detect sleepiness in a reliable, non-invasive manner, which can be applied in a wide area of settings (154). In addition to these oculomotoric measures, sleepinessdetection devices based upon steering analysis/lane departure warning systems (155) and speech analysis (156) have also showed promising results.…”

Section: Sleepiness-detection Devicesmentioning

confidence: 99%

Measures to counteract the negative effects of night work

Pallesen¹,

Bjorvatn²,

Magerøy³

et al. 2009

Scand J Work Environ Health

View full text Add to dashboard Cite

“…These studies could show the way to strategies to maintain alertness and performance of workers in automated industries that depend on vigilant monitoring, and of workers who usually spend a lot of time in sedentary activities such as doing a computer work, offi ce work, and driving (115). These strategies could take into account alerting effects of different environmental stimuli and cognitive-behavioural factors such as physical activity and motivation that affect the level of sleepiness and performance.…”

Section: Practical Implicatonsmentioning

confidence: 99%

Regulation of Sleepiness: The Role of the Arousal System

Bakotić¹,

Radošević-Vidaček²

2012

Archives of Industrial Hygiene and Toxicology

View full text Add to dashboard Cite

It is generally accepted that two basic physiological processes regulate sleepiness: homeostatic and circadian rhythmic processes. Recent research has proposed the third component regulating sleepiness, that is, the wake drive or the arousal system. The role of the arousal system in regulating sleepiness has partly been addressed by the studies of the pathophysiology of insomnia, which is often described as a disorder of hyperarousal. Experimental and correlational studies on the relation between sleepiness and arousal in good sleepers have generally indicated that both physiological and cognitive arousal are related to the standard measures of sleepiness. Taking into account the role of the arousal system in regulating sleepiness widens the possibilities for the management of sleep disorders and could also help in solving the problem of excessive sleepiness at work and the wheel. KEY WORDS: circadian rhythms, insomnia, shift work, sleep homeostasis, wake driveBakotić M, and Radošević-Vidaček B. WAKE DRIVE IN SLEEPINESS REGULATION Arh Hig Rada Tokiskol 2012;63 Supplement 1: 23-34 Sleep research and sleep medicine often defi ne sleepiness as a state refl ecting physiological sleep need (1). Other terms used in addition to sleepiness are sleep propensity and sleep tendency. Sleepiness is measured by how long it takes to fall asleep, with tests such as the Multiple Sleep Latency Test (MSLT) (2) and the Maintenance of Wakefulness Test (MWT) (3). Sleepiness is also measured by behaviour such as eye closing, yawning, specifi c head movement (bobbing), facial expressions, and performance in various psychomotor and cognitive tasks (4). In the subjective domain, measurements include various single-or multi-facetted sleepiness rating scales (5, 6) and scales assessing the tendency to fall asleep in various situations (7).Although sleepiness is a normal physiological state related to sleep need, in certain cases it can be a symptom of a serious disease or condition. In such cases the term pathological or excessive sleepiness is used. The American Academy of Sleep Medicine defi nes excessive sleepiness as sleepiness that occurs in situations when a person is expected to be awake and alert (8), which interferes with person's daily functioning such as work or school performance, cognitive functioning, mood, and social interaction.Empirical data indicate that sleepiness signifi cantly contributes to vehicle accidents and that mortality in these accidents is very high, especially in persons younger than 25 years (9-12). Furthermore, sleepiness at the workplace is associated with lower performance and greater risk of occupational accidents and injuries, especially in industrial operations and transportation services (10,(13)(14)(15). Shift workers run the greatest risk of sleepiness at the workplace because their working time often coincides with the time of the day when humans are biologically programmed to sleep. 24On the other hand, shift workers often sleep at the time when circadian factors promote wakefulness, which c...

show abstract

Alertness management strategies for operational contexts

Cited by 95 publications

References 99 publications

Napping During Night Shift: Practices, Preferences, and Perceptions of Critical Care and Emergency Department Nurses

Napping During Night Shift: Practices, Preferences, and Perceptions of Critical Care and Emergency Department Nurses

Measures to counteract the negative effects of night work

Regulation of Sleepiness: The Role of the Arousal System

Contact Info

Product

Resources

About