Effects of Sleep Deprivation on the Cognitive Performance of Nurses Working in Shift

Deepalakshmi, Krishnamoorthy; Elango, Yaal; Alagesan, Murali; Santhanakrishanan, Iswarya

doi:10.7860/jcdr/2017/26029.10324

Cited by 72 publications

(96 citation statements)

References 27 publications

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“…It is reasonable to expect that such insufficient rest period between shifts would reduce the chance for nurses to have adequate sleep, and may further increase the fatigue level. Previous studies have shown that the repeated restriction of sleep substantially impairs cognitive performance and decreases alertness during wake hours among shift nurses (Kaliyaperumal, Elango, Alagesan, & Santhanakrishanan, 2017). This is a crucial concern for nurses, given that high levels of cognitive functioning are critical for patient safety.…”

Section: Discussionmentioning

confidence: 99%

Work schedule characteristics and fatigue among rotating shift nurses in hospital setting: An integrative review

Min

Hong

2019

J Nurs Manag

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Aim To systematically evaluate the effect of work schedule characteristics on fatigue among shift nurses in hospital settings. Background The complexity and multidimensional nature of nursing work may lead to fatigue. This review mainly focused on work schedule characteristics that may mitigate the fatigue in nurses. Evaluation Six databases were searched, and eight relevant research articles published between 2000 and 2018 were identified. Key issues The reviewed articles provided evidence supporting the association of work schedule characteristics such as total working hours, overtime, shift length and number of monthly night and evening shifts with fatigue. In addition, studies provided evidence for the positive association between insufficient rest period between shifts and fatigue among shift nurses in hospital settings. Conclusion The reviewed studies provided mixed results regarding the associations between work schedule characteristics and nurse fatigue. However, quick returns and days called to work on days off were consistent factors contributing to nurse fatigue. More evidence is needed to arrive at a definitive conclusion about such relationships. Implication for nursing management Nursing managers and administrators need to carefully review current rotating shift system and examine its impact on nurse fatigue as well as ensure enough resting time when developing nurse schedules.

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Section: Discussionmentioning

confidence: 99%

Work schedule characteristics and fatigue among rotating shift nurses in hospital setting: An integrative review

Min

Hong

2019

J Nurs Manag

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“…Sleep deprivation (SD) causes physiological, psychological, and behavioral change (Walker and Stickgold, 2006;Ohayon et al, 2010;Dai et al, 2012), and it especially has an effect on the central nervous system (CNS) (Nabaee et al, 2018). In recent years, the effects of SD on cognitive function have attracted wide attention (Killgore, 2010;Kaliyaperumal et al, 2017;Nasehi et al, 2018). However, the underlying mechanisms of these effects remain unclear.…”

Section: Introductionmentioning

confidence: 99%

Hydrogen Sulfide Prevents Sleep Deprivation-Induced Hippocampal Damage by Upregulation of Sirt1 in the Hippocampus

Zuo

Jiang

et al. 2020

Front. Neurosci.

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Sleep deprivation (SD) induces hippocampal damage. Hydrogen sulfide (H 2 S) is a neuronal protective factor. Silence information regulating factor 1 (Sirt1) plays an important role in neuroprotection. Therefore, this study was aimed at exploring whether H 2 S meliorates SD-induced hippocampal damage and whether Sirt1 mediates this protective role of H 2 S. We found that sodium hydrosulfide (NaHS, a donor of H 2 S) alleviated SD-generated hippocampal oxidative stress, including increases in the activation of SOD and the level of GSH as well as a decrease in the level of MDA. Meanwhile, we found that NaHS reduced SD-exerted hippocampal endoplasmic reticulum (ER) Stress, including downregulations of GRP78, CHOP, and cleavedcaspase-12 expression. Moreover, NaHS reduced the apoptosis in the SD-exposed hippocampus, and this included decreases in the number of apoptotic cells and the activation of caspase-3, downregulation of Bax expression, and upregulation of Bcl-2 expression. NaHS upregulated the expression of Sirt1 in the hippocampus of SDexposed rats. Furthermore, Sirtinol, the inhibitor of Sirt1, abrogated the protection of NaHS against SD-exerted hippocampal oxidative stress, ER stress, and apoptosis. These results suggested that H 2 S alleviates SD-induced hippocampal damage by upregulation of hippocampal Sirt1.

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“…Shift work has significantly changed nurses' sleep patterns. Between 57% and 83.2% (Jafari Roodbandi, Choobineh, & Daneshvar, 2015;Shao, Chou, Yeh, & Tzeng, 2010) of shift nurses worldwide report sleep problems, including sleep disturbances (Hsieh et al, 2011;Reynolds et al, 2016), sleep deprivation (Kaliyaperumal, Elango, Alagesan, & Santhanakrishanan, 2017), and poor sleep quality (De Martino, Abreu, Barbosa, & Teixeira, 2013;Shao et al, 2010;Shu-Hui, Wen-Chun, Mei-Yen, & Jun-Yu, 2014). Sleep deprivation and sleep disturbances have been associated with fatigue (Hughes & Rogers, 2004), chronic diseases, and reduction in health-related quality of life (Asaoka et al, 2013) in shift nurses.…”

Section: Introductionmentioning

confidence: 99%

Sleep problems in shift nurses: A brief review and recommendations at both individual and institutional levels

Sun

Zhou

et al. 2018

J Nurs Manag

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Effects of Sleep Deprivation on the Cognitive Performance of Nurses Working in Shift

Abstract: Cognitive performance was found to be impaired among shift working nurses, due to poor sleep quality and decreased alertness during wake state. Thus, shift work poses significant cognitive risks in work performance of nurses.

Cited by 72 publications

References 27 publications

Work schedule characteristics and fatigue among rotating shift nurses in hospital setting: An integrative review

Work schedule characteristics and fatigue among rotating shift nurses in hospital setting: An integrative review

Hydrogen Sulfide Prevents Sleep Deprivation-Induced Hippocampal Damage by Upregulation of Sirt1 in the Hippocampus

Sleep problems in shift nurses: A brief review and recommendations at both individual and institutional levels

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