Evidence-Based Guidelines for Fatigue Risk Management in EMS: Formulating Research Questions and Selecting Outcomes

Patterson, P. Daniel; Higgins, Johanne; Lang, Eddy; Runyon, Michael S.; Studnek, Jonathan R.; Moore, Charity G.; Robinson, Kathy; Gainor, Dia; Infinger, Allison; Weiss, Patricia M; Sequeira, Denisse J; Martin‐Gill, Christian

doi:10.1080/10903127.2016.1241329

Cited by 19 publications

(34 citation statements)

References 49 publications

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“…We retained literature that described studies that included persons 18 years of age and older classified as shift workers, EMS personnel or similar worker groups (17).…”

Section: Types Of Participantsmentioning

confidence: 99%

“…We previously described the selection of outcomes for this systematic review (17). Important outcomes of interest included personnel safety, patient safety, personnel performance, acute fatigue, indicators of sleep duration and quality, indicators of long-term health (e.g., cardiovascular disease), and burnout/stress.…”

Section: Types Of Outcome Measuresmentioning

confidence: 99%

“…This systematic review was guided by a single research question: "In EMS personnel, does fatigue training and education mitigate fatigue, mitigate fatigue-related risks, and/or improve sleep?" (PROSPERO 2016: CRD42016040110) (17).…”

Section: Introductionmentioning

confidence: 99%

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Effect of Fatigue Training on Safety, Fatigue, and Sleep in Emergency Medical Services Personnel and Other Shift Workers: A Systematic Review and Meta-Analysis

Barger¹,

Runyon²,

Renn³

et al. 2018

Prehospital Emergency Care

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“…We retained literature that described studies that included persons 18 years of age and older classified as shift workers, EMS personnel or similar worker groups (17).…”

Section: Types Of Participantsmentioning

confidence: 99%

Section: Types Of Outcome Measuresmentioning

confidence: 99%

See 1 more Smart Citation

Effect of Fatigue Training on Safety, Fatigue, and Sleep in Emergency Medical Services Personnel and Other Shift Workers: A Systematic Review and Meta-Analysis

Barger¹,

Runyon²,

Renn³

et al. 2018

Prehospital Emergency Care

Self Cite

View full text Add to dashboard Cite

show abstract

“…Experimental research involving persons 18 years of age and older classified as EMS personnel or similar shift worker groups were included (14). Studies were excluded that did not include shift workers.…”

Section: Types Of Participantsmentioning

confidence: 99%

“…This review was guided by the research question: "In EMS personnel, does the use of sleep or rest strategies and/or interventions mitigate fatigue, fatigue-related risks, and/or improve sleep?" (PROSPERO 2016:CRD42016040107) (14).…”

Section: Introductionmentioning

confidence: 99%

Effects of Napping During Shift Work on Sleepiness and Performance in Emergency Medical Services Personnel and Similar Shift Workers: A Systematic Review and Meta-Analysis

Martin‐Gill¹,

Barger²,

Moore³

et al. 2018

Prehospital Emergency Care

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Background: Scheduled napping during work shifts may be an effective way to mitigate fatigue-related risk. This study aimed to critically review and synthesize existing literature on the impact of scheduled naps on fatigue-related outcomes for EMS personnel and similar shift worker groups. Methods: A systematic literature review was performed of the impact of a scheduled nap during shift work on EMS personnel or similar shift workers. The primary (critical) outcome of interest was EMS personnel safety. Secondary (important) outcomes were patient safety; personnel performance; acute states of fatigue, alertness, and sleepiness; indicators of sleep duration and/or quality; employee retention/turnover; indicators of long-term health; and cost to the system. Meta-analyses were performed to evaluate the impact of napping on a measure of personnel performance (the psychomotor vigilance test [PVT]) and measures of acute fatigue. Results: Of 4,660 unique records identified, 13 experimental studies were determined relevant and summarized. The effect of napping on reaction time measured at the end of shift was small and non-significant (SMD 0.12, 95% CI −0.13 to 0.36; p = 0.34). Napping during work did not change reaction time from the beginning to the end of the shift (SMD −0.01, 95% CI −25.0 to 0.24; p = 0.96). Naps had a moderate, significant effect on sleepiness measured at the end of shift (SMD 0.40, 95% CI 0.09 to 0.72; p = 0.01). The difference in sleepiness from the start to the end of shift was moderate and statistically significant (SMD 0.41, 95% CI 0.09 to 0.72; p = 0.01). Conclusions: Reviewed literature indicated that scheduled naps at work improved performance and decreased fatigue in shift workers. Further research is required to identify the optimal timing and duration of scheduled naps to maximize the beneficial outcomes.

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The need for recovery: An investigation into short‐term work‐related fatigue in veterinary nurses

Foxx,

Orpet

2024

Veterinary Record

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BackgroundVeterinary nursing is physically and emotionally demanding, putting veterinary nurses at risk of acute work‐related fatigue (AWRF). Despite the increased recognition of chronic occupational syndromes such as burnout and compassion fatigue in recent years, few studies have investigated how AWRF impacts individuals and the profession.MethodsAn anonymous survey open to all UK‐based registered veterinary nurses (RVNs) was distributed via email and social media. The survey investigated work patterns, hobbies, opinions about work and intentions to leave the veterinary profession. An English translation of the need for recovery (NFR) scale was used to quantify the AWRF.ResultsThe median NFR score from 387 responses was 81.8, indicating high levels of AWRF. Long shifts, sole‐charge work and overtime were associated with higher scores, while having support at work and a better work–life balance were associated with lower scores. Higher scores were correlated with intentions to leave the profession.LimitationsAlthough validated as a measure of AWRF, the unidimensional NFR scale oversimplifies the complexities of fatigue. A limited number of RVNs responded to the survey, reducing statistical power.ConclusionAlthough there is no single solution to staff turnover, the results from this survey suggest that addressing AWRF may improve retention of RVNs.

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Evidence-Based Guidelines for Fatigue Risk Management in EMS: Formulating Research Questions and Selecting Outcomes

Abstract: We describe formulating and refining research questions and selection of outcomes to guide systematic reviews germane to EMS fatigue risk management. We outline a protocol for applying the Model Process and GRADE framework to create evidence-based guidelines.

Cited by 19 publications

References 49 publications

Effect of Fatigue Training on Safety, Fatigue, and Sleep in Emergency Medical Services Personnel and Other Shift Workers: A Systematic Review and Meta-Analysis

Effect of Fatigue Training on Safety, Fatigue, and Sleep in Emergency Medical Services Personnel and Other Shift Workers: A Systematic Review and Meta-Analysis

Effects of Napping During Shift Work on Sleepiness and Performance in Emergency Medical Services Personnel and Similar Shift Workers: A Systematic Review and Meta-Analysis

The need for recovery: An investigation into short‐term work‐related fatigue in veterinary nurses

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