Excessive daytime sleepiness among attending physicians: A pilot survey study at an academic institution

Singh, Rajinder; Undevia, Nidhi S.; Schuman, Catherine D.; Attarian, Hrayr

doi:10.1016/j.sleep.2011.04.003

Cited by 16 publications

(15 citation statements)

References 16 publications

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“…The incidence of excessive daytime sleepiness in health care providers in the United States is not well documented. The incidence of excessive daytime sleepiness of midwife respondents in this study was higher than reported in a cohort of attending physicians practicing in an academic institution in the United States (25.75% vs 15.9%) …”

Section: Discussioncontrasting

confidence: 78%

“…The incidence of excessive daytime sleepiness of midwife respondents in this study was higher than reported in a cohort of attending physicians practicing in an academic institution in the United States (25.75% vs 15.9%). 34 Nurses in the United States frequently work longer than their assigned shifts and may be subject to mandatory overtime, resulting in more patient care errors and omissions. 25,35,36 Previous research indicates that nurses who work long and irregular hours experience both long-and short-term sleep deprivation, poor job performance, increased risk taking, more medical errors, increased alcohol and medication use, higher rates of depression, and increased drowsy driving-all of which result in negative provider and patient outcomes.…”

Section: Discussionmentioning

confidence: 99%

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Factors That Contribute to Excessive Sleepiness in Midwives Practicing in the United States

Arbour

Tanner

Hensley

et al. 2019

J Midwife Womens Health

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Introduction Excessive daytime sleepiness is defined as difficulty maintaining wakefulness and alertness during normal waking hours. Excessive daytime sleepiness can lead to clinical errors in health care workers and is associated with dangerous driving. Little is known about the level of daytime sleepiness in midwives in the United States. The purposes of this study, conducted by the American College of Nurse‐Midwives (ACNM) Sleep and Safety Taskforce, were first to identify the sleepiness level of US certified nurse‐midwives (CNMs) and certified midwives (CMs) by calculating Epworth Sleepiness Scale scores for CNM/CMs in full‐scope practice, and then to determine factors that significantly contribute to elevated Epworth Sleepiness Scale scores (>10). Methods Participants in this descriptive, correlational survey study were active ACNM members in full‐scope midwifery practice. Descriptive statistics, bivariate analysis, and logistic regression were used for data analysis. Surveys were emailed to all active members of ACNM (N = 4358). Results A total of 753 (17.3%) survey responses were returned, of which 639 (14.7%) were eligible for analysis. Within this group, 639 (84.9%) self‐identified as being in full‐scope midwifery practice, and one‐fourth (n = 164; 25.7%) had elevated Epworth Sleepiness Scale scores. Duration of work shifts was the only variable found to significantly contribute to differences in Epworth Sleepiness Scale scores, with midwives working shifts longer than 12 hours having higher rates of excessive daytime sleepiness compared with midwives who worked shifts of 12 hours or less. Discussion Midwives, midwifery services, and maternity care centers can work together to ensure that clinicians obtain adequate sleep. Reducing excessive sleepiness will contribute to increased safety for midwives, women, newborns, and the general public.

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Section: Discussioncontrasting

confidence: 78%

Section: Discussionmentioning

confidence: 99%

Factors That Contribute to Excessive Sleepiness in Midwives Practicing in the United States

Arbour

Tanner

Hensley

et al. 2019

J Midwife Womens Health

View full text Add to dashboard Cite

show abstract

“…[ 12 ] Although EDS is also caused by certain medical and psychiatric conditions and sleep disorders,[ 13 ] its association with deprived sleep has been extensively studied and validated. [ 14 ] Junior physicians on account of increased risk of having poor sleep quality are also assumed to have a higher level of daytime sleepiness.…”

Section: Introductionmentioning

confidence: 99%

To assess sleep quality among pakistani junior physicians (house officers): A cross-sectional study

Surani¹,

Surani²,

Zahid³

et al. 2015

Ann Med Health Sci Res

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Background:Sleep deprivation among junior physicians (house officers) is of growing concern. In developed countries, duty hours are now mandated, but in developing countries, junior physicians are highly susceptible to develop sleep impairment due to long working hours, on-call duties and shift work schedule.Aim:We undertook the study to assess sleep quality among Pakistani junior physicians.Subjects and Methods:A cross-sectional study was conducted at private and public hospitals in Karachi, Pakistan, from June 2012 to January 2013. The study population comprised of junior doctors (house physicians and house surgeons). A consecutive sample of 350 physicians was drawn from the above-mentioned study setting. The subject underwent two validated self-administered questionnaires, that is, Pittsburgh Sleep Quality Index (PSQI) and Epworth Sleepiness Scale (ESS).Results:A total of 334 physicians completely filled out the questionnaire with a response rate of 95.4% (334/350). Of 334 physicians, 36.8% (123/334) were classified as “poor sleepers” (global PSQI score > 5). Poor sleep quality was associated with female gender (P = 0.01), excessive daytime sleepiness (P < 0.01), lower total sleep time (P < 0.001), increased sleep onset latency (P < 0.001), and increased frequency of sleep disturbances (P < 0.001). Abnormal ESS scores (ESS > 10) were more prevalent among poor sleepers (P < 0.01) signifying increased level of daytime hypersomnolence.Conclusion:Sleep quality among Pakistani junior physicians is significantly poor. Efforts must be directed towards proper sleep hygiene education. Regulations regarding duty hour limitations need to be considered.

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“…Errors or accidents involving health care employees are an important issue as they impact the health status of their patients. A study focusing on physicians reported that 15.9% of them were habitually sleepy and that EDS was associated with working longer hours, habitual napping, and the feeling of not getting enough sleep [14].…”

Section: Discussionmentioning

confidence: 99%

“…The prevalence of daytime sleepiness and insufficient sleep in health care workers has been hardly investigated as compared to its prevalence in the general population [13][14][15] and in working populations [16].…”

Section: Sleep Disorders and Sleep Deficiency Are A Major Health Problemmentioning

confidence: 99%

Sleep Habits and Excessive Daytime Sleepiness in a Population of Spanish Health Care Employees

Espuga¹

2016

J Sleep Disord Manag

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Background and objectives: The aim of the study is to assess the sleep habits and prevalence of excessive daytime sleepiness (EDS) in Spanish health care workers and the relationship between sleep habits, EDS, anthropometric measurements, work shift, sleep apnea risk, and work commute traffic accidents. Patients and methods: We conducted a cross-sectional observational study on subjects undergoing an annual medical screening administered by the Occupational Risk Prevention Unit at a hospital in Spain, providing anthropometric data and self-completed questionnaires: Epworth Sleepiness Scale, sleep habits questionnaire, Berlin Questionnaire and self-reported "work commute" traffic accident. Logistic regression models were performed to analyze factors associated with EDS and work commute traffic accidents. Results: Five hundred and one hospital employees were studied (79% women), age 43.1 (11.9) yrs., 19.4% reported working a night shift, 6.6% showed EDS and 43.9% slept less than 7 hours on work days. Only in women night shift and sleep debt were significantly associated with EDS, (OR 2.64, p = 0.034 and OR 1.29, p = 0.044 respectively) and age and a night shift were significant predictors of body mass index (coefficient 0.12, p = 0.001 and 1.56, p = 0.003, respectively) and abdominal circumference (coefficient 0.29 p = 0.001 and 3.95, p = 0.003 respectively). "Work commute" traffic accidents, reported by 10.8% of respondents, were associated with dozing off while driving. Conclusions: Prevalence of EDS and insufficient sleep is consistent with what has been described in the general population in other countries. In women, EDS is associated with sleep debt and night shifts whereas night shifts and age are associated with overweight variables. Self-referred sleepiness while driving is a risk factor for traffic accidents on a work commute.

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Excessive daytime sleepiness among attending physicians: A pilot survey study at an academic institution

Cited by 16 publications

References 16 publications

Factors That Contribute to Excessive Sleepiness in Midwives Practicing in the United States

Factors That Contribute to Excessive Sleepiness in Midwives Practicing in the United States

To assess sleep quality among pakistani junior physicians (house officers): A cross-sectional study

Sleep Habits and Excessive Daytime Sleepiness in a Population of Spanish Health Care Employees

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