Abstract:BackgroundExcessive fatigue and insomnia are common among shift workers and can lead to negative effects such as reduced work performance, processing errors, accidents at work, absenteeism, reduced quality of life, and symptoms of depression. Moreover, work in rotating shifts can be a risk factor for different somatic and psychiatric diseases and may contribute to poor health, especially in elder adults and women. This review aims to show non-pharmacological preventive measures against fatigue and insomnia in … Show more
“…Sleep hygiene education and interventions based on cognitive behavioural therapy have been proposed as joint strategies for the prevention of sleep and fatigue problems among shift workers (Järnefelt et al, ; Richter, Acker, Adam, & Niklewski, ). The experiences described by participants in this study suggest that newly graduated nurses would probably benefit from a specially tailored sleep and recovery programme.…”
Section: Resultsmentioning
confidence: 99%
“…behavioural therapy have been proposed as joint strategies for the prevention of sleep and fatigue problems among shift workers (Järnefelt et al, 2012;Richter, Acker, Adam, & Niklewski, 2016).…”
Section: Sleep Hygiene Education and Interventions Based On Cognitivementioning
Aims and objectives
To explore newly graduated nurses' strategies for, and experiences of, sleep problems and fatigue when starting shiftwork. A more comprehensive insight into nurses' strategies, sleep problems, fatigue experiences and contributing factors is needed to understand what support should be provided.
Background
For graduate nurses, the first years of practice are often stressful, with many reporting high levels of burnout symptoms. Usually, starting working as a nurse also means an introduction to shiftwork, which is related to sleep problems. Sleep problems may impair stress management and, at the same time, stress may cause sleep problems. Previously, sleep problems and fatigue have been associated with burnout, poor health and increased accident risk.
Design and Methods
Semi‐structured interviews were conducted with nurses (N = 11) from four different Swedish hospitals, and qualitative inductive content analysis was used. The study was approved by the Regional Ethical Review Board in Stockholm. The COREQ checklist was followed.
Results
Many nurses lacked effective strategies for managing sleep and fatigue in relation to shiftwork. Various strategies were used, of which some might interfere with factors regulating and promoting sleep such as the homeostatic drive. Sleep problems were common during quick returns, often due to difficulties unwinding before sleep, and high workloads exacerbated the problems. The described consequences of fatigue in a clinical work context indicated impaired executive and nonexecutive cognitive function.
Conclusion
The findings indicate that supporting strategies and behaviours for sleep and fatigue in an intervention for newly graduated nurses starting shiftwork may be of importance to improve well‐being among nurses and increase patient safety.
Relevance to clinical practice
This study highlights the importance of addressing sleep and fatigue issues in nursing education and work introduction programmes to increase patient safety and improve well‐being among nurses.
“…Sleep hygiene education and interventions based on cognitive behavioural therapy have been proposed as joint strategies for the prevention of sleep and fatigue problems among shift workers (Järnefelt et al, ; Richter, Acker, Adam, & Niklewski, ). The experiences described by participants in this study suggest that newly graduated nurses would probably benefit from a specially tailored sleep and recovery programme.…”
Section: Resultsmentioning
confidence: 99%
“…behavioural therapy have been proposed as joint strategies for the prevention of sleep and fatigue problems among shift workers (Järnefelt et al, 2012;Richter, Acker, Adam, & Niklewski, 2016).…”
Section: Sleep Hygiene Education and Interventions Based On Cognitivementioning
Aims and objectives
To explore newly graduated nurses' strategies for, and experiences of, sleep problems and fatigue when starting shiftwork. A more comprehensive insight into nurses' strategies, sleep problems, fatigue experiences and contributing factors is needed to understand what support should be provided.
Background
For graduate nurses, the first years of practice are often stressful, with many reporting high levels of burnout symptoms. Usually, starting working as a nurse also means an introduction to shiftwork, which is related to sleep problems. Sleep problems may impair stress management and, at the same time, stress may cause sleep problems. Previously, sleep problems and fatigue have been associated with burnout, poor health and increased accident risk.
Design and Methods
Semi‐structured interviews were conducted with nurses (N = 11) from four different Swedish hospitals, and qualitative inductive content analysis was used. The study was approved by the Regional Ethical Review Board in Stockholm. The COREQ checklist was followed.
Results
Many nurses lacked effective strategies for managing sleep and fatigue in relation to shiftwork. Various strategies were used, of which some might interfere with factors regulating and promoting sleep such as the homeostatic drive. Sleep problems were common during quick returns, often due to difficulties unwinding before sleep, and high workloads exacerbated the problems. The described consequences of fatigue in a clinical work context indicated impaired executive and nonexecutive cognitive function.
Conclusion
The findings indicate that supporting strategies and behaviours for sleep and fatigue in an intervention for newly graduated nurses starting shiftwork may be of importance to improve well‐being among nurses and increase patient safety.
Relevance to clinical practice
This study highlights the importance of addressing sleep and fatigue issues in nursing education and work introduction programmes to increase patient safety and improve well‐being among nurses.
“…Unfortunately, environment is still a largely neglected topic in health care. PPPM approach aims to develop an appropriate knowledge and technological skills for promoting affordable strategies in the emerging fields of environmental risk factors, epidemiology, healthy lifestyle, individualised nutrition, food technology and culture in a framework of cost-effective health care [29, 47, 53–55]. …”
Section: Predictive Preventive and Personalised Medicine (Pppm)mentioning
“…Therefore, in case of working long hours as a predictor, a sample of at least k*n with k > 60. 36 Although this study adds evidence to the existing knowledge about work-related accident, there are several limitations that should be considered when interpreting the results. One possible shortcoming is that due to the cross-sectional nature of this study, an association between two variables can be established, but it is not possible to determine the causality of this relationship.…”
Section: Discussionmentioning
confidence: 92%
“…Furthermore, shift work may cause lower levels of co-worker support and supervision during non-daytime work schedules. Another possibility to explain our results is that shift work can be more stressful mentally, physically, and emotionally and cause stress and lack of concentration 36,37) .…”
Objectives:The main objective of this study is to examine the relationship between indicators of nonstandard work arrangements, including precarious contract, long working hours, multiple jobs, shift work, and work-related accident absence, using a representative Belgian sample and considering several sociodemographic and work characteristics. Methods : This study was based on the data of the fifth European Working Conditions Survey ( EWCS ) . For the analysis, the sample was restricted to 3343 respondents from Belgium who were all employed workers. The associations between non-standard work arrangements and workrelated accident absence were studied with multivariate logistic regression modeling techniques while adjusting for several confounders. Results : During the last 12 months, about 11.7% of workers were absent from work because of work-related accident. A multivariate regression model showed an increased injury risk for those performing shift work (OR 1.546, 95% CI 1.074-2.224). The relationship between contract type and occupational injuries was not significant (OR 1.163, 95% CI 0.739-1.831). Furthermore, no statistically significant differences were observed for those performing long working hours (OR 1.217, 95% CI 0.638-2.321) and those performing multiple jobs (OR 1.361, 95% CI 0.827-2.240) in relation to work-related accident absence. Those who rated their health as bad, low educated workers, workers from the construction sector, and those exposed to biomechanical exposure ( BM ) were more frequent victims of workrelated accident absence. No significant gender difference was observed. Conclusion : Indicators of nonstandard work arrangements under this study, except shift work, were not significantly associated with workrelated accident absence. To reduce the burden of occupational injuries, not only risk reduction strategies and interventions are needed but also policy efforts are to be undertaken to limit shift work. In general, preventive measures and more training on the job are needed to ensure the safety and well-being of all workers.
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