Systematic Review Methodology for the Fatigue in Emergency Medical Services Project

Patterson, P. Daniel; Higgins, Johanne; Weiss, Patricia M; Lang, Eddy; Martin‐Gill, Christian

doi:10.1080/10903127.2017.1380096

Cited by 22 publications

(37 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The details of our methodology and study protocol, and procedures for reviewing the literature are described in a separate publication (18). In the following sections, we discuss the components of our search unique to this systematic review.…”

Section: Methodsmentioning

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

Section: Methodsmentioning

confidence: 99%

“…We describe the details of our search methods in a methods paper that appears in this supplement (18). In that paper, we describe the concepts that guided searches, search terms, vocabulary, and procedures/protocol for searching multiple databases.…”

Section: Search Methods For Studiesmentioning

confidence: 99%

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

“…Additional details of the system for categorizing findings are available in a separate publication (15).…”

Section: Discussionmentioning

confidence: 99%

“…This study has described the details of the databases searched, the methodology and study protocol, and procedures for reviewing literature in a separate publication (15). The components unique to this systematic review are described in the following sections.…”

Section: Methodsmentioning

confidence: 99%

“…All searches included literature from January 1980 to September 2016. An explanation provides the methods of the search strategies, all sources searched, the search terms incorporated, and the description of search vocabulary in a separate paper in this supplement (15). See Online Supplement Appendix A for search strategy details specific to this systematic review.…”

Section: Search Methods For Studiesmentioning

confidence: 99%

See 1 more Smart Citation

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

Self Cite

View full text Add to dashboard Cite

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.

show abstract

Working hours, sleep, and fatigue in the public safety sector: A scoping review of the research

Allison

Tiesman

Wong

et al. 2022

American J Industrial Med

Self Cite

View full text Add to dashboard Cite

Background The public safety sector includes law enforcement officers (LEO), corrections officers (CO), firefighter service (FF), wildland firefighting (WFF), and emergency medical services (EMS), as defined in the National Occupational Research Agenda (NORA) of the National Institute for Occupational Safety and Health (NIOSH). Across these occupations, shiftwork, long‐duration shifts, and excessive overtime are common. Our objective was to identify research gaps related to working hours, sleep, and fatigue among these workers. Methods We used a scoping review study design that included searches of MEDLINE, Embase, CAB Abstracts, Global Health, PsychInfo, CINAHL, Scopus, Academic Search Complete, Agricultural and Environmental Science Collection, ProQuest Central, Cochrane Library, Safety Lit, Homeland Security Digital Library, and Sociological Abstracts using a range of occupational search terms and terms related to working hours, sleep, and fatigue. Results Out of 3415 articles returned from our database search, 202 met all inclusion criteria. Six common outcomes related to working hours, sleep, and fatigue emerged: sleep, fatigue, work performance, injury, psychosocial stress, and chronic disease. Nearly two‐thirds (59%, n = 120) of the studies were observational, of which 64% (n = 77) were cross sectional and 9% were (n = 11) longitudinal; 14% (n = 30) of the studies were reviews; and 19% (n = 39) were experimental or quasi‐experimental studies. Only 25 of the 202 articles described mitigation strategies or interventions. FFs, LEOs, EMS, and WFFs were the most studied, followed by COs. Conclusions In general, more longitudinal and experimental studies are needed to enrich the knowledge base on the consequences of long working hours, poor sleep, and fatigue in the public safety sector. Few experimental studies have tested novel approaches to fatigue mitigation in diverse sectors of public safety. This gap in research limits the decisions that may be made by employers to address fatigue as a threat to public‐safety worker health and safety.

show abstract

Systematic Review Methodology for the Fatigue in Emergency Medical Services Project

Cited by 22 publications

References 34 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

Working hours, sleep, and fatigue in the public safety sector: A scoping review of the research

Contact Info

Product

Resources

About