The effects of extended workdays on fatigue, health, performance and satisfaction in nursing

Josten, Edith; Ng-A-Tham, J.E.E.; Thierry, Henk

doi:10.1046/j.0309-2402.2003.02854.x

Cited by 112 publications

(100 citation statements)

References 18 publications

(11 reference statements)

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“…[5][6][7][8][9] Sleep deprivation, sleep disturbance, and fatigue also are significant contributing factors to impaired personal health. [10][11][12] Restorative napping, defined as a purposeful, brief sleep period, has been identified as a potential strategy to improve performance, reduce fatigue, and increase vigilance for individuals working extended hours or during night shift. [13][14][15][16][17] In order for restorative napping to occur, it has been suggested that managers of health care facilities provide a safe and comfortable resting place for nurses working night shift, ensure that nurses do not miss breaks, and use strategies to combat shift work issues such as fatigue.…”

mentioning

confidence: 99%

Napping During Night Shift: Practices, Preferences, and Perceptions of Critical Care and Emergency Department Nurses

Fallis

McMillan

Edwards

2011

Critical Care Nurse

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BACKGROUND Nurses working night shifts are at risk for sleep deprivation, which threatens patient and nurse safety. Little nursing research has addressed napping, an effective strategy to improve performance, reduce fatigue, and increase vigilance.OBJECTIVE To explore nurses' perceptions, experiences, barriers, and safety issues related to napping/not napping during night shift.METHODS A convenience sample of critical care nurses working night shift were interviewed to explore demographics, work schedule and environment, and napping/ not napping experiences, perceptions, and barriers. Transcripts were constantly compared, and categories and themes were identified. RESULTS Participants were 13 critical care nurses with an average of 17 years' experience. Ten nurses napped regularly; 2 avoided napping because of sleep inertia. The need for and benefits of napping or not during night shift break were linked to patient and nurse safety. Ability to nap was affected by the demands of patient care and safety, staffing needs, and organizational and environmental factors.CONCLUSIONS Nurses identified personal health, safety, and patient care issues supporting the need for a restorative nap during night shift. Barriers to napping exist within the organization/work environment. (Critical Care Nurse. 2011;31[2]: e1-e11)

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confidence: 99%

Napping During Night Shift: Practices, Preferences, and Perceptions of Critical Care and Emergency Department Nurses

Fallis

McMillan

Edwards

2011

Critical Care Nurse

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“…15 In contrast, limitations in mannequin fidelity are real, as illustrated in Table 1, and can serve to improvement of rote task completion with a concurrent diminishment in the accuracy of tasks involving critical thought, an observation that could also explain other studies that have had contradictory results in this area. 20 Another possibility is that 12 hours is too short a duration to see significant changes in error rate. This is consistent with an earlier study in which statistically significant alterations in error rate were not seen until shifts reached 12.5 hours or longer.…”

Section: Effect Of Work Hours On Task Completion Rate and Accuracymentioning

confidence: 99%

Using Simulation to Investigate the Impact of Hours Worked on Task Performance in an Intensive Care Unit

Calhoun¹,

Boone²,

Dauer³

et al. 2014

American Journal of Critical Care

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Background Past studies have indicated a positive correlation between shift length and the rate of medical errors. In situ simulation is an innovative way to study issues in quality of care. Objectives To explore the use of in situ simulation as an investigative method by using it to examine the effects of work length on completion rate of and accuracy at critical care nursing tasks. Methods Participants were drawn from the nursing staff in the pediatric intensive care unit and were assessed by using a high-fidelity pediatric simulator 3 times during a 12-hour shift. Data recorded included demographic information, time to task completion, and number of steps correctly performed per task. Results Twenty-eight nurses with a mean of 5.5 years of experience participated. Each nurse cared for a mean of 1.4 patients per shift. A significant decrease (P < .001) of 5.5 minutes was noted in mean completion time across assessment intervals (from 17.9 to 13.3, to 12.4 min). No significant changes in accuracy were noted. Some accuracy issues seemed attributable to simulation artifact, whereas the use of simulation enabled greater standardization in other aspects of the study. Conclusion Critical care nurses take significantly less time to complete tasks at the end of their shift than at the beginning. This, coupled with a lack of change in accuracy of task completion over time, suggests that nursing performance of simple tasks may improve over the course of a 12-hour shift. Simulation can be an effective means to address some quality improvement issues.

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“…Therefore, their physical and mental health may affect their working concentration, which may influence ship navigation safety (Hsu, 2012). Previous research illustrated there were potentially disastrous outcomes from fatigue in terms of poor health (Josten, et al, 2003;Hetherington, 2006). Shift patterns contribute to fatigue and in turn cause poorer health and safety performance (IskraGolec, et al, 1996).…”

Section: A S S E S S I N G T H E S a F E T Y Fac T O R S O F S H I P mentioning

confidence: 99%

“…Generally, all of the staff have to work night shifts, which may lead to mental fatigue and decrease their working concentration. Relevant studies indicated human fatigue is one of the main causes of marine casualties (Josten et al, 2003;Hetherington, 2006). This paper suggests the port authority may make regulations to control the shift system of operating staff, such as the maximum work hours for a shift.…”

Section: A S S E S S I N G T H E S a F E T Y Fac T O R S O F S H I P mentioning

confidence: 99%

Assessing the Safety Factors of Ship Berthing Operations

Hsu

2014

J. Navigation

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The purpose of this paper is to discuss the safety of ship berthing operations in port. Based on the features of ship's berthing operations and relevant literature, the Safety Factors (SFs) of ship berthing at docks are first investigated. A Safety Index (SI) with a Fuzzy Analytic Hierarchy Process (AHP) model is then proposed to assess those SFs from port marine pilots, by which port managers and ship carriers may make policies to improve ship berthing safety. To validate the model, berthing operations at Kaohsiung Port in Taiwan were empirically investigated. The results indicate the main safety factors affecting ship berthing at port docks are: working concentration, the condition of mooring lines, emergency response, port policy of improving business and berth length. Based on those results, the theoretical and managerial implications for ship berthing safety at dock are finally discussed.

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The effects of extended workdays on fatigue, health, performance and satisfaction in nursing

Cited by 112 publications

References 18 publications

Napping During Night Shift: Practices, Preferences, and Perceptions of Critical Care and Emergency Department Nurses

Napping During Night Shift: Practices, Preferences, and Perceptions of Critical Care and Emergency Department Nurses

Using Simulation to Investigate the Impact of Hours Worked on Task Performance in an Intensive Care Unit

Assessing the Safety Factors of Ship Berthing Operations

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