An Interventional Approach for Patient and Nurse Safety

Linda D. Scott · Nancee Hofmeister · Neal Rogness · Ann E. Rogers

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Sleep and Work-Related Fatigue Patient Safety and Medication Errors Hospital Admissions and Outcomes

Abstract

BACKGROUND: Studies indicate that extended shifts worked by hospital staff nurses are associated with higher risk of errors. Long work hours coupled with insufficient sleep and fatigue are even riskier. Although other industries have developed programs to reduce fatigue-related errors and injury, fatigue countermeasures program for nurses (FCMPN) are lacking. OBJECTIVES: The objective of this study was to evaluate the feasibility of an FCMPN for improving sleep duration and quality while reducing daytime sleepiness and patient care errors. Selected sleep variables, errors and drowsy driving, were evaluated among hospital staff nurses (n = 47) before and after FCMPN implementation. METHOD: A one-group pretest-posttest repeated-measures approach was used. Participants provided data 2 weeks before the FCMPN, 4 weeks after receiving the intervention, and again at 3 months after intervention. RESULTS: Most of the nurses experienced poor sleep quality, severe daytime sleepiness, and decreased alertness at work and while operating a motor vehicle. After the FCMPN, significant improvements were noted in sleep duration, sleep quality, alertness, and error prevention. Although significant improvements were not found in daytime sleepiness scores, severity of daytime sleepiness appeared to decrease. Despite improvements in fatigue management, nurses reported feelings of guilt when engaging in FCMPN activities, especially strategic naps and relieved breaks. CONCLUSIONS: Initial findings support the feasibility of using an FCMPN for mitigating fatigue, improving sleep, and reducing errors among hospital staff nurses. In future investigations, the acceptability, efficacy, and effectiveness of FCMPNs can be examined.

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References

1991A New Method for Measuring Daytime Sleepiness: The Epworth Sleepiness Scale 2003The Cumulative Cost of Additional Wakefulness: Dose-Response Effects on Neurobehavioral Functions and Sleep Physiology From Chronic Sleep Restriction and Total Sleep Deprivation 1992Reliability and Factor Analysis of the Epworth Sleepiness Scale 1994Sleepiness in Different Situations Measured by the Epworth Sleepiness Scale 2004Sleep Deprivation and Fatigue in Residency Training: Results of a National Survey of First- and Second-Year Residents 1995Extended workshifts and excessive fatigue 1999Sleep Complaints in Older Women Who Are Family Caregivers 1997Rotating Shiftwork Schedules: Can We Enhance Physician Adaptation to Night Shifts?

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