A Comparison of the Effects of Fixed- and Rotating-Shift Schedules on Nursing Staff Attention Levels

2012 ◽  
Vol 15 (4) ◽  
pp. 443-450 ◽  
Author(s):  
Shu-Fen Niu ◽  
Hsin Chu ◽  
Chiung-Hua Chen ◽  
Min-Huey Chung ◽  
Yu-Shiun Chang ◽  
...  
Keyword(s):  
Selective Attention ◽  
Nursing Staff ◽  
Occupational Safety ◽  
Medical Center ◽  
Night Shift ◽  
Control Group ◽  
Shift Workers ◽  
Shift Group ◽  
Operation Speed ◽  
Experimental Group

Purpose:Sleep deficit affects neurobehavioral functioning, reduces attention and cognitive function, and negatively impacts occupational safety. This study investigated selective attention levels of nursing staff on different shifts.Methods:Using a prospective, randomized parallel group study, selective attention was measured using the d2 test in 62 nursing staff in a medical center in Taiwan.Findings:There were significant differences in selective attention indicators (E%) between the fixed-day-shift group (control group) and rotating-shift group (experimental group): The percentage of errors (E%) for night-shift workers in the rotating-shift group was higher than that of fixed-day-shift workers, while the total number of items scanned minus error (TN − E) and concentration performance (CP) scores were higher for fixed-day-shift workers. Within the experimental group, the error rate on night shift was 0.44 times more than that on day shift and .62 times more than on evening shift; the TN-E on night shift was 38.99 items less than that on day shift, and the CP was 27.68 items less on night shift than on day shift; indicating that staff on the night shift demonstrated poorer speed and accuracy on the overall test than did the staff on day shifts.Conclusions:Inadequate sleep and a state of somnolence adversely affected the attention and operation speed of work among night-shift workers. More than 2 days off is suggested when shifting from the night shift to other shifts to provide adequate time for circadian rhythms to adjust.

Sleep Quality in Nurses

2012 ◽  
Vol 15 (3) ◽  
pp. 273-279 ◽  
Author(s):  
Shu-Fen Niu ◽  
Hsin Chu ◽  
Min-Huey Chung ◽  
Chun-Chieh Lin ◽  
Yu-Shiun Chang ◽  
...  
Keyword(s):  
Sleep Quality ◽  
Medical Center ◽  
Night Shift ◽  
Sleep Time ◽  
Shift Workers ◽  
Sleep Diaries ◽  
Shift Group ◽  
Sleep Parameters ◽  
The Difference ◽  
Night Shifts

The study investigated the number of days off nurses working night shifts need to recover their sleep quality to the level of daytime workers during their days off. This study included 30 day-shift nurses and 32 night-shift nurses. It was conducted as a randomized clinical trial in the medical and surgical wards of a medical center in northern Taiwan in May and June 2010 using sleep diaries and sleep parameters collected by actigraphy on different workdays and days off. On workdays, the night-shift group had significantly less total sleep time (TST) on Day 5 and significantly lower sleep efficiency (SE) on Day 3 than the day-shift group. TSTs of the two groups on days off were higher than those on workdays. On the 4th consecutive day off, higher TST, a decrease in WASO, and an increase in SE suggests that the night-shift group had recovered their sleep quality to the level of the day-shift group on their days off. The SE of the night-shift group exceeded that of the day-shift group after the 4th consecutive day off, though the difference was not statistically significant in the present study. Based on these data, it is recommended that night-shift workers arrange a period of at least 4 days off after 5 consecutive night shifts and at least 5 days off if the staff who have previously worked night shifts are being assigned a set of different shifts.

scholarly journals Impact of Decreased Night Work on Workers’ Musculoskeletal Symptoms: A Quasi-Experimental Intervention Study

2020 ◽  
Vol 17 (23) ◽  
pp. 9092
Author(s):  
Hye-Eun Lee ◽  
Min Choi ◽  
Hyoung-Ryoul Kim ◽  
Ichiro Kawachi
Keyword(s):  
Musculoskeletal Pain ◽  
Night Shift ◽  
Night Work ◽  
Musculoskeletal Symptoms ◽  
Control Group ◽  
Body Parts ◽  
Difference In Difference ◽  
Post Intervention ◽  
Shift Workers ◽  
The Impact

A possible association between night shift work and musculoskeletal disorder has been suggested. This study aimed to evaluate the impact of decreased night work on musculoskeletal pain. Difference-in-difference estimation was used to compare changes in musculoskeletal pain between shift workers (N = 122) and non-shift workers (N = 170) in a manufacturing company before and after the introduction of a new shift system eliminating overnight work. Musculoskeletal pain was measured by a questionnaire asking if workers had symptoms in specific body parts, including the neck, shoulder, arm/elbow, wrist/hand, back, and leg/foot, over the past year. Generalized estimating equation models were used to estimate changes in pre- versus post-intervention musculoskeletal pain rates between the treated and control group. In the difference-in-difference (DID) models, prevalence of musculoskeletal pain for shoulder (−10.3%), arm (−12.9%), all sites combined (−9.2%), and upper extremity combined (−14.8%) showed significant decreases from pre- to post-intervention among the treated group (shift workers) compared to the control group (non-shift workers) after controlling for age and weekly working hours. Decreasing night work was related to improvement in musculoskeletal pain in shift workers.

scholarly journals Objective Structural Clinical Examinations can be Used to Assess Clinical Nursing Cultural Competence Abilities.

2020 ◽  
Author(s):  
Yu-Hsia Lee ◽  
Shu-Chuan Lin ◽  
Pao-Yu Wang ◽  
Mei-Hsiang Lin
Keyword(s):  
Cultural Competence ◽  
Clinical Education ◽  
Medical Center ◽  
Patient Survey ◽  
Average Score ◽  
Control Group ◽  
Learning Efficacy ◽  
Quasi Experimental ◽  
Communication Ability ◽  
Experimental Group

Abstract Background: Culture is the adhesive that binds people's lives. However, there is a lack of an objective and useful tool for assessing cultural competence and practice. The purpose of this study were to assess the learning efficacy of nurses after completing the Cultural Competence Cultivation Program using an Objective Structured Clinical Examination (OSCE).Methods: A quasi-experimental research design was used to evaluate nurses working at a medical center in Taiwan. The nurses were randomly allocated into an experimental group (N = 47), which underwent the Cultural Competence Cultivation Program, and a control group (N = 50), which did not partake in an educational program. After the intervention, the nurses’ learning efficacy was assessed using an OSCE. The research data were statistically analyzed using SPSS 22.0 software for Windows. Results: The average score of the experimental group was significantly higher in the “communication ability and skill” category. Furthermore, the OSCE scores, Standardized Patient Survey (SPS) scores and overall SPS scores were significantly and positively correlated.Conclusion: The findings of this study can serve as a reference for the design of future clinical education programs.

Exercise for Cognitive Improvement and Rehabilitation (EXCIR) Improves Attention and Executive Functions in Children with ADHD

2020 ◽  
Author(s):  
Vahid Nejati
Keyword(s):  
Selective Attention ◽  
Executive Functions ◽  
Inhibitory Control ◽  
Cognitive Flexibility ◽  
Sustained Attention ◽  
Cognitive Rehabilitation ◽  
Control Group ◽  
Children With Adhd ◽  
Cognitive Improvement ◽  
Experimental Group

Abstract Background: Physical activities improves cognitive functioning. The purpose of the present study is to effect of physical activity with progressive cognitive demands on attention and executive functions in children with ADHD. Methods: Thirty children with ADHD were randomly assigned into two equal experimental and control groups. The experimental group received 12 sessions of exercise for cognitive improvement and rehabilitation (EXCIR). Working memory, selective attention, sustained attention, inhibitory control and cognitive flexibility were administered pre- and post-intervention through 1-back test, Stroop test, attention registration test, go no go test and trial making test in order. The repeated measure ANOVAs were used for analysis.Results: The results showed that experimental group has a greater performance in selective attention, sustained attention, inhibitory control and cognitive flexibility compared to control group. Conclusions: These findings implicate that the cognitive rehabilitation program is advantageous for improvement of attention and executive functions in children with ADHD.

Bridging Music and Military Mental Health: A Pilot Study Examining Music Interventions in the Military Outpatient Mental Health Waiting Room Environment

2017 ◽  
Vol 9 (2) ◽  
pp. 105
Author(s):  
Thomas Michael Christian ◽  
Ayesha Edwards ◽  
Amanda Stickler ◽  
Eric Henderson ◽  
Rachel Markwald ◽  
...  
Keyword(s):  
Mental Health ◽  
Pilot Study ◽  
Medical Center ◽  
Health Clinic ◽  
Control Group ◽  
Waiting Room ◽  
Outpatient Mental Health ◽  
Military Mental Health ◽  
The Military ◽  
Experimental Group

 Abstract Music is shown to assist in reducing patient anxiety and distress in civilian medical environments. There is a dearth of research, however, examining how music therapeutics impacts patients in a military context. As such, researchers at Naval Medical Center San Diego performed a pilot study examining the effect of music on patients at a military out-patient mental health clinic. Using a quasi-experimental design, with quantitative and qualitative measures, the researchers assessed patient perceived “pleasantness” apropos of an alternating waiting room environment, with the control group being exposed to daytime television and the experimental group being exposed to relaxing music with nature scenes. In total, 149 participants completed the pilot study; 76 participants formed the control group, while 73 formed the experimental group. The results indicate that military out-patient mental health patients are positively impacted by music interventions in their waiting room experience, as revealed by an increase in reported “pleasantness” in the experimental group as compared to the control group. The researchers recommend that further work be performed in comprehending the salubrious effects of music interventions in the military clinical setting. Keywords: military mental health, waiting room experience, music and                     Outpatient mental health setting. 

scholarly journals The Effects of Aromatherapy Massage on Sleep Quality of Nurses on Monthly Rotating Night Shifts

2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Ying-Ying Chang ◽  
Chao-Ling Lin ◽  
Li-Yin Chang
Keyword(s):  
Treatment Group ◽  
Sleep Quality ◽  
Medical Center ◽  
Night Shift ◽  
Control Group ◽  
Quality Information ◽  
Subjective Sleep Quality ◽  
Central Taiwan ◽  
Night Shifts

The goal of this study is to examine the effects of aromatherapy massage on sleep quality of nurses with monthly rotating night shifts. Subjects were enrolled at a medical center in central Taiwan with overall score ≥ 5 of Pittsburgh Sleep Quality Index (PSQI) and randomly assigned to the treatment or control groups. They were validated by pretests during their first graveyard shift in the trial period and the sleep quality information was collected by using the PSQI and sleep detectors. During the second graveyard shift, the treatment group received aromatherapy massage and the control group rested in the same aromatherapy room after work. All subjects filled out the PSQI surveys and the sleep quality information was collected during massage or resting and the following night. We found that the total PSQI was significantly decreased in the treatment group following the aromatherapy massage. Specifically, the components such as subjective sleep quality, sleep disturbance, and daytime dysfunction were significantly decreased. However, there were no significant changes of average PSQI scores between the two groups before and after intervention. Taken together, our study suggested that aromatherapy massage could improve sleep quality of nurses with monthly rotating night shift.

scholarly journals Augmented Reality (AR) Enhances the Effectiveness of Lung Expansion in Spinal Surgery Patients -Preliminary Study

2021 ◽  
Vol 6 (3) ◽  
pp. 1
Author(s):  
Yi-Chun Chen ◽  
Man-Ling Lin ◽  
Hsiau-Yi Kao ◽  
Shu-Yuan Chou ◽  
Shu-Chuan Lin ◽  
...  
Keyword(s):  
Health Education ◽  
Nursing Staff ◽  
Spinal Surgery ◽  
Statistical Difference ◽  
Education Level ◽  
Control Group ◽  
Current Health ◽  
Lung Expansion ◽  
Experimental Group ◽  
Education Process

Background: After spinal surgery, patients often have changes in respiratory system due to general anesthesia. Preoperative respiratory rehabilitation and respiratory muscle training are found to be effective in reducing the postoperative pulmonary complications.Aim: Comparing the differences in the effects of postoperative lung expansion in patients with spinal surgery by using the conventional paper-based and the application of augmented reality (AR) health education methods, and understanding the acceptance of the use of AR by clinical nursing staff.Subject and methods: The quasi experiment was adopted; the control group was paper-based conventional health education and the experimental group was AR health education. The Trifflow breathing exercise was taught one day before operation. The frequency of exercise was 5-10 minutes each time and four times a day. The exercise was started from the day before operation and was continued until being discharged from the hospital. The pulmonary capacities were measured one day before the operation and on the day of leaving the hospital. Twenty people were recruited in both groups. There were 20 nursing staff participated in this study in total. The acceptance level of using AR was surveyed by using self-administered structured questionnaire.Result: In the experimental group, females were accounted for 65%, 55% of them were under 64 years old, and 30% of them with primary education level; in the control group, 85% of them were females, 70% of them were over 65 years old, and 30% with primary education level. The vital capacities measured at the time of discharge comparing with that before the operation were increased in both group, which reached a statistical difference (p=0.001). However, there was no significantly statistical difference between different groups. In terms of AR recognition by nursing staff: 75.0% thought that “the current health education tools are not enough”, 90% agreed that “acceptance of AR by patient and family”, 75% agreed that “the AR used in this health education process is convenient”, “the use of AR in this health education process is interactive”, and “AR health education makes the whole health education process more interesting”. Seventy percent agreed that “I have enough relevant resources to use AR health education”.Conclusion: Both traditional and AR health education models can improve the pulmonary function of patients, and there were significantly statistical differences. However, nursing staff felt that the current health education tools were not enough and thought that AR was interactive, interesting and convenient.Recommendation: The AR medical education has the advantages of interactive games and instant feedback. It can be utilized in clinical services to provide nurses with different models of health education.

Reducing time in bed after percutaneous transluminal coronary angioplasty (TIBS III)

2000 ◽  
Vol 9 (3) ◽  
pp. 185-187 ◽  
Author(s):  
AW Keeling ◽  
CA Fisher ◽  
KH Haugh ◽  
ER Powers ◽  
MS Turner
Keyword(s):  
Femoral Artery ◽  
Coronary Angioplasty ◽  
Medical Center ◽  
Percutaneous Transluminal Coronary Angioplasty ◽  
Control Group ◽  
Control Group Design ◽  
Time In Bed ◽  
Transluminal Coronary Angioplasty ◽  
Percutaneous Transluminal ◽  
Experimental Group

BACKGROUND: This study is the third in a series of investigations on the requisite length of time that patients should be restricted to bed after coronary arteriography or percutaneous transluminal coronary angioplasty using a femoral artery approach. METHODS: A prospective, experimental-control group design with randomization was used initially to compare the incidence of bleeding between patients who remained in bed for 4 hours and patients who remained in bed for 6 hours after sheath removal following percutaneous transluminal coronary angioplasty. RESULTS: Rapid changes in the healthcare environment led to nurses collecting complete data sets for the experimental group only. The experimental group (n = 51) was 73% male and 27% female; mean age was 57 years (SD = 11.4 years). Mean time in bed was 4.1 hours (SD = 0.27 hours). Most patients (98%) did not bleed from the femoral artery access site after remaining in bed for 4 hours following sheath removal. Ninety-two percent of patients required analgesics while in bed. Mean length of stay after the angioplasty was 1.4 days (SD = 0.79 days). Bleeding occurred in one subject and was related to multiple invasive procedures and an activated clotting time of greater than 200 seconds. CONCLUSIONS: Requisite time in bed after percutaneous transluminal coronary angioplasty has been reduced to 4 hours at the University of Virginia Medical Center, the same time required for patients undergoing cardiac catheterization. Discomfort after the procedure remains to be addressed.

Effectiveness of a structured communication program for family members of patients in an ICU

1998 ◽  
Vol 7 (1) ◽  
pp. 24-29 ◽  
Author(s):  
JJ Medland ◽  
CE Ferrans
Keyword(s):  
Nursing Staff ◽  
Information Needs ◽  
Family Members ◽  
Satisfaction With Care ◽  
Control Group ◽  
Communication Program ◽  
Group Satisfaction ◽  
Quasi Experimental ◽  
Structured Communication ◽  
Experimental Group

BACKGROUND: In ICUs, an essential component of caring for patients' families is providing information about the patient's status. Nevertheless, interruptions by family members requesting information create an additional burden for nursing staff. OBJECTIVES: To test a structured communications program for family members to determine whether the program would increase family members' satisfaction with care, meet their needs for information better, and decrease disruption for the ICU nursing staff caused by incoming telephone calls from patients' family members. METHODS: The study used a two-group, pretest-posttest quasi-experimental design. The sample consisted of 30 family members of patients in a medical ICU (experimental group, n = 15; control group, n = 15). The intervention consisted of a structured communication program consisting of three components: (1) a discussion with a nurse approximately 24 hours after admission of the patient, (2) an informational pamphlet given at the time of the discussion, and (3) a daily telephone call from the nurse who was caring for the patient that day. RESULTS: The number of incoming calls from family members was significantly lower in the experimental group than in the control group. In the experimental group, satisfaction with care increased significantly from pretest to posttest, as did the members' perception of how well their information needs were being met. CONCLUSIONS: The intervention reduced the number of incoming calls from family members, without compromising family members' satisfaction with care or how well their information needs were met.

A Test between the Selective Attention and Stimulus Generalization Interpretations of the Easy-to-hard Effect

1972 ◽  
Vol 24 (3) ◽  
pp. 352-355 ◽  
Author(s):  
J. Sweller
Keyword(s):  
Selective Attention ◽  
Brightness Discrimination ◽  
Stimulus Generalization ◽  
Control Group ◽  
Experimental Group

The selective attention and stimulus generalization interpretations of the easy-to-hard effect were tested by training one group of rats on an easy brightness discrimination and “reversing” them on a more difficult brightness discrimination. A control group, initially trained on the difficult discrimination, was reversed at the same time as the experimental group. The experimental group learned the reversal more rapidly and this was interpreted as supporting the selective attention interpretation.

Sign in / Sign up

Export Citation Format

Share Document