scholarly journals The Impact of Sleep Deprivation on Work Performance towards Night-shift Healthcare Workers: An Evidence-based Case Report

2021 ◽  
Vol 55 (6) ◽  
Author(s):  
Muhammad Habiburrahman ◽  
Elvira Lesmana ◽  
Fadhilah Harmen ◽  
Nadya Gratia ◽  
Listya Tresnanti Mirtha
Keyword(s):  
Case Report ◽  
Physical Fitness ◽  
Sleep Deprivation ◽  
Healthcare Workers ◽  
Work Performance ◽  
Night Shift ◽  
Worker Safety ◽  
Work Behavior ◽  
Evidence Based ◽  
The Impact

Background. Poor sleep and excessive fatigue among workers can reduce well-being and physical fitness. However, not many studies have mentioned how sleeping deprivation among night-shift healthcare workers impacted their work performance in multiple aspects. Method. We conducted an evidence-based case report (EBCR) of a night shift nurse who was worried about the impact of her sleep deprivation on her work performance in the future due to prior history of needle-stick injuries. We aimed to determine whether sleeping deprivation caused by regular night shifts leads to decreased work performance among night-shift healthcare workers by formulating a clinical question. Evidence was searched systematically using five major journal databases (Proquest, EBSCO-Host, PubMed, ScienceDirect, and Cochrane) and was assessed thoroughly using inclusion and exclusion criteria. Results. Eleven eligible studies were obtained with a medium level of evidence (III-IV), three systematic reviews with meta-analyses (SR-MA), three SR without MA, and five observational studies. All of them were analyzed and critically appraised using Oxford Evidence-Based Medicine and Joanna Briggs Institute tools. We found that reduced quantity and quality of sleep impacted all dimensions of work performance among healthcare professionals, be it in task performance (e.g., skill proficiency), contextual performance (e.g., communication skill and mental health issues), and patient and health worker safety (accident and medication error). It could also encourage counterproductive work behavior, such as absenteeism. Furthermore, sleep deprivation changes circadian rhythms, causing decreased information processing and affective recognition functions in some vital brain areas, ultimately affecting several work dimensions. Conclusion. In conclusion, stakeholders need to adjust proper shift scheduling for health care workers, practice sleep hygiene, maintain physical fitness, and consume nutritional food, positively correlated to health and productivity.

Assessment of Healthcare Professionals' Adherence to Hand Hygiene After Alcohol-Based Hand Rub Introduction at an Intensive Care Unit in São Paulo, Brazil

2007 ◽  
Vol 28 (3) ◽  
pp. 365-367 ◽  
Author(s):  
Solange L. Santana ◽  
Guilherme H. C. Furtado ◽  
Ana Paula Coutinho ◽  
Eduardo A. S. Medeiros
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Hand Hygiene ◽  
Educational Program ◽  
Healthcare Workers ◽  
Healthcare Professionals ◽  
Night Shift ◽  
Nursing Assistants ◽  
Invasive Procedures ◽  
The Impact

We analyzed the impact of introducing an alcohol-based hand gel and an educational program on hand hygiene adherence among healthcare workers in an intensive care unit. Adherence to hand hygiene was significantly higher after the intervention for the night shift work period (P = .001), among nursing assistants (P = .001), among nurses (P = .007) on weekend days (P = .016), and for invasive procedures (P = .012).

scholarly journals Shift work is associated with positive COVID-19 status in hospitalised patients

2020 ◽  
Author(s):  
Robert Maidstone ◽  
Simon G Anderson ◽  
David W Ray ◽  
Martin K Rutter ◽  
Hannah J Durrington ◽  
...  
Keyword(s):  
Shift Work ◽  
Healthcare Workers ◽  
Night Shift ◽  
Multivariate Logistic Regression ◽  
Shift Workers ◽  
Night Shift Work ◽  
Work Factors ◽  
Hospitalised Patients ◽  
Disease Exposure ◽  
The Impact

AbstractIntroductionShift work is associated with both mental, and physical ill health, including lung disease and infections. However, the impact of shift work on significant COVID-19 illness has not be assessed. We therefore investigated whether shift work is associated with COVID-19.Methods501,000 UK biobank participants were linked to secondary care SARS-CoV-2 PCR results from public health England. Healthcare workers and those without an occupational history were excluded from analysis.ResultsMultivariate logistic regression taking into account age, sex, ethnicity and deprivation index revealed that irregular shift work (OR 2.42 95%CI 1.92-3.05), permanent shift work (OR 2.5, 95%CI 1.95-3.19), day shift work (OR 2.01, 95%CI 1.55-2.6), irregular night shift work (OR 3.04, 95%CI 2.37-3.9) and permanent night shift work (OR 2.49, 95%CI 1.67-3.7) were all associated with positive COVID-19 tests compared to participants that did not perform shift work. This relationship persisted after adding sleep duration, chronotype, pre-morbid disease, BMI, alcohol and smoking. Work factors (proximity to a colleague combined with estimated disease exposure) were positively correlated with COVID-19 incidence (r2=0.248, p=0.02). If this was added to the model shift work frequency remained significantly associated with COVID-19. To control for non-measured occupational factors the incidence of COVID-19 in shift workers was compared to colleagues in the same job who did not do shift work. Shift workers had a higher incidence of COVID-19 (p<0.01).ConclusionsShift work is associated with a higher likelihood of in-hospital COVID-19 positivity. This risk could potentially be mitigated via additional workplace precautions or vaccination.

scholarly journals ESMO Management and treatment adapted recommendations in the COVID-19 era: Pancreatic Cancer

ESMO Open ◽  
2020 ◽  
Vol 5 (Suppl 3) ◽  
pp. e000804 ◽  
Author(s):  
Silvia Catanese ◽  
George Pentheroudakis ◽  
Jean-Yves Douillard ◽  
Florian Lordick
Keyword(s):  
Pancreatic Cancer ◽  
Healthcare Workers ◽  
Diagnostic Procedures ◽  
Healthcare Services ◽  
Evidence Based ◽  
Levels Of Care ◽  
Care Services ◽  
Therapeutic Algorithms ◽  
The Impact

The COVID-19 pandemic is challenging the capacities of health systems in many countries. National healthcare services have to manage unexpected shortages of healthcare resources that have to be re-allocated according to the principles of fair and ethical prioritisation, in order to maintain the highest levels of care to all patients, ensure the safety of patients and healthcare workers, and save as many lives as possible. Also, cancer care services have to pursue restructuring, following the same evidence-based dispositions. In this article, we propose a guidance to the management of pancreatic cancer during the pandemic, prioritised according to a three-tiered framework, and based on expert clinical judgement and magnitude of benefit expected from specific interventions. Since the availability of resources for diagnostic procedures, surgery and postoperative care, systemic therapy and radiotherapy may differ, the authors have separated the prioritisation analyses. The impact of postponing or abrogating cancer interventions on outcomes according to a high, medium or low priority scale is outlined and discussed. The implementation of healthcare services using telemedicine is explored; it reveals itself as functional and effective for limiting patients’ need to travel to centres and thereby has the potential to reduce diffusion of SARS-CoV-2. Pancreatic cancer demands a considerable amount of medical resources. Therefore, the redefinition of its diagnostic and therapeutic algorithms with a rigorous method is crucial in order to ensure the highest quality of continuum of care in the broader context of the pandemic and the challenged healthcare systems.

scholarly journals Association of Choroidal Thickness with Sleep Deprivation in Night-Shift Healthcare Workers

2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Keyvan Shirzadi ◽  
Ali Torkashvand
Keyword(s):  
Sleep Deprivation ◽  
Healthcare Workers ◽  
Choroidal Thickness ◽  
Night Shift ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Thickness Change ◽  
Islamic Republic Of Iran ◽  
Good Vision ◽  
Shift Personnel

Background: Good vision is an important factor for most night-shift personnel, and the effects of sleep deprivation on visual function must be studied. Up to our knowledge, no study has evaluated the effect of nigh working on choroidal indices. Objectives: In this study, we aimed to investigate the effects of sleep deprivation on choroidal thickness. Methods: This cross-sectional study was conducted on 50 night-shift healthcare workers of the Islamic Republic of Iran (IRI) army medical core. Baseline choroidal thickness was measured for all participants using optical coherence tomography (OCT), and at the same time (10 AM to 2 PM) a day following the night shift, participants underwent a second measurement of choroidal thickness. The awake time before the second measurement was recorded. Results: The mean age ± standard deviation of the participants was 42.55 ± 5.52 that 52% were female. A statistically significant increase in choroidal thickness was recorded following night-shift (P = 0.001). Choroidal thickness following night-shift significantly correlated with age (r = -0.614; p = 0.001), awake time (r = 0.417; P = 0.003) and with baseline thickness of choroid (r = 0.830; P = 0.001). Conclusions: It seems that sleep deprivation may increase choroidal thickness, and the awake time may a predictor of choroidal thickness change after the night shift.

scholarly journals ESMO management and treatment adapted recommendations in the COVID-19 era: colorectal cancer

ESMO Open ◽  
2020 ◽  
Vol 5 (Suppl 3) ◽  
pp. e000826 ◽  
Author(s):  
Loredana Vecchione ◽  
Sebastian Stintzing ◽  
George Pentheroudakis ◽  
Jean-Yves Douillard ◽  
Florian Lordick
Keyword(s):  
Colorectal Cancer ◽  
Healthcare Workers ◽  
Diagnostic Procedures ◽  
Healthcare Services ◽  
Evidence Based ◽  
Levels Of Care ◽  
Care Services ◽  
Therapeutic Algorithms ◽  
The Impact

COVID-19 pandemic challenges health system capacities in many countries. National healthcare services have to manage unexpected shortage of healthcare resources that have to be reallocated according to the principles of fair and ethical prioritisation, in order to maintain the highest levels of care to all patients, ensure the safety of patients and healthcare workers and save as many lives as possible. Beyond that, cancer care services have to pursue restructuring, following the same evidence-based dispositions. In this article, we propose guidance to the management of colorectal cancer during the pandemic, prioritised according to a three-tiered framework, based on expert clinical judgement and magnitude of benefit expected from specific interventions. Since the availability of resources for diagnostic procedures, surgery and postoperative care, systemic therapy and radiotherapy may differ, authors did separate prioritisation analyses. The impact of postponing or abrogating cancer interventions on outcomes according to a high, medium or low priority scale, is outlined and discussed. The implementation of healthcare services using telemedicine is explored: it reveals itself as functional and effective for limiting patients’ need to travel to centres and thereby has the potential to reduce diffusion of severe acute respiratory syndrome coronavirus 2. Colorectal cancer demands a considerable amount of medical resources. Therefore, the redefinition of its diagnostic and therapeutic algorithms with a rigorous method is crucial in order to ensure the highest quality of continuum of care in the broader context of the pandemic and the challenged healthcare systems.

scholarly journals Mitigating the Impact of Reemergence From a Pandemic on Healthcare

2021 ◽  
Author(s):  
Patricia L Hall
Keyword(s):  
Healthcare Workers ◽  
High Reliability ◽  
Well Being ◽  
Professional Organizations ◽  
Evidence Based ◽  
Resiliency Training ◽  
Department Of Health ◽  
Second Victim ◽  
Medical Crisis ◽  
The Impact

ABSTRACT Healthcare workers have never faced a medical crisis that compares to the coronavirus disease-2019 pandemic. This modern-day pandemic fight draws parallels to a war. Because of these similarities, it would make sense that the experiences frontline providers have when transitioning to a normal healthcare routine would emulate experiences service members voice when reintegrating home from a battlefield. These common experiences include a unified mission, an exhausting, adrenaline-packed responsibility, and a celebrity-like status to the public. The pandemic response consumed healthcare with one united mission, but as we reemerge from the pandemic and restore other aspects of our healthcare system, multiple missions develop and compete. Returning to a common routine and regular status can manifest feelings of disappointment in healthcare workers’ everyday lives and career choices and lead to a reexamination of priorities and professions. As an organization with a focus on high reliability, mitigating the harm to staff and delivery system may be our new priority. The risk of not facing this situation head on is a potential exodus of seasoned professionals contemplating their future and selecting other career paths, thus draining the current institutional knowledge and potentially deterring future generations from healthcare. Leaders in the healthcare industry need to take a proactive stance in addressing this reemergence. Integrated, proactive programming is needed utilizing evidence-based resiliency training from professional organizations such as the National Alliance on Mental Illness, the Department of Health and Human Services’ Substance Abuse and Mental Health Services Administration, as well as the existing Department of Defense programs. The Veterans Affairs has the backbone to develop and offer these programs and make a positive difference with Employee Whole Health efforts. Organized, evidence-based programming such as second victim education, mindfulness, and other personal skill building could be key to improving the lifelong well-being of our caregivers.

scholarly journals Social jetlag and sleep debts are altered in different rosters of night shift work

PLoS ONE ◽  
2022 ◽  
Vol 17 (1) ◽  
pp. e0262049
Author(s):  
Swaantje Casjens ◽  
Frank Brenscheidt ◽  
Anita Tisch ◽  
Beate Beermann ◽  
Thomas Brüning ◽  
...  
Keyword(s):  
Sleep Quality ◽  
Sleep Deprivation ◽  
Sleep Duration ◽  
Shift Work ◽  
Night Shift ◽  
Shift Workers ◽  
Social Jetlag ◽  
Sleep Debt ◽  
The Impact ◽  
Night Shifts

Background Night and shift work are suspected to cause various adverse effects on health and sleep. Sleep deprivation through shift work is assumed to be compensated on free days. So far it is not clear how different shift systems and shift lengths affect sleep structure on work and free days. Especially working night shifts disrupts the circadian rhythm but also extended working hours (12h) might affect sleep characteristics. Hitherto, the magnitude of sleep debt, social jetlag, and Locomotor Inactivity During Sleep (LIDS) in different shift systems is unknown. Methods Here, we investigated the impact of five different shift rosters on sleep in 129 industrial workers from Germany. Permanent night work with multiple shift systems with and without night shifts and with different shift lengths were compared. Wrist-activity was monitored over 28 days revealing sleep on- and offsets as well as LIDS as proxy for sleep quality. Overall, 3,865 sleep bouts comprising 22,310 hours of sleep were examined. Results The mean daily age-adjusted sleep duration (including naps) was 6:43h and did not differ between shift workers of different rosters. However, sleep duration on workdays was particularly low in rotational shift systems with 12h-shifts (5:00h), while overall sleep debt was highest. Shift workers showed a median absolute social jetlag of 3:03h, which differed considerably between shift types and rosters (p<0.0001). Permanent night workers had the highest social jetlag (5:08h) and latest mid-sleeps on workdays and free days. Sleep quality was reduced in permanent night shift workers compared with shift workers in other rosters and differed between daytime and nighttime sleep. Conclusions Shift work leads to partial sleep deprivation, which particularly affects workers in 12h-shifts and permanent night shifts. Working these shifts resulted in higher sleep debts and larger absolute social jetlag whereas sleep quality was especially reduced in permanent night shift workers compared with shift workers of other rosters.

Medical Decisions of Pediatric Residents Turn Riskier after a 24-Hour Call with No Sleep

2016 ◽  
Vol 37 (1) ◽  
pp. 127-133 ◽  
Author(s):  
Adi Aran ◽  
Netanel Wasserteil ◽  
Itai Gross ◽  
Joseph Mendlovic ◽  
Yehuda Pollak
Keyword(s):  
Sleep Deprivation ◽  
Sustained Attention ◽  
Risk Taking ◽  
Clinical Decision Making ◽  
Night Shift ◽  
Clinical Decision ◽  
Medical Decision ◽  
Pediatric Residents ◽  
Medical Risk ◽  
The Impact

Background. Despite a gradual reduction in the workload during residency, 24-hour calls are still an integral part of most training programs. While sleep deprivation increases the risk propensity, the impact on medical risk taking has not been studied. Objective. This study aimed to assess the clinical decision making and psychomotor performance of pediatric residents following a limited nap time during a 24-hour call. Methods. A neurocognitive battery (IntegNeuro) and a medical decision questionnaire were completed by 44 pediatric residents at 2 time points: after a 24-hour call and following 3 nights with no calls (sleep ≥5 hours). To monitor sleep, residents wore actigraphs and completed sleep logs. Results. Nap time during the shift was <1 hour in 14 cases (32%), 1 to 2 hours in 16 cases (35%), and 2 to 3 hours in 14 cases (32%). Residents who napped less than 1 hour chose the riskier medical option in 50% of cases compared with 36% when answering the same questionnaire after 3 nights with no calls ( P = 0.002). This effect was not found in residents who napped 1 to 2 hours (no change in risk taking) or 2 to 3 hours (4% decreased risk taking) (difference between groups, P = 0.001). Risk-taking tendency inversely correlated with sustained attention scores (Pearson = −0.433, P = 0.003). Sustained attention was the neurocognitive domain most affected by sleep deprivation (effect size = 0.29, P = 0.025). Conclusions. This study suggests that residents napping less than an hour during a night shift are prone to riskier clinical decisions. Hence, enabling residents to nap at least 1 hour during shifts is recommended.

scholarly journals Using a Critical Safety Behavior Scoring Tool for N95 Respirator Use to Evaluate Training Interventions

2020 ◽  
Vol 41 (S1) ◽  
pp. s425-s425
Author(s):  
Elizabeth Beam ◽  
Kevin Kupzyk ◽  
Jocelyn Herstein ◽  
Shawn Gibbs
Keyword(s):  
Healthcare Workers ◽  
Worker Safety ◽  
Instructional Video ◽  
Just In Time ◽  
Safety Behaviors ◽  
Safety Behavior ◽  
Training Interventions ◽  
Video Reflection ◽  
Scoring Tool ◽  
The Impact

Background: Hospitals struggle nationally to educate healthcare workers on the safe use of N95 respirators as part of their respiratory protection programs. Practical and effective interventions are needed to improve this clinical behavior, which is critical to healthcare worker safety in airborne precautions, hazardous drug administration, and pandemic response. Objective: In this analysis, we specifically investigated 2 just-in-time training interventions that would be practical to implement in a hospital setting. Methods: A simulation approach was used to evaluate 2 interventions for N95 respirator use at a Midwestern Academy Hospital system (n = 62 respirators: 32 control and 30 treatment). Healthcare workers were asked to don and doff an N95 respirator while being video-recorded in an empty hospital corridor and room. After a randomized intervention was applied, they repeated the respirator donning and doffing while being video-recorded. One intervention used an instructional video alone, and the other used the same instructional video but added a video reflection intervention. The video reflection intervention asked the participant to review and score their first performance of N95 donning and doffing using the Critical Safety Behavior Scoring Tool (CSBST). The research team used the same CSBST to score all performances of donning and doffing for comparison and evaluation. Result: The critical safety behaviors at the pretest and posttest for the 2 intervention groups reveal the impact of the 2 types of just-in-time training on demonstrated N95 respirator skills. The video alone and video reflection scores were not significantly different at pretest between the 2 groups. Scores were significantly higher on the posttest for the reflective practice intervention. Findings related to demographic information included years in healthcare, frequency of use, history of needlestick, and fatigue. Conclusions: Video reflection may improve compliance with critical safety behaviors for just-in-time training on N95 respirator use. Further research should examine the video-recorded findings for measurement elements that can be expanded in a scoring tool such as facial hair, hairstyle, and the quality of hand hygiene. Intervention studies should also examine how often the training must be repeated to maintain competency. This intervention may have implications for the training of other critical safety behaviors in infection control and other high-risk procedures.Funding: NoneDisclosures: None

Sign in / Sign up

Export Citation Format

Share Document