Sleepiness in critical care nurses: results of a pilot study.

J Hosp Med

Division of Pulmonary/Critical Care and Sleep Medicine, Baylor College of Medicine, Houston, Texas, USA.

Published: May 2008

AI Article Synopsis

  • Sleep deprivation and circadian disruptions are prevalent issues among health care workers, particularly affecting nurses and posing risks to both patient safety and the nurses themselves.
  • The study evaluated sleepiness levels in post-night-shift nurses using subjective and objective methods, revealing significant differences between ICU nurses and those on general floors.
  • Findings indicated that ICU nurses exhibited higher levels of sleepiness based on the Epworth Sleepiness Scale and Mean Sleep Latency Test, suggesting they experience a concerning level of sleepiness that could impact their performance and safety.

Article Abstract

Background: Sleep deprivation, compounded by circadian disruptions, is a common problem in health care workers. Sleepiness in nurses has important implications for patients as well as nurses' own safety.

Objective: The objective of the study was to assess comprehensively sleepiness levels in post-night-shift nurses.

Methods: Post-night-shift nurses in the ICU and on general floors (medicine and surgery) were assessed using subjective (Epworth Sleepiness Scale [ESS]) and objective (Mean Sleep Latency Test [MSLT]) measures.

Results: ESS was abnormal (>8) in 7 of 10 ICU nurses compared with 2 of 10 floor nurses (P < .005), and mean ESS score was also higher (8.7 +/- 3.9 vs. 5.6 +/- 2.1, respectively; P = 0.042). MSLT values for the first nap period were in the pathologic range in the ICU nurses compared with the floor nurses (4.65 +/- 5.5 vs. 10.85 +/- 7.4 minutes, respectively; P < .05).

Conclusions: Post-night-shift RNs working in the ICU have a pathologic degree of sleepiness.

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Source
http://dx.doi.org/10.1002/jhm.307DOI Listing

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