Purpose: This study aimed to evaluate the relationship between sleep, burnout, and psychomotor vigilance in residents working in the medical intensive care unit (ICU).
Methods: A prospective cohort study of residents was implemented during a consecutive 4-week. Residents were recruited to wear a sleep tracker for 2 weeks before and 2 weeks during their medical ICU rotation. Data collected included wearable-tracked sleep minutes, Oldenburg burnout inventory (OBI) score, Epworth sleepiness scale (ESS), psychomotor vigilance testing, and American Academy of Sleep Medicine sleep diary. The primary outcome was sleep duration tracked by the wearable. The secondary outcomes were burnout, psychomotor vigilance (PVT), and perceived sleepiness.
Results: A total of 40 residents completed the study. The age range was 26-34 years with 19 males. Total sleep minutes measured by the wearable decreased from 402 min (95% CI: 377-427) before ICU to 389 (95% CI: 360-418) during ICU (p < 0.05). Residents overestimated sleep, logging 464 min (95% CI: 452-476) before and 442 (95% CI: 430-454) during ICU. ESS scores increased from 5.93 (95% CI: 4.89, 7.07) to 8.33 (95% CI: 7.09,9.58) during ICU (p < 0.001). OBI scores increased from 34.5 (95% CI: 32.9-36.2) to 42.8 (95% CI: 40.7-45.0) (p < 0.001). PVT scores worsened with increased reaction time while on ICU rotation (348.5 ms pre-ICU, 370.9 ms post-ICU, p < 0.001).
Conclusions: Resident ICU rotations are associated with decreased objective sleep and self-reported sleep. Residents overestimate sleep duration. Burnout and sleepiness increase and associated PVT scores worsen while working in the ICU. Institutions should ensure resident sleep and wellness checks during ICU rotation.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10224664 | PMC |
| http://dx.doi.org/10.1007/s11325-023-02839-8 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
The effects of experimental sleep disruption on daytime performance among children with asthma living in urban environments.
Sleep Health
January 2025
Bradley-Hasbro Children's Research Center, Hasbro Children's Hospital, Providence, Rhode Island, USA; Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA; Department of Pediatrics, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA.
Objectives: Children with asthma living in urban environments are at risk for disrupted sleep due to the presence of nocturnal asthma symptoms and urban stressors. Suboptimal sleep can affect children's daily functioning. The current study examined the effects of experimental sleep disruption on daytime performance in children with persistent asthma from urban backgrounds.
View Article and Find Full Text PDFAssociation of self-monitoring performance of cognitive performance with personal diurnal preference when sleep-deprived.
Chronobiol Int
January 2025
Research Center for Overwork-Related Disorders, National Institute of Occupational Safety and Health, Kawasaki, Japan.
In modern society, many workers struggle with sleep deprivation due to their work schedules and excessive workloads. Accurate self-awareness and self-monitoring abilities are crucial for workers to adopt risk-coping strategies and protective behaviors when fatigued. The current study examined the relationship between chronotypes and self-monitoring performance during 24 h of sleep deprivation.
View Article and Find Full Text PDFStudy Objectives: The Psychomotor Vigilance Task (PVT) is widely recognized as the gold standard for measuring vigilance, providing a rapid and objective measure of this state. While driving simulations are also used, they typically require longer administration times. This study examines the sensitivity of driving simulation variables to sleep deprivation throughout the task.
View Article and Find Full Text PDFOptimising lighting conditions to enhance seafarer adaptation to the '6-h on/6-h off' shift pattern: a balanced crossover study.
J Sleep Res
January 2025
Department of Light Sources and Illuminating Engineering, School of Information Science and Technology, Fudan University, Shanghai, China.
The '6-h on/6-h off' shift pattern could potentially disrupt the physiological rhythms and cognitive performance of seafarers, attributed to its shorter and more frequent shifts. Conversely, light exposure has been demonstrated to enhance cognitive abilities and synchronise physiological processes. Therefore, we studied the fatigue, cognition, sleep and rhythm of seafarers with different shifts to determine how light can benefit their performance.
View Article and Find Full Text PDFCognitive and neural basis of vigilance advantage in soccer players: Evidence from the drift-diffusion model and magnetic resonance imaging.
Psychol Sport Exerc
January 2025
Department of Magnetic Resonance Imaging, Beijing Shijitan Hospital, Capital Medical University, 100038, Beijing, China. Electronic address:
Soccer is a sport that requires athletes to be constantly aware of rapidly changing and unpredictable environments and to react adaptively. Previous studies have found that soccer players typically exhibit a vigilance advantage, but the underlying cognitive and neural basis for this is unclear. In this study, 27 soccer players, 17 age-matched artistic gymnasts, and 57 college students were recruited to participate in a psychomotor vigilance task.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!