Vigilance and sleepiness in nurses working 12-hr shifts and their coping strategies.

Autor:	Pélissier C; Univ Lyon, Univ Lyon 1, Univ St Etienne, IFSTTAR, UMRESTTE, UMR_T9405, Saint Etienne, France.; Service de Santé au travail Centre Hospitalier, Universitaire de Saint-Etienne, Saint Etienne, France., Cavelier C; Service de Santé au travail Centre Hospitalier, Universitaire de Saint-Etienne, Saint Etienne, France., Vercherin P; Département de Santé Publique et d'informations médicales Centre Hospitalier Universitaire de Saint-Etienne, Saint Etienne, France., Roche F; Department of Clinical and Exercise Physiology, University Hospital of Saint-Etienne, PRES Lyon, Jean Monnet University, Saint-Etienne, France.; EA SNA EPIS 4607, Autonomic Nervous System, University of Lyon, Saint-Etienne, France., Patural H; Department of Pediatrics, SNA_EPIS, CHU Saint-Etienne, University of Lyon/Saint-Etienne, Saint Etienne, France., Fontana L; Univ Lyon, Univ Lyon 1, Univ St Etienne, IFSTTAR, UMRESTTE, UMR_T9405, Saint Etienne, France.; Service de Santé au travail Centre Hospitalier, Universitaire de Saint-Etienne, Saint Etienne, France.
Jazyk:	angličtina
Zdroj:	Journal of nursing management [J Nurs Manag] 2021 Jul; Vol. 29 (5), pp. 962-970. Date of Electronic Publication: 2020 Dec 29.
DOI:	10.1111/jonm.13233
Abstrakt:	Aim: To describe the progression of vigilance and sleepiness over the shift and the coping strategies of nurses working 12-hr day or night shifts. Background: The spread of 12-hr shift work in nursing raises the question of whether sufficient vigilance can be maintained to ensure quality of care. Method: 18 nurses working 12-hr shifts filled out a Karolinska Sleepiness Scale questionnaire and a Brief Psychomotor Vigilance Test, at the beginning of the shift and then every 3 hr. Coping strategies and quality of care were assessed on self-administered questionnaires, filled out at 3 hr, 6 hr, 9 hr and 12 hr after the start of the shift. Results: The present investigation did not show significantly excessive sleepiness or vigilance impairment or poor self-perception of quality of work during 12-hr nursing work shifts, although Psychomotor Vigilance Test results gradually deteriorated slightly over duty time (from start to end of shift). Certain coping strategies were preferred such as 'having a nap' later in the night shift. Conclusion: Attention needs to be paid to the health status of nurses working 12-hr shifts, with regular medical monitoring by the occupational health service. Implications for Nursing Management: Coping strategies to maintain sufficient vigilance to ensure quality of care should be facilitated. (© 2020 John Wiley & Sons Ltd.)
Databáze:	MEDLINE
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