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    Scheduled Naps Improve Drowsiness and Quality of Nursing Care among 12-Hour Shift Nurses

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    Author
    Han, Kihye
    Hwang, Heejeong
    Lim, Eunyoung
    Jung, Mirang
    Lee, Jihye
    Lim, Eunyoung
    Lee, Sunhee
    Kim, Yeon-Hee
    Choi-Kwon, Smi
    Baek, Hyang
    Date
    2021-01-20
    Journal
    International Journal of Environmental Research and Public Health
    Publisher
    MDPI AG
    Type
    Article
    
    Metadata
    Show full item record
    See at
    https://doi.org/10.3390/ijerph18030891
    Abstract
    Scheduled naps in the workplace are an effective countermeasure to drowsiness in safety-sensitive industries. This quasi-experimental study with a one-group, pre-and post-test design aimed to examine the effects of scheduled naps on nurses working 12-h shifts. Nurses in two pediatric intensive care units at a tertiary hospital were provided 30-min scheduled nap opportunities during their shifts. A total of 38 nurses completed pre-and post-test work diaries for sleepiness, fatigue, work demands and pace, and quality of nursing care at the end of each shift. The drowsiness of 13 nurses was continuously assessed during their shifts using infrared reflectance oculography. Nurses who reached naps reported improved levels of fatigue on the first night shift and better quality of nursing care the second night and day shifts post-test, while nurses who did not reach naps showed no significant improvements. The oculography successfully assessed drowsiness during 73% and 61% of the pre-and post-test total work hours, respectively. The total cautionary and cautionary or higher levels of drowsiness decreased. Nurse managers should consider scheduled naps in clinical settings to improve nurses’ alertness during their shifts. © 2021 by the authors.
    Keyword
    Korea
    drowsiness
    extended work hours
    fatigue
    nurse
    scheduled naps
    Identifier to cite or link to this item
    http://hdl.handle.net/10713/14637
    ae974a485f413a2113503eed53cd6c53
    10.3390/ijerph18030891
    Scopus Count
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