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Sleep, sleepiness, fatigue, and performance of 12-hour-shift nurses.
Chronobiol Int. 2012 Mar; 29(2):211-9.CI

Abstract

Nurses working 12-h shifts complain of fatigue and insufficient/poor-quality sleep. Objectively measured sleep times have not been often reported. This study describes sleep, sleepiness, fatigue, and neurobehavioral performance over three consecutive 12-h (day and night) shifts for hospital registered nurses. Sleep (actigraphy), sleepiness (Karolinska Sleepiness Scale [KSS]), and vigilance (Performance Vigilance Task [PVT]), were measured serially in 80 registered nurses (RNs). Occupational fatigue (Occupational Fatigue Exhaustion Recovery Scale [OFER]) was assessed at baseline. Sleep was short (mean 5.5 h) between shifts, with little difference between day shift (5.7 h) and night shift (5.4 h). Sleepiness scores were low overall (3 on a 1-9 scale, with higher score indicating greater sleepiness), with 45% of nurses having high level of sleepiness (score > 7) on at least one shift. Nurses were progressively sleepier each shift, and night nurses were sleepier toward the end of the shift compared to the beginning. There was extensive caffeine use, presumably to preserve or improve alertness. Fatigue was high in one-third of nurses, with intershift fatigue (not feeling recovered from previous shift at the start of the next shift) being most prominent. There were no statistically significant differences in mean reaction time between day/night shift, consecutive work shift, and time into shift. Lapsing was traitlike, with rare (39% of sample), moderate (53%), and frequent (8%) lapsers. Nurses accrue a considerable sleep debt while working successive 12-h shifts with accompanying fatigue and sleepiness. Certain nurses appear more vulnerable to sleep loss than others, as measured by attention lapses.

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Authors+Show Affiliations

Geiger-Brown J
Work and Health Research Center , University of Maryland School of Nursing, Baltimore, MD 21201, USA. jgeiger@son.umaryland.edu
Rogers VE
No affiliation info available
Trinkoff AM
No affiliation info available
Kane RL
No affiliation info available
Bausell RB
No affiliation info available
Scharf SM
No affiliation info available

MeSH

AdultCircadian RhythmFatigueFemaleHumansMaleMiddle AgedNeuropsychological TestsSleepSleep Initiation and Maintenance DisordersTask Performance and AnalysisWakefulnessWorkWork Schedule ToleranceYoung Adult

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

22324559

Citation

Geiger-Brown, Jeanne, et al. "Sleep, Sleepiness, Fatigue, and Performance of 12-hour-shift Nurses." Chronobiology International, vol. 29, no. 2, 2012, pp. 211-9.
Geiger-Brown J, Rogers VE, Trinkoff AM, et al. Sleep, sleepiness, fatigue, and performance of 12-hour-shift nurses. Chronobiol Int. 2012;29(2):211-9.
Geiger-Brown, J., Rogers, V. E., Trinkoff, A. M., Kane, R. L., Bausell, R. B., & Scharf, S. M. (2012). Sleep, sleepiness, fatigue, and performance of 12-hour-shift nurses. Chronobiology International, 29(2), 211-9. https://doi.org/10.3109/07420528.2011.645752
Geiger-Brown J, et al. Sleep, Sleepiness, Fatigue, and Performance of 12-hour-shift Nurses. Chronobiol Int. 2012;29(2):211-9. PubMed PMID: 22324559.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Sleep, sleepiness, fatigue, and performance of 12-hour-shift nurses. AU - Geiger-Brown,Jeanne, AU - Rogers,Valerie E, AU - Trinkoff,Alison M, AU - Kane,Robert L, AU - Bausell,R Barker, AU - Scharf,Steven M, PY - 2012/2/14/entrez PY - 2012/2/14/pubmed PY - 2012/6/6/medline SP - 211 EP - 9 JF - Chronobiology international JO - Chronobiol Int VL - 29 IS - 2 N2 - Nurses working 12-h shifts complain of fatigue and insufficient/poor-quality sleep. Objectively measured sleep times have not been often reported. This study describes sleep, sleepiness, fatigue, and neurobehavioral performance over three consecutive 12-h (day and night) shifts for hospital registered nurses. Sleep (actigraphy), sleepiness (Karolinska Sleepiness Scale [KSS]), and vigilance (Performance Vigilance Task [PVT]), were measured serially in 80 registered nurses (RNs). Occupational fatigue (Occupational Fatigue Exhaustion Recovery Scale [OFER]) was assessed at baseline. Sleep was short (mean 5.5 h) between shifts, with little difference between day shift (5.7 h) and night shift (5.4 h). Sleepiness scores were low overall (3 on a 1-9 scale, with higher score indicating greater sleepiness), with 45% of nurses having high level of sleepiness (score > 7) on at least one shift. Nurses were progressively sleepier each shift, and night nurses were sleepier toward the end of the shift compared to the beginning. There was extensive caffeine use, presumably to preserve or improve alertness. Fatigue was high in one-third of nurses, with intershift fatigue (not feeling recovered from previous shift at the start of the next shift) being most prominent. There were no statistically significant differences in mean reaction time between day/night shift, consecutive work shift, and time into shift. Lapsing was traitlike, with rare (39% of sample), moderate (53%), and frequent (8%) lapsers. Nurses accrue a considerable sleep debt while working successive 12-h shifts with accompanying fatigue and sleepiness. Certain nurses appear more vulnerable to sleep loss than others, as measured by attention lapses. SN - 1525-6073 UR - https://www.unboundmedicine.com/medline/citation/22324559/Sleep_sleepiness_fatigue_and_performance_of_12_hour_shift_nurses_ L2 - https://www.tandfonline.com/doi/full/10.3109/07420528.2011.645752 DB - PRIME DP - Unbound Medicine ER -