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Collecting Sleep, Circadian, Fatigue, and Performance Data in Complex Operational Environments
Published on: August 8, 2019
The relationship between nurse work schedules, sleep duration, and drowsy driving
Linda D Scott1, Wei-Ting Hwang, Ann E Rogers
1Kirkhof College of Nursing, Grand Valley State University, 312 Cook-Devos Center for Health Sciences, 301 Michigan Avenue NE, Grand Rapids, MI 49503, USA. scottl@gvsu.edu
Many hospital nurses drive drowsy after long shifts, risking public safety. Shorter sleep, night shifts, and on-duty sleepiness increase drowsy driving incidents among nurses.
Area of Science:
- Nursing and Healthcare Safety
- Occupational Health
- Transportation Safety
Background:
- Extended work shifts for hospital staff nurses are linked to increased errors.
- Limited data exists on nurse alertness during commutes after long shifts.
- Understanding post-shift fatigue is crucial for public and nurse safety.
Purpose of the Study:
- To determine the prevalence of drowsy driving among hospital staff nurses.
- To examine the relationship between drowsy driving and nurse work hours, alertness, night work, and sleep duration.
Main Methods:
- A 4-week daily logbook study was conducted with 895 full-time hospital staff nurses.
- Data collected included work hours, sleep duration, on-duty sleepiness, and drowsy driving occurrences.
- National random sampling ensured representative data collection.
Main Results:
- Nearly 600 (596/895) nurses reported at least one drowsy driving episode.
- 30 nurses experienced drowsy driving after every shift.
- Factors increasing drowsy driving risk included shorter sleep durations, night shifts, and on-duty sleepiness.
Conclusions:
- A significant number of nurses struggle with staying awake while driving home.
- Increased awareness and preventative strategies for drowsy driving are essential.
- Failure to mitigate nurse fatigue poses risks to public and nurse safety.
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