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Sleep deprivation and error in nurses who work the night shift
Arlene L Johnson1, Lorena Jung, Yeonsu Song
1Author Affiliations: Postdoctoral Research Fellow (Drs Johnson and Jung) and Assistant Dean, Doctoral Division & Research Development (Dr Richards), School of Nursing, College of Health and Human Services, George Mason University, Fairfax, Virginia; Professor and Chair Community Health, Outcomes, and Systems (Dr Brown), School of Nursing, University of Alabama at Birmingham; Director of Statistical Services (Dr Weaver), School of Nursing, Indiana University, Indianapolis.
Night shift nurses experiencing sleep deprivation reported more patient care errors. Interventions are needed to improve sleep quality and quantity for these nurses to enhance patient safety.
Area of Science:
- Nursing
- Sleep Medicine
- Patient Safety
Background:
- Sleep deprivation is a known risk factor for errors in safety-critical industries like aviation and trucking.
- Limited research exists on the association between sleep deprivation and errors among nurses, particularly those working night shifts.
Purpose of the Study:
- To examine the relationship between sleep deprivation and occupational and patient care errors.
- To investigate these associations specifically in hospital staff nurses working the night shift.
Main Methods:
- A cross-sectional correlational study design was employed.
- Data were collected from 289 hospital night shift nurses.
- The study evaluated the links between self-reported sleep deprivation and reported occupational and patient care errors.
Main Results:
- Over half (56%) of the participating nurses reported being sleep deprived.
- A significant association was found between sleep deprivation and an increased number of patient care errors.
- The study could not assess the association with occupational errors due to an insufficient number of reported incidents.
Conclusions:
- Hospital night shift nurses frequently experience sleep deprivation, which is linked to patient care errors.
- There is a clear need for interventions aimed at improving both the quality and quantity of sleep for night shift nurses.
- Enhancing sleep among night shift nurses is crucial for reducing the negative impact of sleep deprivation on patient care and safety.
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