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Updated: Mar 11, 2026

Collecting Sleep, Circadian, Fatigue, and Performance Data in Complex Operational Environments
Published on: August 8, 2019
The Effect of Reported Sleep, Perceived Fatigue, and Sleepiness on Cognitive Performance in a Sample of Emergency
Lisa A Wolf1, Cydne Perhats, Altair Delao
1Author Affiliations: Director, Institute for Emergency Nursing Research (Dr Wolf); Senior Research Associate (Mss Perhats and Delao), Emergency Nurses Association, Des Plaines; and Research Assistant Professor (Dr Martinovich), Department of Psychiatry, Northwestern University Feinberg School of Medicine, Evanston, Illinois.
Objective:
The aim of this study is to explore the relationship between reported sleep, perceived fatigue and sleepiness, and cognitive performance.
Background:
Although evidence suggests that fatigue and sleepiness affect the provision of care in inpatient units, there is a lack of research on the sleep patterns of emergency nurses and the effects of disturbed sleep and fatigue on their cognitive abilities and susceptibility to medical errors.
Methods:
A quantitative correlational design was used in this study; in each of 7 different statistical models, zero-order relationships between predictors and the dependent variable were examined with appropriate inferential tests.
Results:
Participants reported high levels of sleepiness and chronic fatigue that impeded full functioning both at work and at home.
Conclusions:
Although high levels of self-reported fatigue did not show any effects on cognitive function, other factors in the environment may contribute to delayed, missed, or inappropriate care. Further research is indicated.
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