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Sleep Characteristics of the Staff Working in a Pediatric Intensive Care Unit Based on a Survey
Yolanda Puerta1, Mirian García1,2,3, Elena Heras1
1Pediatric Intensive Care Unit, General Gregorio Marañón Hospital, Madrid, Spain.
Insights
Many pediatric intensive care unit (PICU) health professionals experience poor sleep quality, impacting their work and social lives. Night shift workers reported significantly worse sleep, with many unaware of their sleep issues.
Area of Science:
- Sleep Medicine
- Occupational Health
- Critical Care Nursing
Background:
- Healthcare professionals in demanding environments like pediatric intensive care units (PICUs) face unique challenges.
- Sleep quality is crucial for cognitive function, patient safety, and overall well-being in high-stress medical settings.
- Previous research indicates potential links between shift work and sleep disturbances among healthcare workers.
Purpose of the Study:
- To evaluate the sleep characteristics and quality of staff working in a PICU.
- To assess the impact of sleep disturbances on the work and social lives of PICU staff.
- To investigate the relationship between perceived sleep quality and objective sleep assessment tools.
Main Methods:
- An anonymous survey was administered to PICU staff, including demographic information and work schedules (fixed vs. 24-h shifts).
- Sleep quality was assessed using subjective self-evaluation and the Functional Outcomes of Sleep Questionnaire (FOSQ)-10.
- Data analysis included response rates, shift work distribution, sleep quality scores, and concordance analysis between subjective and objective measures.
Main Results:
- A significant percentage of PICU staff (39.8%) reported poor or bad sleep quality, with 81.8% scoring poorly on the FOSQ-10.
- Night shift workers exhibited significantly worse sleep quality compared to fixed shift workers.
- A weak concordance was found between perceived sleep quality and FOSQ-10 scores, suggesting a lack of awareness regarding sleep issues among some staff.
- Sleep disorders negatively affected emotional states (30.2%) and social/relationship lives (22.6%) of the staff.
Conclusions:
- A high proportion of PICU healthcare professionals suffer from sleep disorders that detrimentally affect their personal and social lives.
- Night shift work is associated with significantly poorer sleep quality and greater negative impacts.
- There is a notable disconnect between staff's perception of their sleep quality and objective assessments, indicating a need for greater awareness and intervention.
Abstract:
The objective is to evaluate the sleep characteristics of the staff working in a pediatric intensive care unit (PICU). They were asked to complete an anonymous survey concerning the characteristics and quality of their sleep, as well as the impact of sleep disturbances on their work and social life, assessed by Functional Outcomes of Sleep Questionnaire (FOSQ)-10 questionnaire. The response rate was 84.6% (85% females): 17% were doctors, 57% nurses, 23% nursing assistants, and 3% porters. 83.8% of them worked on fix shifts and 16.2% did 24-h shifts. 39.8% of workers considered that they had a good sleep quality and 39.8% considered it to be poor or bad. The score was good in 18.2% of the staff and bad in 81.8%. Night shift workers showed significantly worse sleep quality on both the objective and subjective evaluation. There was a weak concordance (kappa 0.267; p = 0.004) between the perceived quality of sleep and the FOSQ-10 evaluation. Sleep disorders affected their emotional state (30.2% of workers) and relationships or social life (22.6%). In conclusion, this study finds that a high percentage of health professionals from PICU suffer from sleep disorders that affect their personal and social life. This negative impact is significantly higher in night shift workers. Many health workers are not aware of their bad sleep quality.
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