DOI QR코드

DOI QR Code

Effect of Sleep Disturbance on Fatigue, Sleepiness, and Near-Miss among Nurses in Intensive Care Units

중환자실 간호사의 수면장애가 피로, 졸음과 근접오류에 미치는 영향

  • Received : 2020.07.17
  • Accepted : 2020.09.10
  • Published : 2020.10.31

Abstract

Purpose : This study aims to investigate the differences in fatigue, sleepiness, and near-miss according to sleep disturbance among shift nurses in intensive care units (ICUs). Methods : A cross-sectional study in a tertiary hospital was performed. A total of 122 shift nurses working in the six ICUs were recruited. They completed self-reported questionnaires about sleep disturbance, fatigue, sleepiness, and near-miss in the past two weeks. Results : The prevalence of reported sleep disturbance was 30.3% (37 out of 122 subjects). Compared to the non-sleep disturbance group, the sleep disturbance group reported significantly more sleepiness (11.46 vs. 8.86) and higher fatigue (82.62 vs. 69.39). The sleep disturbance group showed higher rates of near-miss (78.4 vs. 57.6%) and a higher frequency of them (4.49 vs. 2.11/2weeks) compared to the non-sleep disturbance group. Medication error was the most common type of near-miss. Conclusions : This study suggests that sleep disturbances could increase fatigue, sleepiness, and near-miss among ICU shift nurses. Personal and organizational programs should be developed to support the sleep of ICU nurses.

Keywords

References

  1. Asaoka, S., Aritake, S., Komada, Y., Ozaki, A., Odagiri, Y., Inoue, S., . . . Inoue, Y. (2013). Factors associated with shift work disorder in nurses working with rapid-rotation schedules in Japan: The nurses' sleep health project. Chronobiology International 30(4), 628-636. https://doi.org/10.3109/07420528.2012.762010
  2. Bastien, C. H., Vallieres, A., & Morin, C. M. (2001). Validation of the Insomnia Severity Index as an outcome measure for insomnia research. Sleep Medicine, 2(4), 297-307. https://doi.org/10.1016/S1389-9457(00)00065-4
  3. Bjorvatn, B., Dale, S., Hogstad-Erikstein, R., Fiske, E., Pallesen, S., & Waage, S. (2012). Self-reported sleep and health among Norwegian hospital nurses in intensive care units. Nursing in Critical Care, 17(4), 180-188. https://doi.org/10.1111/j.1478-5153.2012.00504.x
  4. Booker, L. A., Magee, M., Rajaratnam, S. M. W., Sletten, T. L., & Howard, M. E. (2018). Individual vulnerability to insomnia, excessive sleepiness and shift work disorder amongst healthcare shift workers. A systematic review. Sleep Medicine Review, 41, 220-233. https://doi.org/10.1016/j.smrv.2018.03.005
  5. Camire, E., Moyen, E., & Stelfox, H. T. (2009). Medication errors in critical care: Risk factors, prevention and disclosure. Canadian Medical Association Journal, 180(9), 936-943. https://doi.org/10.1503/cmaj.080869
  6. Chae, M. J., & Choi, S. J. (2020). Comparison of shift satisfaction, sleep, fatigue, quality of life and patient safety incidents between two-shift and three-shift intensive care unit nurses. Journal of Korean Critical Care Nursing, 13(2), 1-11. https://doi.org/10.34250/jkccn.2020.13.2.1
  7. Chaiard, J., Deeluea, J., Suksatit, B., Songkham, W., & Inta, N. (2018). Short sleep duration among Thai nurses: Influences on fatigue, daytime sleepiness, and occupational errors. Journal of Occupational Health, 60(5), 348-355. https://doi.org/10.1539/joh.2017-0258-OA
  8. Cho, Y. W., Lee, J. H., Son, H. K., Lee, S. H., Shin, C., & Johns, M. W. (2011). The reliability and validity of the Korean version of the Epworth sleepiness scale. Sleep and Breathing, 15(3), 377-384. https://doi.org/10.1007/s11325-010-0343-6
  9. Cho, Y. W., Shin, W. C., Yun, C. H., Hong, S. B., Kim, J., & Earley, C. J. (2009). Epidemiology of insomnia in Korean adults: Prevalence and associated factors. Journal of the Korean Neurological Association, 5(1), 20-23.
  10. Cho, Y. W., Song, M. L., & Morin, C. M. (2014). Validation of a Korean version of the insomnia severity index. Journal of Clinical Neurology, 10(3), 210-215. https://doi.org/10.3988/jcn.2014.10.3.210
  11. Edell-Gustafsson, U. M., Kritz, E. I., & Bogren, I. K. (2002). Self-reported sleep quality, strain and health in relation to perceived working conditions in females. Scandinavian Journal of Caring Science, 16(2), 179-187. https://doi.org/10.1046/j.1471-6712.2002.00078.x
  12. Jang, E. H. (2013). Development of fatigue scale for nurse (Unpublished master's thesis). Chung-ang university, Seoul, Korea.
  13. Johns, M. W. (1991). A new method for measuring daytime sleepiness: The Epworth sleepiness scale. Sleep, 14(6), 540-545. https://doi.org/10.1093/sleep/14.6.540
  14. Jung, Y. J., & Kang, S. W. (2017). Differences in sleep, fatigue, and neurocognitive function between shift nurses and non-shift nurses. Korean Journal of Adult Nursing, 29(2), 190-199. https://doi.org/10.7475/kjan.2017.29.2.190
  15. Kim, M. S., Kim, J. R., Park, K. S., Kang, Y. S., & Choe, S. P. M. (2013). Associations between sleep quality, daytime sleepiness, with perceived errors during nursing work among hospital nurses. Journal of Agricultural Medicine Community Health, 38(4), 229-242. https://doi.org/10.5393/JAMCH.2013.38.4.229
  16. Knupp, A. M., Patterson, E. S., Ford, J. L., Zurmehly, J., & Patrick, T. (2018). Associations among nurse fatigue, individual nurse factors, and aspects of the nursing practice environment. The Journal of Nursing Administration, 48(12), 642-648. https://doi.org/10.1097/NNA.0000000000000693
  17. Lee, J. H., & Lee, S. I. (2009). Patient safety: The concept and general approach. Journal of Korean Society Quality Assurance Health, 15(1), 9-18.
  18. Lee, K. A., Landis, C., Chasens, E. R., Dowling, G., Merritt, S., Parker, K. P., . . . Weaver, T. E. (2004). Sleep and chronobiology: Recommendations for nursing education. Nursing Outlook, 52(3), 126-133. https://doi.org/10.1016/j.outlook.2003.12.002
  19. Lee, S. S., Heo, J. H., Gu, M. S., Woo, N. H., Nam, S. M., Park, M. J., . . . Lee, D. Y. (2020). 2019 Survey on the status of hospital nursing staffing. Seoul: Korea Hospital Nurses Association.
  20. Montgomery, V. L. (2007). Effect of fatigue, workload, and environment on patient safety in the pediatric intensive care unit. Pediatric Critical Care Medicine, 8(2 Suppl), S11-16. https://doi.org/10.1097/01.PCC.0000257735.49562.8F
  21. Morin, C. M. (1993). Insomnia: Psychological assessment and management. New York: Guilford Press.
  22. Park, E., Lee, H. Y., & Park, C. S. Y. (2018). Association between sleep quality and nurse productivity among Korean clinical nurses. Journal of Nursing Management, 26(8), 1051-1058. https://doi.org/10.1111/jonm.12634
  23. Park, M. H., Kim, H. J., Lee, B. W., Bae, S. H., & Lee, J. Y. (2016). Near misses experienced at a university hospital in Korea. Quality Improvement in Health Care, 22(1), 41-57. https://doi.org/10.14371/QIH.2016.22.1.41
  24. Ruggiero, J. S. (2003). Correlates of fatigue in critical care nurses. Research in Nursing & Health, 26(6), 434-444. https://doi.org/10.1002/nur.10106
  25. Schwendimann, R., Blatter, C., Dhaini, S., Simon, M., & Ausserhofer, D. (2018). The occurrence, types, consequences and preventability of in-hospital adverse events - a scoping review. BMC Health Service Researchs, 18(1), 521. https://doi.org/10.1186/s12913-018-3335-z
  26. Scott, L. D., Arslanian-Engoren, C., & Engoren, M. C. (2014). Association of sleep and fatigue with decision regret among critical care nurses. American Journal of Critical Care, 23(1), 13-23. https://doi.org/10.4037/ajcc2014191
  27. Scott, L. D., Hofmeister, N., Rogness, N., & Rogers, A. E. (2010). An interventional approach for patient and nurse safety: A fatigue countermeasures feasibility study. Nursing Research, 59(4), 250-258. https://doi.org/10.1097/NNR.0b013e3181de9116
  28. Scott, L. D., Rogers, A. E., Hwang, W. T., & Zhang, Y. (2006). Effects of critical care nurses' work hours on vigilance and patients' safety. American Journal of Critical Care, 15(1), 30-37. https://doi.org/10.4037/ajcc2006.15.1.30
  29. Yi, Y. H., & Choi, S. J. (2014). Association of sleep characteristics with medication errors for shift work nurses in intensive care units. Journal of Korean Academy of Fundamentals of Nursing, 21(4), 403-412. https://doi.org/10.7739/jkafn.2014.21.4.403

Cited by

  1. A Study on Factors Affecting Near Misses by Nurses in Small-Medium Sized Hospitals vol.27, pp.2, 2020, https://doi.org/10.11111/jkana.2021.27.2.75