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The effects of sleep deprivation apa paper
Literature review on the effects of sleep deprivation
Literature review on the effects of sleep deprivation
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Title and short introduction:
What are the impacts of Shift-work on nurses and other health professionals?
I am currently studying to be a nurse and that is why I want to find out why implications my work schedule is going to have on my health. My aim is to better equip myself through this research for something many do not think twice about; work schedules.
APA reference for resource 1:
Charlotte, C. (2016). Shift work, scheduling and risk factors. Association of Salaried Medical Specialists. Retrieved from http://www.asms.org.nz/wp-content/uploads/2016/07/Shift-work-research-brief_166090.2.pdf
Summary for resource 1 (main idea and supporting details):
This literature review by Charlotte Chambers, a Principle Analyst at the Association
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As with previous literature, this article also discusses hormonal imbalances caused by night shift work, its health implications and mitigation strategies. Interestingly, the article goes on to discuss how the young and aged nurses dealt with shift work. Aged staff reported better tolerance of night shift work and fatigue caused by it. Both young and aged staff enjoyed the flexibility provided by shift work: freer daytime to spend with friends and family. However, young staff did report having difficulties to find time to study with the increasing workload. In addition, hypertension, high blood pressure and cholesterol were more prevalent among the aged nursing staff, due to poor sleep quality and long-term health deterioration. Ongoing health problems in some aged nurses lead to resignations resulting in the loss of experience and staff due to inflexibility in scheduling, as reported by Clendon. The common recommendation of O’Keeffe and Clendon is to have better rotation in staff scheduling to allow recuperation and perhaps have scheduling based around the health of individual
In 2011 The Joint Commission called attention to healthcare worker fatigue and the impact it was having on patient safety. They found a direct link between healthcare worker fatigue and adverse events. They recommended healthcare facilities assessed their policies to identify fatigue-related risks, such as off-shift hours and consecutive shift work, and review their staffing to address areas that may be contributing to nurse fatigue (Martin, 2015).
Over the past several years extended work shifts and overtime has increased among nurses in the hospital setting due to the shortage of nurses. Errors significantly increase and patient safety can be compromised when nurses work past a twelve hour shift or more than 40 hours a week. Hazardous conditions are created when the patient acuity is high, combined with nurse shortages, and a rapid rate of admissions and discharges. Many nurses today are not able to take regularly scheduled breaks due to the patient work load. On units where nurses are allowed to self-schedule, sixteen and twenty-four hour shifts are becoming more common, which does not allow for time to recover between shifts. Currently there are no state or federal regulations that restrict nurses from working excessive hours or mandatory overtime to cover vacancies. This practice by nurses is controversial and potentially dangerous to patients (Rogers, Hwang, Scott, Aiken, & Dinges, 2004). Burnout, job dissatisfaction, and stress could be alleviated if the proper staffing levels are in place with regards to patient care. Studies indicate that the higher the nurse-patient ratio, the worse the outcome will be. Nurse Manager’s need to be aware of the adverse reactions that can occur from nurses working overtime and limits should be established (Ford, 2013).
The implementation of bedside shift reporting is crucial for quality of patient care and patient safety. According to an article found in the American Nurse, 2009 by Trossman, “Shift-change reports are as routine and as important to staff nurses as breathing”. Nurses have identified and averted a number of errors – including delivering wrong medications and continuing orders that were stopped – since the bedside report has been implemented” (p. 7). Lag time from when on coming nurses received report and actually saw their patient was reported to decrease with bedside shift reporting. Julie Truran, RN who is a charge and staff nurse on a pulmonary and infectious disease unit states “It’s improved patient safety
A considerable amount of literature has been published on the impact of working hours (8 vs. 12 hour shifts) on fatigue among the nurses. These studies revealed that twelve-hour shifts increase the risk of fatigue, reduce the level of alertness and performance, and therefore reduce the safety aspect compared to eight-hour shifts (Mitchell and Williamson, 1997; Dorrian et al., 2006; Dembe et al., 2009; Tasto et al., 1978). Mills et al. (1982) found that the risk of fatigues and performance errors are associated with the 12-hour shifts. Beside this, Jostone et al. (2002) revealed that nurses who are working for long hours are providing hasty performance with increased possibility of errors.
Harrington, J. M. (2001). Health Effects of Shift Work and Extended Hours of Work. OEM Education. Retrieved on December 3, 2013, from http://oem.bmj.com/content/58/1/68.full. doi: 10.1136.oem.58.1.68
...hological preparation. After a nurse is done working their regular shift being forced to work overtime can out them a greater right of medical mistake in part due to fatigue and tiredness consequently putting the patient at high risk of complications.
Witkoski Stimpfel, Amy , Douglas M. Sloane, and Linda H. Aiken. "The Loger the shifts for hosital nurses, the higher the levels of burnout and patient disstisfaction." Health Affairs 31.11 (2012): 2501-2509. Proquest. Web. 11 Mar. 2014.
Guo, Yanjun. Et al. “The Effects Of Shift Work On Sleeping Quality, Hypertension And Diabetes In Retired Workers.” Plos ONE 8.8 (2013): 1-6. Academic Search Premier. Web. 19 Feb. 2014.
Thousands of nurses throughout the nation are exhausted and overwhelmed due to their heavy workload. The administrators do not staff the units properly; therefore, they give each nurse more patients to care for to compensate for the lack of staff. There are several reasons to why
Notably, having higher proportions of nurses working shorter shifts—8–9 hours or 10–11 hours—resulted in decreases in patient dissatisfaction” (Stimpfel et al.). This is essentially saying that the longer the shift length, the more negative outcomes result. This study proves that eight to nine-hour shifts are more effective, and should, in turn, be worked more than longer shifts. This is a problem because hospitals are likely to continue to schedule nurses for twelve hours shifts out of
Working in a fast-paced environment and being on their feet can really take a toll on a person. In addition they have to be prepared for anything to happen during their shift. A study of overworked and stressed nurses found that nurses are overworked suffered from physical sickness like type two diabetes (Stress and overworked 2006). For most nurses, their work week consists of more than sixty hours. Working that many hours can double their chances of sicknesses. When they compare the working week hours of nurses who worked the normal 21 to 40 hours with those that work more than 40 or 60 hours a week, they found that in comparison the ones who worked 40 hours or more a week increased the risk by almost 50 percent for type 2 diabetes (Stress and overwork 2006). If nurses were to work their normal work hours without mandatory overtime, then their health would improve.
Saying that you are a registered nurse is a broad statement. Registered nursing is a job that has many aspects. Registered nurses work in many different settings and they carry out many different routines. As a registered nurse you could be exposed to many different opportunities. My goal is to be a registered nurse but, I need to learn a lot. Becoming a being a registered nurse requires a lot of hard work and effort but, if I focus on my goal I will be able to achieve it.
Evans, D., Grunawait, J., McClish, D., Wood, W., & Friese, C. R. (2012). Bedside Shift-to-Shift Nursing Report: Implementation and Outcomes. MEDSURG Nursing, 21(5), 281-292 12p.
Maynard, W., & Brogmus, G. (2006). Safer shift work through more effective scheduling. Occupational health and safety, 16.
Long working hours continue to be one of the largest health concerns in the world. Currently, the world population has become so busy due to the pressure from harsh economic conditions. People are therefore spending long working hours in the workplace, which is an aspect that has negative impact on their health conditions. Statistics from Working Condition Survey indicates that approximately 30% of workers residing in European Union believe that their health is at risk due to the hours they spent in the workplace (Gurung, 2010:16)