: Much is said about how long shifts and nurse-to-patient ratio affect the nurse’s health, but little attention has been paid about the effects of sleep deprivation on the health and care of nursing professionals. Although it is important to understand the effects of long hours of work, researchers should also look attentively on the effects of insufficient sleep on the life of nurses.
Inadequate rest which results in fatigue has major implications on the health and safety of registered nurses and can compromise patient care. Nurses often work three to four 12 hour shift a week without taking any breaks while on duty. They often have difficult workloads and challenges which can take a toll and impact patient care. I will be taking a look at nurse fatigue and the impact it has on the nurse’s wellbeing, work, and patient care.
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
The article "Causes and consequences of sleep deprivation in hospitalized patients" written by Stephanie Pilkington is exploring the causes and consequences of sleep deprivation in hospitalized patients. The author provides a brilliant summary of factors that affect the level of sleep experienced by patients in hospitals and the effects of sleep deprivation on the health and the wellbeing of these individuals. The article goes on to state that for sleep-deprived patients, there were bio-cognitive consequences for their health and recovery, with particular effects on immune functioning, inflammation, parasympathetic equilibrium, carbohydrate metabolism and cognitive performance.
In the recent past, nursing has come to the forefront as a popular career amongst students across the globe. The demand for nurses has kept increasing gradually over the years. In fact, the number of registered nurses does not meet the demand of the private and public health sector. This phenomenon has resulted in a situation where the available registered nurses have to work extra hours in order to meet the patients’ needs. With this in mind, the issue of nurse fatigue has come up as a common problem in nursing. According to the Canadian Nurses Association (CNA), nurse fatigue is “a feeling of tiredness” that penetrates a persons physical, mental and emotional realms limiting their ability to function normally. Fatigue does not just involve sleepiness as has been assumed before. It involves utter exhaustion that is not easily mitigated through rest. When nurses ignore the signs of fatigue, they risk the development of chronic fatigue and other health problems that may not be easily treated. Additionally, fatigue may cause nurses to lose more time at work as they may have to be away from work for several days to treat it. The issue of nurse fatigue has permeated the nursing profession to the extent of causing errors in the work performed by nurses. Fatigue causes a decrease in a nurse’s ability to make accurate decisions for themselves and their patients. It is therefore important to find ways to curb nurse fatigue such that it is no longer a problem. Nurse fatigue is a danger to the patients, organizations and to the nurses themselves and must be mitigated adequately.
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.
Wells, Mary Ellen, and Bradley V. Vaughn. "Poor Sleep Challenging The Health Of A Nation." Neurodiagnostic Journal 52.3 (2012): 233-249. Academic Search Premier. Web. 18 May 2014.
There have been many different outlooks and theories on how sleep deprivation can affect health. Sleep deprivation is when a person cannot sleep, and does not have enough sleep. This is also known as ‘wakefulness’ (sleep.2014) and not having enough sleep; ‘lack of sleep’. This literature review will cover four main concepts of sleep deprivation. The key ideas in this paper would be the research done and how many hours a person is supposed to sleep, some disorders and what loss of sleep will do to a person.
Sleep is one of our basic needs to survive and to function in day to day operations, but not everyone needs the same amount of sleep. Some people can survive on very little sleep, i.e. five hours a night, and some people need a lot of sleep, to the extend that they are sleeping up to 10 to sometimes 15 hours a night (Nature, 2005). According to Wilson (2005) the general rule states that most people need from seven to eight hours of sleep. The deprivation of sleep in our society in continually increasing with the demands in society increasing work loads, the myth that a few hours of sleep is only necessary to function properly and that sleep is sometimes considered as killing time (Nature, 2005). Sometimes sleep deprivation is also caused by other situations like sleep disorders, i.e. sleep apnea, chronic insomnia or medical conditions such as stress (Wilson, 2005).
Many college students suffer from sleep deprivation; only a few students would say that they are getting enough rest at night. Sleep deprivation is caused by not receiving the amount of sleep that the human body needs to function properly throughout the day. Sleep deprivation has many causes and effects that most often lead to depression, physical illness, learning problems, and irregular sleep patterns; Elizabeth Austin offers two solutions to help college students cope with sleep deprivation.
The authors and scientists from a different study by the U.S National Library of Medicine National Institutes of Health on long and short-term sleep deprivation state directly that “in certain jobs, people face sleep restriction. Some professions such as health care… require working at night. In such fields, the effect of acute total sleep deprivation (SD) on performance is crucial” (Alhola & Polo-Kantola, Sleep deprivation: Impact on cognitive performance). Depending on their schedule, nurses can often be susceptible to sleep deprivation and are no exception, especially if they are working long hours. The study performed research on how acute and chronic sleep deprivation can affect the brain and how it can slow down or worsen thought process and rationality throughout the day for working adults. The authors also explain that “motor function, rhythm, receptive and expressive speech, and memory ...deteriorated after one night of SD.” (Alhola and Polo-Kantola, Sleep deprivation: Impact on cognitive performance) Although everybody is affected by a lack of sleep differently, some might have the ability to handle it a lot better than others, but it is fair to say that no one can perform their jobs perfectly if their brains are being affected by sleep deprivation. This organization concludes this study by explaining that there is still much research that needs to be
In the world of higher education, students at the collegiate level are highly likely to be overwhelmed with course load, in addition to sports and extra-curricular activities (Jacobs & Dodd, 2003). These factors have the potential to lead to various amounts of sleep deprivation, and as the research of Nilsson, Sunderstrom, Karlsson et al. (2004) has shown, sleep deprivation is correlated with higher levels of fatigue, impairments in speed and accuracy as well as limitations in cognitive and physical performances. One way to cope with this fatigue that has shown to have very positive results on people of all ages is taking naps. In addition to reducing sleepiness, Milner & Cote (2008) have determined that “napping may lead to considerable benefits in terms of mood, alertness and cognitive performances”. It is these benefits that nappers seek when engaging in napping activities.
Important public policy issues have arisen in our modern 24-hour society, where it is crucial to weigh the value of sleep versus wakefulness. Scientific knowledge about sleep is currently insufficient to resolve the political and academic debates raging about how much and when people should sleep. These issues affect almost everybody, from the shift worker to the international traveler, from the physician to the policy maker, from the anthropologist to the student preparing for an exam.
Heart disease: The Nurses’ Health Study proved that women who slept 9-11 hours per night were 38% more likely to have coronary heart disease as compares to women who slept 8 hours.
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).