Napping In Nursing

In this study forty five articles were researched and reviewed to discover issues with bedside report at shift change. In some of these articles that were researched throughout this document, confidentiality was looked at. With bedside report nursing there is a concern to keep confidentiality especially with patients in double rooms. It was concluded in another article within this document that nurses were more concerned about the patient’s confidentiality being breached rather than the patient being concerned. Also another positive outcome was patient and nurse interaction. Patients felt with bedside report that their thoughts and concerns were being better

With regard to sleepiness, several studies indicated that the average of sleep duration in 1910 to 2002 have decreased from 9 to 6 hours on workdays (National sleep foundation, 2002; Groger et al., 2004). Recently, a survey study of Roger et al. (2004) shows that an American Nurses have an average of 84 minutes more sleep on non workdays. Thus, shift work suggested as a cause of sleeping disorder among nurses where they feel of sleep during the shift. Considering the contributing factors of sleepiness, the literature identified that long working hours and rotating shifts are causing sleeping disorder. In the night and rotating shifts, the nurses are rarely obtained adequate amount of sleep. In fact, the nurses experiencing less sleeping hours (1 to 4 hour) than normal sleeping (Zeisler et al.,1980). Nevertheless, insufficient sleep is a significant reason of damaging planning, decision-making, and integration of information (Krueger, 1994; Harrison and Horne, 2000). More recent studies have revealed that long hour shifts and overtime are strongly linked to the difficulties of being a wake through the shift which leads to increase the risk of making an error (Scott et al., 2006; Roger et al., 2004).

What do people think of when they first hear the word nap? Everyday sayings such as snatching a nap, being caught napping, snoozing, or stealing forty winks are all beneficial daily activities we need to add to our busy life. If we do, we will be more awake and capable to reach our full potential as an individual. People don’t realize how important a nap can be. Although popular beliefs suggest that naps are a waste of time, naps actually increase productivity by resting the brain.

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

It is problematic that healthcare professions work rotating shifts because this impedes on the ability of the human body to function properly. Rotating shifts means that everyday their shifts are at different times and different lengths of time. The human body needs to be in line with the environment and when the sun is up the body naturally is awake and alert and during night time the body goes dormant to sleep, this is called circadian rhythm. The body has a circadian clock and when this is disrupted this can lead to depression and anxiety. This can lead to exhaustion and irritation that can cause someone to make mistakes. This can also lead to sleep debt and cause insomnia that can affect the mental alertness. Sleep allows the body to fight

Safety and satisfaction are two incredibly important aspects that have become the focus of many nursing related studies. Actions to raise patient satisfaction and measures to increase patient safety have continuously been investigated and tested. Recently, with the help of evidence-based research, hospitals have begun to utilize shift reporting at the bedside and assessing patients’ needs every hour in a means to boost patient safety and satisfaction. It is my belief that with consistent implementation of bedside shift report and structured hourly rounding, nurses are able to maximize the safety of patients and their satisfaction with our care.

(Senteniel) Additional studies show risk of errors and close calls were related to longer shift length and were associated with decreased attentiveness. Nurses also suffer higher rates of occupational injury when working shifts more than 12 hours. (Joint Commision, 20111) The ANA acknowledges the relationship between working long hours and increased risk for sleep disturbances, injuries, musculoskeletal disorders, gastrointestinal problems, metabolic syndrome, cardiovascular disease, cancer, and adverse reproductive outcomes. (NANN, 2012) In addition to clinical outcomes, there is an association between nurses who worked 13 or more hours in the hospital and lack of communication with patients regarding pain control. Burnout is common among nurses working long shifts and they are more than likely to leave their job within the first year. Shifts scheduled for 12 hours often exceed that timeframe, as many as 40% of the work shifts logged for their study exceeded 12 hours. (Martin, 2012) There are many reasons for fatigue, but shift length is the one that is most obvious and easy to fix. It is no wonder for nurse fatigue when 12 hour shifts are the norm. Twelve hour shifts are standard practice even though the Institute of Medicine recommends limiting them. At a recent nursing management congress Cole Edmonson stated that 12 hour shifts may cause more problems than they solve. While research is aiding us comprehend the dangers nurse fatigue brings to patients and nurses themselves, he called 12 hour shifts “a dead idea whose time has passed”. Eliminating 12 hour shifts is obvious if the fact is acknowledged that nurse fatigue is a serious problem. (Hendren,

The inability to sleep is a source of anxiety and stress for patients in the intensive care unit (ICU); this inability can lead to cardiorespiratory disturbances, immune system dysfunction, impaired wound healing, hormonal and metabolic imbalances, cognitive changes, and delirium. Through the use of quiet times and nursing actions that encourage sleep, or, sleep hygiene bundles, nurses can assist in improving sleep quality in the ICU. These bundles include noise and light reduction, scheduling routine procedures outside of reserved sleep times, the use of earplugs and eye masks, and the grouping of nursing care activities to minimize sleep interruptions. The aim of this proposal, therefore, will be to implement a nurse-driven, sleep hygiene protocol, in order to improve patient care by promoting quality sleep in ICU patients. Barriers to implementation include staff resistance to the concept, concerns regarding patient care during sleep times and difficulties in coordinating care with other units. Studies used to gather information for this proposal were published between the years of 2011 and 2016 and were found in several databases: Academic Search Complete, Medline, and OVID Journals.

As the nursing profession advanced, numerous modifications transpired, driving the progression of this health sector in a new direction (Thomas & Richardson, 2016, p. 1072). In the past, regulations of working conditions allowed nurses to work on a rotation of eight-hour shift, but in the 70s and 80s the healthcare system progressed to working 10-12 hour shifts. This new working condition was implemented to accommodate the rise of nursing-shortages (As cited in, Bae, 2012, p. 205; Witkoski Stimpfel, Sloane & Aiken, 2012, p. 2501). In 2009, it was approximated that roughly 60% of nurses are now abiding to 12-hour shifts, according to the American Nursing Association (ANA) (As cited in, Bae, 2012, p. 205). Today, not only is this practice still used, but a new development has occurred, overtime. Overtime work began to be used by the healthcare system as a supplement, alleviate the on-going nursing shortages and remediate new compilations being brought by understaffing issues, therefore becoming a custom in nursing practice (Debrit, Ngan, Hay, Alamgir, 2010, p. 28; As cited in, Bae, 2012, p. 205; Berney, Needleman, Kover, 2005, p. 165). A national survey completed by a sample of Registered Nurses (RN), concluded that 43% of nurses work more than 40 hours a week, and that 9% work more than 60 hours a week (As cited in, Bae, 2012, p. 61; Bae & Brewer, 2010, p. 99). In 2010, a survey completed by the U.S. Department of Health and Human Services, also calculated that

As nurses frequently interact with the patients, they are the ones exploring evidence-based practice to identify ways to modify the hospital environment and use more nonpharmacological methods to promote sleep to help the body repair itself (Robinson et al., 2005). Florence Nightingale noted patients require proper

This section tools? Provides an overview of the tools includes in this strategy included Blank incudes in this strategy Bed side Shift Report What is it how can help you get involved? information Inform the patient and family and family about the bedside shift report is and how they can take part is and how they can take Give to patient on the day of admission, this handbook explains what bedside shift report is, during bedside shift report • Ferment 1-page handout Tool 3 Nurse Format: Bedside Shift Report Training prepare nurses to conduct nurses shift report. Slides and “talking points to train nurses to conduct a bedside

The title of this study “Sleep Quality in Nurses: A Randomized Clinical Trial of Day and Night Shift Workers” appropriately portrays the information of the article. It describes the design of the study, a randomized trial, as well as the topic, sleep quality of nurses. Overall it gives a good picture of what the article includes.

“Sleeping while on duty” or “sleeping on the job” are terms that describe a worker falling asleep while working at an occupation (Fallis, McMillan, & Edwards, 2011). In the United States certain higher risk jobs involving security, safety, or health of others (such as nursing), the penalty for being caught sleeping on the job can range from disciplinary action to immediate termination of employment (Fallis, McMillan, & Edwards, 2011).

Nurse to nurse shift report allows transferring important and determinant medical information. This information may influence many factors during patient’s stay in a medical facility. Some facilities, encouraged by changes implemented by government and regulatory agencies, have decided to explore new avenues. These interventions aim to increase their scores on patient satisfaction and improve patient safety issues while receiving their services. Bedside shift report, as a new intervention offers improvement on staff communication, patient involvement in care therefore, increasing scores in patient satisfaction and

The survey questionnaire of this study will be used is constructed by the group based on descriptive method.