Night Shift In Nursing Practice Summary

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Summary of Article The purpose of this qualitative study is to “provide an in-depth description of critical care nurses’ practices, preferences, and perceptions of napping/not napping when working night shift in either an emergency department or an intensive care unit (ICU)” (Fallis, McMillan, & Edwards, 2011, p. e3). The introduction states that many nurses must remain highly vigilant while providing 24-hour care to unstable patients. Night shifts continue to be a source of stress because sleep deprivation and fatigue increase risk for errors and personal injuries. Restorative napping can improve performance; however, this practice is often disapproved by management and frequently hindered by care responsibilities and insufficient…show more content…
In fact, no saturation data was provided making it difficult to identify if the responses and statistics provided were accurate. The literature review only identifies one study on the impact of napping on critical care and ER nurses. Most of the studies cited in the literature review surrounding naps on night shift in employment fields with little similarity to nursing, which may limit the ability to infer the statistics from these studies onto nurses. In addition, based on the specialty of critical care and ER nursing it is difficult to distinguish if the results can be inferred to other populations. Additional weaknesses identified include that 23 percent of the respondents only worked night shifts potentially altering the perception and practices of these nurses. The researchers limited their study to one acute care community hospital and most of the participants were female. Additionally, the length of naps varied between the participants further altering perception since those who are able to nap longer may feel more rested. Participants averaged 17 years working as a nurse with no standard deviation provided. With this amount of work experience, a nurse is familiar with his or her circadian rhythms including sleep recovery and napping time required to function during a night shift. Moreover, the…show more content…
Ethics approval, data analysis software, and rigor analysis were included in detail. Information surrounding the procedure of data collection was clear, and tables were laid out in an easy to understand format. The interview questions were thorough and encompassed a variety of topics surrounding night shifts, napping, and safety. Themes were identified and discussed in clear detail including information on how the researchers chose the themes. The article contains extensive segments of verbatim interview responses, which further adds to the strength of the article. The interview responses enhance the understanding of the themes and results. The study identifies and highlights key aspects that contribute to nurses being able to nap effectively during a night shift break. In addition, the article identifies the need for increased break coverage and appropriate recovery time for nurses who nap during
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