Night Shift

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).

Moreover, comparing the effect of the two shift systems (12 vs. 8 hour shifts) on patient’s safety are also evaluated by several studies. Beside the effect on fatigue, Todd et al. (1989) and Reid et al. (1993) concluded that there is a variety of results with the effect of 12-hour shifts on quality of care, in which they found that in the later part of the day there was less direct patient’s care that has an influence on the quality of nursing care. Reid et al. (1993) added that the reason of declined the direct patient’s care was found with the increase number of the unofficial breaks during the shift. This finding draws our attention to the importance of having adequate break time for the staff. However, in my

Night shift workers function on a schedule that is not "natural". Being exposed to artificial light at night suppressed the production of the melatonin, a naturally produced hormone that tells the body it's time to sleep. This leads to disruption of the circadian rhythm which can lead to feelings of fatigue. "Jet lag" is often the term used to describe these feelings. Night shift work disrupts the quantity of sleep but also the quality of sleep. Daytime sleep is seldom as deep and refreshing as sleeping through the night. Being constantly tired is the most common complain of shift

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.

The patient has the right to every aspect of their care and this includes being involved in the change-of-shift bedside report. The purpose of this study is to identify the benefits of bedside report and its impact on patient safety, satisfaction, and quality of care. The participants of this study were randomly selected and of varying ages. The methodology utilized in this study is a qualitative and quantitative research. The results of the study will determine the benefits of incorporating bedside report into nursing care.

Evidence also supports that bedside shift reporting is financially beneficial for staff nurses and nursing management. The average report time is significantly decreased from an average of 45 minutes to 29 minutes (Gregory, et al., 2014). This reduces overtime and saves hospitals money. Nurses’ satisfaction is improved because they get to end their shift on time. They get to proceed with shift report more quickly, with fewer distractions and in real time (when compared with writing or recording report). Increase in nursing satisfaction reduces turn over and, once again, saves hospitals money (Gregory, et al., 2014).

With growing concern about patient safety and satisfaction, a change in where shift report is given has been a cause of concern. Traditionally, change-of-shift report is done at the nurses’ station or away from patients. Numerous studies have been conducted on moving the change-of-shift report from the nurses’ station or hallway to the patient’s bedside. An analysis of bedside shift reporting has revealed the benefits of increased patient satisfaction and safety as well as several challenges of implementation of bedside shift reporting.

Fatigue is defined as a feeling of tiredness or exhaustion or a need to rest because of lack of energy or strength. Fatigue in nurses directly affects the quality of care that the nurse gives to a patient. Nurse fatigue can be described as fatigue affecting the nurse population that may result from the following contributing factors: working long shifts in the healthcare workplace; obtaining insufficient sleep between scheduled shifts; a disturbance in circadian rhythms; and attempting to balance demanding personal, familial, and social obligations in addition to the work schedule. This article explains the implications of nursing fatigue.

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

After interviewing primarily night shift nurses, PCNAs, patients, patient families, the floor nursing manager and all five assistant nurse managers about “Quiet Night”, I was able to pick up on what was the root cause of the low score on Quiet Night on the HCAHPS survey score for the unit.

“Sleep Quality in Nurses: A Randomized Clinical Trial of Day and Night Shift Workers” is a quantitative study by Nui, Chu Chung, Lin, Chang, and Chou published in the journal of Biological Research for Nursing (2012). The article aims to compare the amount of recovery time needed by nurses that work the night shift in relation to nurses that work the day shift. In order to determine if a study is eligible to use for developing evidence based practice it is important to critique research articles (Lobiondo-Wood & Haber, 2014) for their quality and applicability. This will determine if the study is relevant and can be applied to nursing practice. That is the purpose of this paper.

“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).

In order to incorporate the inter-shift report change to bedside shift report, the hospital’s unit leadership, specifically the clinical nurse leader as well as the nurse manager, will play a major role in incorporating bedside shift report. Also, a specific focus committee needs to be formed, involving the director of professional development and education, nursing stuff, the director of nursing, nursing leader and manager. The committee will make a plan of how to make this change as smooth as possible. The benefits of doing so are improved communication between RN’s and other healthcare professionals about the patient’s health care plan, patients will be informed about care and who is caring for them, which in the end will lead to safer care

The effects of long work hours, resulting in insufficient sleep have been well documented (Rogers, 2008). Insufficient sleep alone has been noted to cause cognitive problems, mood alterations, reduced job performance, reduced motivation, increased safety risks, and physiological changes (Rogers, 2008). Failure to obtain a sufficient amount of sleep is even an important contributor to medical errors (Rogers, 2008). Now think of the effects of sleep, and add in stressful work environments, short-staffing, pressure from administration, and unexpected events, we can begin to realize how patient outcomes may be greatly compromised.

The term ‘Shift work’ is usually referred to uniformly divided allocations of the day in which individuals participate alternatively to provide twenty four hour coverage. A shift in sleep schedule conflicts with the body’s natural clock also known as the circadian rhythm into interpreting the time as ‘inappropriate’ and disrupts the homeostatic regulation cycle resulting in poor health outcomes. Fortunately, it is deemed possible to counter unfavourable effects of alternating insomnia and sleepiness through certain practices.