Edwards Marie P, McMillan Diana E, Fallis Wendy M
Dynamics. 2013 Winter;24(4):30-5.
Fatigue associated with shiftwork can threaten the safety and health of nurses and the patients in their care. Napping during night shift breaks has been shown to be an effective strategy to decrease fatigue and enhance performance in a variety of work environments, but appears to have mixed support within health care.
The purpose of this study was to explore critical care unit managers'perceptions of and experiences with their nursing staff's napping practices on night shift, including their perceptions of the benefits and barriers to napping/not napping in terms of patient safety and nurses'personal health and safety.
A survey design was used. Forty-seven Canadian critical care unit managers who were members of the Canadian Association of Critical Care Nurses responded to the web-based survey. Data analysis involved calculation of frequencies and percentages for demographic data, use of the Friedman rank test for comparison of managers' perceptions, and content analysis for responses to open-ended questions.
The findings of this study offer valuable insights into the complexities and conflicts perceived by managers with respect to napping on night shift breaks by nursing staff Staff and patient health and safety issues, work and break expectations and experiences, and strengths and deficits related to organizational napping resources and policy are considerations that will be instrumental in the development of effective napping strategies and guidelines.
轮班工作相关的疲劳会威胁护士及其护理患者的安全与健康。在夜班休息期间小睡已被证明是在各种工作环境中减轻疲劳和提高工作表现的有效策略，但在医疗保健领域似乎存在不同的看法。
本研究的目的是探讨重症监护病房管理人员对其护理人员夜班小睡做法的看法和经历，包括他们对小睡/不小睡在患者安全以及护士个人健康和安全方面的益处和障碍的看法。
采用调查设计。47名加拿大重症监护病房管理人员（他们是加拿大重症护理护士协会的成员）对基于网络的调查做出了回应。数据分析包括计算人口统计学数据的频率和百分比，使用弗里德曼秩和检验比较管理人员的看法，以及对开放式问题的回答进行内容分析。
本研究的结果为管理人员在护理人员夜班休息时小睡方面所察觉到的复杂性和冲突提供了有价值的见解。员工和患者的健康与安全问题、工作和休息期望及经历，以及与组织小睡资源和政策相关的优势与不足，这些考量对于制定有效的小睡策略和指南将具有重要作用。
