Gerace Adam, Rigney Gabrielle
School of Health, Medical and Applied Sciences, Central Queensland University, Adelaide, South Australia, Australia.
Int J Ment Health Nurs. 2020 Oct;29(5):1002-1010. doi: 10.1111/inm.12734. Epub 2020 May 14.
Sleep plays a critical role in overall health, well-being, and daytime functioning. Provision of 24-hour care means that nurses undertake shift work and therefore have been found to commonly not get the recommended amount of sleep, resulting in sleep deprivation. Research to date has focused on how sleep deprivation impacts their cognitive performance (e.g., reaction time, memory consolidation); however, less considered is how nurses' sleep impacts on their ability to understand and provide emotional care to consumers. In this paper, we examine how sleep may influence nurses' ability to empathize and provide compassionate care, both of which are fundamental aspects of their work. We begin by considering the unique challenges nurses face as shift workers and the impact of sleep on physical and psychological functioning. We examine how empathy and compassion drive nurses' attempts to understand consumers' perspectives and experiences and motivate them to want to help those in their care. Work directly investigating the relationship between sleep and these processes indicates emotional recognition and experience are hampered by poor sleep, with greater compassion towards oneself or from others associated with better sleep. Much of this work has, however, been conducted outside of the nursing or health professional space. We discuss issues that need to be addressed in order to move understanding forward regarding how sleep impacts on mental health nurses' empathy and compassion, as well as how an understanding of the sleep-empathy/compassion link should be an important priority for nurse education and well-being.
睡眠在整体健康、幸福和日间功能中起着至关重要的作用。提供24小时护理意味着护士需要轮班工作，因此人们发现他们通常无法获得建议的睡眠时间，从而导致睡眠不足。迄今为止的研究主要集中在睡眠不足如何影响他们的认知表现（例如反应时间、记忆巩固）；然而，较少有人考虑护士的睡眠如何影响他们理解并为患者提供情感护理的能力。在本文中，我们探讨睡眠可能如何影响护士产生共情和提供关怀护理的能力，而这两者都是他们工作的基本方面。我们首先考虑护士作为轮班工作者所面临的独特挑战以及睡眠对身体和心理功能的影响。我们研究共情和关怀如何促使护士试图理解患者的观点和经历，并激励他们想要帮助自己护理的患者。直接调查睡眠与这些过程之间关系的研究表明，睡眠不足会妨碍情感识别和体验，而对自己或他人更具同情心则与更好的睡眠相关。然而，这项工作大多是在护理或卫生专业领域之外进行的。我们讨论了为推进对睡眠如何影响精神科护士的共情和同情心的理解需要解决的问题，以及理解睡眠与共情/同情心之间的联系为何应成为护士教育和福祉的重要优先事项。
