Author Affiliations : PhD Student (Ms Cho and Ms Brzozowski) and Associate Professor (Dr Steege), School of Nursing, University of Wisconsin-Madison; and Clinical Nurse Specialist (Dr Arsenault Knudsen), UW Health-Hospitals and Clinics, Madison, Wisconsin.
J Nurs Adm. 2021 Mar 1;51(3):128-134. doi: 10.1097/NNA.0000000000000983.
The aims of this study were to explore nurses' fatigue levels and sleep measures during two 12-hour consecutive day shifts and examine the relationships between nurses' fatigue levels within shifts and their previous-night sleep characteristics.
Monitoring changes in fatigue and sleep is important to enable effective fatigue management.
This was a descriptive, repeated-measures study. Data were collected using surveys and actigraphy 4 times during each consecutive shift (7:00 am-7:30 pm).
General fatigue levels started trending up 4 hours after the start of work; highest levels were reported at 7:30 pm. Fatigue levels accumulated across consecutive shifts. Subjective sleep quality was higher the night before the 2nd shift than the night before the 1st shift. Nurses' poor sleep the night before a shift was related to increased fatigue levels during the next shift.
It is important to consider when fatigue management interventions will be most effective and to consider previous-night's sleep when monitoring fatigue.
本研究旨在探讨护士在两个连续的 12 小时轮班期间的疲劳水平和睡眠措施，并研究轮班内护士的疲劳水平与前一晚睡眠特征之间的关系。
监测疲劳和睡眠的变化对于有效管理疲劳非常重要。
这是一项描述性、重复测量的研究。在每个连续轮班期间（上午 7:00 至下午 7:30），通过问卷调查和活动记录仪采集了 4 次数据。
一般疲劳水平在工作开始后 4 小时开始呈上升趋势；最高水平出现在下午 7:30。疲劳水平在连续轮班中累积。与第 1 个轮班相比，第 2 个轮班前一天晚上的主观睡眠质量更高。上一个班次前的睡眠质量差与下一个班次的疲劳水平增加有关。
在考虑疲劳管理干预措施最有效的时间时，以及在监测疲劳时考虑前一天晚上的睡眠时，这一点很重要。
