The George Washington University.
Duke University School of Nursing.
Workplace Health Saf. 2021 Oct;69(10):474-483. doi: 10.1177/21650799211038003. Epub 2021 Sep 16.
Sleepiness during the night shift is associated with errors, accidents, injuries, and drowsy driving. Despite scientific evidence that supports brief naps to reduce sleepiness, and guidance documents from policy organizations, napping has not been widely implemented.
An initiative to translate scientific evidence about napping was implemented in one hospital over one year. The initiative included garnering leadership support and resources, building a translation team, evaluating the evidence, responding to operational concerns, developing an implementation strategy, and then implementing and evaluating the results. Night shift nurses were surveyed pre and post nap implementation for drowsy driving, sleepiness, and work and coworker relationships. Qualitative data documented the nurses' perceptions about napping.
Three-fourths of the units that were eligible to nap successfully implemented and sustained napping. Most nurses felt refreshed by a brief nap and felt safer on the drive home, but one-fourth worried about or had sleep inertia symptoms. Drowsy driving remained unacceptably high.
The initiative was successfully implemented on most nursing units. The mixed reaction to napping, and the unfavorable drowsy driving outcome point to the need for additional interventions to reduce sleepiness.
夜班时的困倦与错误、事故、伤害和瞌睡驾驶有关。尽管有科学证据支持短暂小睡来减轻困倦，但政策组织的指导文件表明，小睡并没有得到广泛实施。
一项将关于小睡的科学证据转化为实践的倡议在一家医院实施了一年。该倡议包括争取领导层的支持和资源、组建翻译团队、评估证据、回应操作上的担忧、制定实施策略，然后实施并评估结果。在实施小睡前后，夜班护士接受了关于瞌睡驾驶、困倦和工作及同事关系的调查。定性数据记录了护士对小睡的看法。
有资格小睡的三分之二的科室成功实施并维持了小睡。大多数护士在短暂的小睡后感到神清气爽，在回家的路上感到更安全，但四分之一的护士担心或有睡眠惯性症状。瞌睡驾驶仍然高得不可接受。
该倡议在大多数护理单元成功实施。对小睡的混合反应，以及不利的瞌睡驾驶结果表明，需要采取额外的干预措施来减轻困倦。
