Kazemi-Galougahi Mohammad Hassan, Feizabadi Ehsan
Department of Social Medicine, Faculty of Medicine, AJA University of Medical Sciences, Tehran, Iran.
Faculty of Medicine, AJA University of Medical Sciences, Tehran, Iran.
BMC Nurs. 2024 Nov 21;23(1):851. doi: 10.1186/s12912-024-02515-6.
Increased attention among healthcare workers, particularly nurses, is crucial for preventing medical errors and patient harm. This study uses an objective approach that overcomes the limitations of the subjective self-report measures employed in prior research on nurses' attention.
This cross-sectional study was conducted from January to March 2023 among 108 nurses at Besat Hospital in Tehran, Iran. The data collected included demographic information, the NASA Task Load Index (NASA-TLX) for mental workload assessment, and the CogLab signal detection test for attention sensitivity measurement.
The participants exhibited a median mental workload of 68.5 (IQR = 14.9) and a median attention sensitivity of 52.5 (IQR = 39.2). Daily sleep duration was positively correlated with attention sensitivity (r = 0.644, p < 0.001), whereas mental workload was negatively correlated with attention sensitivity (r = -0.655, p < 0.001). Men demonstrated greater attention sensitivity (p = 0.040), and women reported greater mental workload (p = 0.043).
Reducing daily sleep duration and increasing mental workload can diminish nurses' attention sensitivity. Prioritizing adequate sleep and implementing strategies to reduce mental workload are crucial for enhancing nurse performance and patient safety.
医护人员,尤其是护士,提高关注度对于预防医疗差错和患者伤害至关重要。本研究采用了一种客观方法,克服了先前护士注意力研究中使用的主观自我报告测量方法的局限性。
本横断面研究于2023年1月至3月在伊朗德黑兰的贝萨特医院对108名护士进行。收集的数据包括人口统计学信息、用于评估心理负荷的美国国家航空航天局任务负荷指数(NASA-TLX)以及用于测量注意力敏感度的CogLab信号检测测试。
参与者的心理负荷中位数为68.5(四分位间距 = 14.9),注意力敏感度中位数为52.5(四分位间距 = 39.2)。每日睡眠时间与注意力敏感度呈正相关(r = 0.644,p < 0.001),而心理负荷与注意力敏感度呈负相关(r = -0.655,p < 0.001)。男性表现出更高的注意力敏感度(p = 0.040),女性报告的心理负荷更高(p = 0.043)。
缩短每日睡眠时间和增加心理负荷会降低护士的注意力敏感度。优先保证充足睡眠并实施减轻心理负荷的策略对于提高护士绩效和患者安全至关重要。