Association between sleep and fatigue in nurses who are engaged in 16 h night shifts in Japan: Assessment using actigraphy

Kagamiyama, Hiromi; Sumi, Naomi; Yoshida, Yasuhiko; Sugimura, Naotaka; Nemoto, Fumie; Yano, Rika

doi:10.1111/jjns.12246

Cited by 17 publications

(15 citation statements)

References 28 publications

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“…Nurses have a heavy responsibility for their patients' lives. Such an environment threatens their health, which can manifest as suicide (Davidson et al., 2020), burnout (Woo et al., 2020), fatigue (Kagamiyama et al., 2019) and musculoskeletal pain (Amiri & Behnezhad, 2020), and contributes to high turnover (Holland et al., 2019). Although there are various problems in nurses' working environments, recent research has focused on work–life balance.…”

Section: Introductionmentioning

confidence: 99%

The actual–ideal gap in work–life balance and quality of life among acute care ward nurses

et al. 2021

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Nurses work in harsh working environments; their jobs are demanding and stressful (Al-Homayan et al., 2013). Shift work imposes irregular life rhythms on nurses (Shiffer et al., 2018). Nurses have a heavy responsibility for their patients' lives. Such an environment threatens their health, which can manifest as suicide (Davidson et al., 2020), burnout (Woo et al., 2020), fatigue (Kagamiyama et al., 2019) and musculoskeletal pain (Amiri & Behnezhad, 2020), and contributes to high turnover (Holland et al., 2019). Although there are various problems in nurses' working environments, recent research has focused on work-life balance. Work-life balance is defined as 'the individual perception that work and non-work activities are compatible and promote growth in accordance with an individual's current life priorities' (Kalliath & Brough, 2008).

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Section: Introductionmentioning

confidence: 99%

The actual–ideal gap in work–life balance and quality of life among acute care ward nurses

et al. 2021

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“…Junior doctors in the UK routinely work three or four 12 h nightshifts at intervals of around 1–3 months and nurses may work up to 7 nightshifts in a row. Similar patterns of either 8 h or 12 h are common in hospitals in the USA ( 9 , 10 ) and elsewhere in Europe ( 3 ) but nightshifts can last up to 16 h in Japan ( 11 ).…”

Section: Introductionmentioning

confidence: 74%

Melatonin Is a Feasible, Safe, and Acceptable Intervention in Doctors and Nurses Working Nightshifts: The MIDNIGHT Trial

et al. 2020

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Nightshift working is associated with sleep deprivation, fatigue and attention/ concentration deficits which, in healthcare workers, may impact on patient safety. Clinical staff in the UK routinely work several 12 h nightshifts in a row at about 1-3 month intervals. We investigated the feasibility and acceptability of a crossover trial of melatonin administration in clinical staff working nightshifts with an exploration of effects on sleep measures and attention/concentration tasks. This was a pilot, double-blinded, randomized, placebo-controlled crossover feasibility trial in doctors and nurses working 3 consecutive nightshifts at a tertiary referral hospital in the UK. Twenty five male and female subjects were randomized to receive either 6mg Circadin™ slow release melatonin or placebo before sleep after each consecutive nightshift, followed by a washout period, before crossing over to the other experimental arm. We used actigraphy for objective assessment of sleep parameters. The trial design was feasible and acceptable to participants with negligible side effects, but elevated melatonin levels were prolonged during the active arm (P=0.016). Double digit addition testing, a concentration/attention task, improved with melatonin treatment (P<0.0001). Lapses of vigilance or judgement while doctors or nurses are working nightshifts could impact on patient safety and melatonin may be a useful intervention. This study supports the conclusion that a larger definitive trial of this design is both feasible and safe.

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“…Each surgeon’s subjective symptoms during surgery were evaluated using the “Subjective Symptom Test of Fatigue” questionnaire [8, 9] (Industrial Fatigue Research Committee of Japan Society for Occupational Health). Evaluation items included dullness in the arms, pain in the hand or fingers, stiffness in the neck or shoulder, and subjective hand tremor during suturing.…”

Section: Methodsmentioning

confidence: 99%

“…The FMA was used in six cataract surgeries, four corneal transplantations, and four glaucoma surgeries. The questionnaire items for subjective symptoms were used from the “Subjective Symptom Test of Fatigue” prepared by the Industrial Fatigue Research Committee of Japan Society for Occupational Health [9]. The total fatigue questionnaire includes 25 items.…”

Section: Methodsmentioning

confidence: 99%

Microscopic Ophthalmic Surgery Using a Freely Movable Arm Support Robot: Basic Experiment and Clinical Experience

et al. 2020

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Introduction: The disadvantage of conventional armrests is the difficulty to adjust their height and position during surgery. Objectives: We investigated whether a freely movable armrest (FMA) that follows the surgeon’s arm is useful for reducing surgeon fatigue and arm tremors and for improving surgical accuracy. Methods: In the basic study, a corneal suture was placed in porcine eyes with FMA (FMA group) or without FMA (non-FMA group). The suture was intended to pass through two points. Tremor was quantified using motion-tracking software when the needle was held. Subjective symptoms of arm-related fatigue were scored using a questionnaire. Suturing accuracy was compared between the groups. In the clinical study, the same surgeon performed corneal transplantation, cataract surgery, and glaucoma surgery with or without FMA. Fatigue scores from the questionnaire were then compared. Results: In the basic study, hand tremor at rest was significantly improved with FMA (p < 0.0001). The subjective arm fatigue score was significantly reduced (p = 0.0465), while the subjective tremor score was also significantly improved (p = 0.0453). There were no differences in the accuracy of corneal suturing with or without FMA. In the clinical study, the total and arm-related fatigue scores during corneal transplantation and glaucoma surgery tended to improve. Conclusions: FMA is a useful tool for fixing the surgeon’s arm in any position and may improve the quality of ophthalmic surgery by reducing hand tremor and fatigue.

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Association between sleep and fatigue in nurses who are engaged in 16 h night shifts in Japan: Assessment using actigraphy

Cited by 17 publications

References 28 publications

The actual–ideal gap in work–life balance and quality of life among acute care ward nurses

The actual–ideal gap in work–life balance and quality of life among acute care ward nurses

Melatonin Is a Feasible, Safe, and Acceptable Intervention in Doctors and Nurses Working Nightshifts: The MIDNIGHT Trial

Microscopic Ophthalmic Surgery Using a Freely Movable Arm Support Robot: Basic Experiment and Clinical Experience

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