Factors affecting the psychomotor vigilance of nurses working night shift

Çolak, Merve; Esin, Melek

doi:10.1111/inr.12848

Cited by 4 publications

(3 citation statements)

References 52 publications

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“…Implementing the PVT alongside subjective measures provides a multifaceted approach to understanding fatigue risk in ATC. Research, such as the study by Peukert and Meyer [13], has documented detrimental effects of night shifts on vigilance for various shift workers, including nurses [14]. Their work, along with the PVT results from this study, highlight the need for further investigation into night shift scheduling and its impact on ATC vigilance.…”

Section: General Discussion and Conclusionmentioning

confidence: 63%

Air Traffic Controllers’ Rostering: Sleep Quality, Vigilance, Mental Workload, and Boredom: A Report of Two Case Studies

Terenzi,

Tempestini,

Di Nocera

2024

Aerospace

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Fatigue in air traffic management (ATM) is a well-recognized safety concern. International organizations like ICAO and EASA have responded by advocating for fatigue risk management systems (FRMSs). EU Regulation 2017/373, implemented in January 2020, mandates specific requirements for air traffic service providers (ANSPs) regarding controller fatigue, stress, and rostering practices. These regulations are part of broader safety management protocols. Despite ongoing efforts to raise awareness about fatigue in ATC, standardized operational requirements remain elusive. To address this gap, Eurocontrol recently published “Guidelines on fatigue management in ATC rostering systems” (23 April 2024). This initiative aims to facilitate the adoption of common fatigue management standards across operations. However, neither EU Regulation 2017/373 nor existing documentation provides definitive rostering criteria. ANSPs typically derive these criteria from a combination of scientific research, best practices, historical data, and legal and operational constraints. Assessing and monitoring fatigue in the real-world ATC setting is complex. The multifaceted nature of fatigue makes it difficult to study, as it is influenced by many factors including sleep quality, circadian rhythms, psychosocial stressors, individual differences, and environmental conditions. Long-term studies are often required to fully understand these complex interactions. This paper presents two case studies that attempt to create an evidence-based protocol for fatigue risk monitoring in ATC operations. These studies utilize a non-invasive approach and collect multidimensional data. The cases involved en-route and tower (TWR) controllers from different ATC centers. The results highlight the importance of fatigue assessment in ATC and shed light on the challenges of implementing fatigue monitoring systems within operational environments.

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Section: General Discussion and Conclusionmentioning

confidence: 63%

Air Traffic Controllers’ Rostering: Sleep Quality, Vigilance, Mental Workload, and Boredom: A Report of Two Case Studies

Terenzi,

Tempestini,

Di Nocera

2024

Aerospace

View full text Add to dashboard Cite

show abstract

“…Implementing the PVT alongside the subjective measures provides a multifaceted approach to understanding fatigue risk in ATC. The PVT has been successfully used in a great variety of se ings and Detrimental effects of the night shift on vigilance have been reported for many types of shift workers, including nurses [10]. More inherent to the area we are discussing, Peukert and Meyer [11] used the PVT to investigate fatigue in air traffic controllers, revealing that fatigue levels varied across shifts and over time.…”

Section: General Discussion and Conclusionmentioning

confidence: 99%

Air Traffic Controllers’ Rostering: Sleep Quality, Vigilance, Mental Workload, and Boredom: A Report of Two Case Studies

Terenzi,

Tempestini,

Di Nocera

2024

Preprint

View full text Add to dashboard Cite

Fatigue is a recognized concern in air traffic management, prompting international bodies like ICAO and EASA to advocate for Fatigue Risk Management Systems (FRMS). EU Regulation 2017/373, effective since January 2020, imposes specific requirements on air traffic service providers regarding controllers' fatigue, stress, and rostering systems, as part of safety management protocols. Despite active campaigns promoting fatigue awareness in air traffic control (ATC), there remains a need for standardized operational requirements. Eurocontrol recently published "Guidelines on fatigue management in ATC rostering systems" (April 23), aiming to facilitate the adoption of common fatigue operational standards. However, neither EU Regulation 2017/373 nor existing documentation specifies exact rostering criteria. Air Navigation Service Providers (ANSPs) typically derive these criteria from scientific literature, best practices, historical data, and legal and operational necessities. Yet, assessing and monitoring fatigue in operational settings can be complex and require long-term studies due to its multifaceted nature, spanning factors such as sleep quality, circadian rhythms, psychosocial influences, individual traits, and environmental conditions. The case studies reported in this paper represent an attempt to create an evidence-based protocol for fatigue risk monitoring in ATC operations, utilizing a non-invasive approach and collecting multidimensional data. The two case studies involved en-route and tower controllers from different ATC Centers, and the results underscore the importance of fatigue assessment in ATC and elucidates challenges in implementing fatigue monitoring within operational contexts.

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“…Based on a comprehensive review of the existing literature, we found that vigilance and EF are impaired among day-night shift-working nurses. However, most studies attribute decreased vigilance and EF to shift nurses' circadian disruptions [12,13]. Te relationship between working hours, nurses' vigilance and EF has been widely underestimated.…”

Section: Introductionmentioning

confidence: 99%

The Association between Working Hours with Vigilance and Executive Function of Intensive Care Unit Nurses

Jing,

Li,

et al. 2023

Journal of Nursing Management

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Background. Vigilance and executive functions are integral to nursing practice. Prolonged working hours are associated with heightened fatigue and increased nursing errors. However, the impact of work duration on the vigilance and executive function of ICU nurses remains unexplored. Objective. This study aims to elucidate the association between ICU nurses’ working hours, vigilance, and executive function. Design. A cross-sectional study. Setting. Intensive care medicine department of a tertiary hospital in Zhengzhou, China. Participants. A total of 51 registered nurses who participated in 12 h shifts in the ICU completed the survey. Methods. E-prime software was employed to develop four test tasks to measure the vigilance and executive functioning of ICU nurses. The test was performed before the start of the shift and after 4, 8, and 12 h. Results. The analysis revealed no statistically significant differences in the response time of vigilance for ICU nurses across shifts ( p = 0.503 ) or working hours ( p = 0.078 ). However, a significant difference existed in lapses across working hours ( p = 0.005 ), significantly increasing after 8 and 12 h. The analysis indicated a significant difference in Flanker effect size across different working hours ( p = 0.035 ). The analysis revealed no significant differences in the switch cost ( p = 0.200 ) or response accuracy ( p = 0.479 ) of the task switching across working hours. The response accuracy for the 2-back task differed significantly ( p = 0.003 ) across working hours. Conclusion. Limited evidence demonstrated that vigilance and specific aspects of executive functioning (inhibitory control and working memory) of ICU nurses were negatively correlated with the duration of their work in a real clinical setting. Furthermore, no vigilance and executive function differences were identified between day and night shifts. Implications for Nursing Management. Nursing administrators should reconsider scheduling 12 h shifts, shortening shifts, or implementing short rest periods to reduce fatigue and cognitive load. In addition, flexible scheduling and rationalizing the order of work may help reduce the possible risks associated with prolonged work.

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Factors affecting the psychomotor vigilance of nurses working night shift

Cited by 4 publications

References 52 publications

Air Traffic Controllers’ Rostering: Sleep Quality, Vigilance, Mental Workload, and Boredom: A Report of Two Case Studies

Air Traffic Controllers’ Rostering: Sleep Quality, Vigilance, Mental Workload, and Boredom: A Report of Two Case Studies

Air Traffic Controllers’ Rostering: Sleep Quality, Vigilance, Mental Workload, and Boredom: A Report of Two Case Studies

The Association between Working Hours with Vigilance and Executive Function of Intensive Care Unit Nurses

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