How Long and How Much Are Nurses Now Working?

Trinkoff, Alison M.; Geiger-Brown, Jeanne; Brady, Barbara; Lipscomb, Jane; Muntaner, Carles

doi:10.1097/00000446-200604000-00030

Cited by 147 publications

(116 citation statements)

References 40 publications

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“…A study conducted by Trinkoff et al and a systematic review accomplished by Ellapen and Narsigan conclude that adverse working schedules was statistically significant extrinsic risk factor for WMSD. Improved schedules with reduced overtime and less work on days off could diminish risk of WMSD and retrieval time (Trinkoff et al, 2006;Ellapen and Narsigan, 2014). These results of our work were in accordance with (Cameron et al, 2008)who stated that predisposing factors for neck, back and shoulders symptoms include prolonged shifts with insufficient sleep and manual handling of patients.…”

Section: Discussionmentioning

confidence: 99%

Work- Related Musculoskeletal Symptoms Among Nurse Staff in Ismailia, Egypt

2018

Egypt. J. Occup. Med.

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Introduction: Nursing career is considered one of the most physically laborious professions which are associated with high prevalence of work related musculoskeletal disorders (WMSDs). Although the latter is of major concern worldwide; limited epidemiological studies on WMSDs among nurses for referencing in Egypt. Aim of work:1) Assessing the prevalence of work related musculoskeletal symptoms (MSSs) among nurses in Suez Canal University Hospital and Ismailia General Hospital, 2) determining the associations between personal and occupational characteristics, physical risk factors with MSSs of back, neck, knee, wrist and shoulder and, 3) determining the relationship between presence of musculoskeletal symptoms and its sequel. Materials and methods: A cross sectional study is implemented on 135 female nurses with full history taking including medical and occupational histories. A modified form of Standardized Nordic Questionnaire (SNQ) and medical history checklist for symptoms of WMSDs from Canadian Center for Occupational Health and Safety is used for detection and assessment of musculoskeletal symptoms. Results: About 113(83.7%) of the participants reported musculoskeletal symptoms: 91.4% in inpatient and ICU and 77.90% in outpatient. The most prevalent site was lower back (79.3%, 58.4%) in inpatient, ICU and outpatients respectively, working in awkward positions and presence of work related symptoms with (OR:22.259, CI:4.58-108.10) (p<0.05), concentration for long periods(OR:0.25, CI:0.07-0.95) (p<0.05) presence of work shifts(OR:0.1.25, CI:1.14-1.38) (p<0.05) are the most perceived predictors for MSSs. Conclusion: A high frequency of Egyptian nurses reported WMSDs at some body sites; with the low back being the most injured site. Nurses in inpatients and ICU departments were more affected than outpatients. Working in awkward positions for long periods, presence of working shifts and concentration for long periods were the most perceived job risk factors.

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Section: Discussionmentioning

confidence: 99%

Work- Related Musculoskeletal Symptoms Among Nurse Staff in Ismailia, Egypt

2018

Egypt. J. Occup. Med.

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“…Rogers and colleagues had 393 nurses complete logbooks over 28 days for a total of 5211 shifts and found that on more than 50% of shifts worked, participants were not "completely free of patient responsibilities" 26(p514) during their breaks. Trinkoff et al, 27 in a survey of 2273 nurses in the United States, found that 11% of nurses typically did not take breaks. Scott and colleagues, 28 in a study examining factors that affect the feasibility of a fatigue countermeasures program, identified that nurses felt guilty taking breaks and uncomfortable handing off responsibilities for their patients.…”

Section: Discussionmentioning

confidence: 99%

“…These barriers include not always getting breaks, insufficient relief of patient care responsibilities, and worry about patients and colleagues, which impedes the opportunity to nap. [26][27][28] The Institute of Medicine 9(p325) has called for research related to "methods to help night shift workers compensate for fatigue." In support of the health and safety of patients and nursing staff, it follows that the phenomenon of napping warrants exploration; specifically, the benefits, disadvantages, and barriers to nurses' napping during night shifts require identification.…”

mentioning

confidence: 99%

Napping During Night Shift: Practices, Preferences, and Perceptions of Critical Care and Emergency Department Nurses

Fallis

McMillan

Edwards

2011

Critical Care Nurse

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BACKGROUND Nurses working night shifts are at risk for sleep deprivation, which threatens patient and nurse safety. Little nursing research has addressed napping, an effective strategy to improve performance, reduce fatigue, and increase vigilance.OBJECTIVE To explore nurses' perceptions, experiences, barriers, and safety issues related to napping/not napping during night shift.METHODS A convenience sample of critical care nurses working night shift were interviewed to explore demographics, work schedule and environment, and napping/ not napping experiences, perceptions, and barriers. Transcripts were constantly compared, and categories and themes were identified. RESULTS Participants were 13 critical care nurses with an average of 17 years' experience. Ten nurses napped regularly; 2 avoided napping because of sleep inertia. The need for and benefits of napping or not during night shift break were linked to patient and nurse safety. Ability to nap was affected by the demands of patient care and safety, staffing needs, and organizational and environmental factors.CONCLUSIONS Nurses identified personal health, safety, and patient care issues supporting the need for a restorative nap during night shift. Barriers to napping exist within the organization/work environment. (Critical Care Nurse. 2011;31[2]: e1-e11)

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“…C urrent practice patterns among nurses show they are working longer than they ever have. [1][2][3][4] The effect of these long hours is that many nurses work in the midst of severe lethargy and sleep deprivation. 5 Sleep deprivation jeopardizes not only patient safety but also the safety and general health of the nurses themselves.…”

Section: Resultsmentioning

confidence: 99%

Sleepiness in critical care nurses: Results of a pilot study

Surani

Subramanian

Babbar

et al. 2008

Journal of Hospital Medicine

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BACKGROUND:Sleep deprivation, compounded by circadian disruptions, is a common problem in health care workers. Sleepiness in nurses has important implications for patients as well as nurses' own safety.OBJECTIVE:The objective of the study was to assess comprehensively sleepiness levels in post‐night‐shift nurses.METHODS:Post‐night‐shift nurses in the ICU and on general floors (medicine and surgery) were assessed using subjective (Epworth Sleepiness Scale [ESS]) and objective (Mean Sleep Latency Test [MSLT]) measures.RESULTS:ESS was abnormal (>8) in 7 of 10 ICU nurses compared with 2 of 10 floor nurses (P < .005), and mean ESS score was also higher (8.7 ± 3.9 vs. 5.6 ± 2.1, respectively; P = 0.042). MSLT values for the first nap period were in the pathologic range in the ICU nurses compared with the floor nurses (4.65 ± 5.5 vs. 10.85 ± 7.4 minutes, respectively; P < .05).CONCLUSIONS:Post‐night‐shift RNs working in the ICU have a pathologic degree of sleepiness. Journal of Hospital Medicine 2008;3:200–205. © 2008 Society of Hospital Medicine.

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How Long and How Much Are Nurses Now Working?

Abstract: The proportion of nurses who reported working schedules that exceed the recommendations of the Institute of Medicine should raise industry-wide concerns about fatigue and health risks to nurses as well as the safety of patients in their care.

Cited by 147 publications

References 40 publications

Work- Related Musculoskeletal Symptoms Among Nurse Staff in Ismailia, Egypt

Work- Related Musculoskeletal Symptoms Among Nurse Staff in Ismailia, Egypt

Napping During Night Shift: Practices, Preferences, and Perceptions of Critical Care and Emergency Department Nurses

Sleepiness in critical care nurses: Results of a pilot study

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