Randomised control trial of a proactive intervention supporting recovery in relation to stress and irregular work hours: effects on sleep, burn-out, fatigue and somatic symptoms

Abstract

ObjectivesTo examine if a proactive recovery intervention for newly graduated registered nurses (RNs) could prevent the development of sleep problems, burn-out, fatigue or somatic symptoms.MethodsThe study was a randomised control trial with parallel design. Newly graduated RNs with less than 12 months’ work experience were eligible to participate. 461 RNs from 8 hospitals in Sweden were invited, of which 207 signed up. These were randomised to either intervention or control groups. After adjustments, 99 RNs were included in the intervention group (mean age 27.5 years, 84.7% women) and 108 in the control group (mean age 27.0 years, 90.7% women). 82 RNs in the intervention group attended a group-administered recovery programme, involving three group sessions with 2 weeks between each session, focusing on proactive strategies for sleep and recovery in relation to work stress and shift work. Effects on sleep, burn-out, fatigue and somatic symptoms were measured by questionnaires at baseline, postintervention and at 6 months follow-up.ResultsPreventive effect was seen on somatic symptoms for the intervention group. Also, the intervention group showed less burn-out and fatigue symptoms at postintervention. However, these latter effects did not persist at follow-up. Participants used many of the strategies from the programme.ConclusionsA proactive, group-administered recovery programme could be helpful in strengthening recovery and preventing negative health consequences for newly graduated RNs.Trial registration numberNCT04246736.

Interventions to improve the sleep of nurses: A systematic review

“…However, Dahlgren et al (2022) did not find significant differences in subjectively assessed insomnia severity or sleep quality after nurses received three 2.5 h CBT‐based proactive recovery program sessions. Carter et al (2013) did not find significant changes in subjective sleep quality assessed by the PSQI after group CBT‐I education in nine hospice nurses.…”

“…Overall, 7 out of 22 RCTs were graded as low risk of bias (good quality) (Baradari et al, 2018; Chang et al, 2017; Cyr et al, 2023; Hsu et al, 2021; Mousavi et al, 2020; Niu et al, 2021; Zhang et al, 2020), and the rest were graded as high risk of bias. Dropout rates of the RCTs were moderate, with 10 RCTs reporting dropout rates of <10%, and 12 RCTs reporting dropout rates from 12.5% to 77% (Aarts et al, 2020; Bjorvatn et al, 2021; Booker et al, 2022; Carter et al, 2013; Dahlgren et al, 2022; Fang & Li, 2015; Hoshi et al, 2022; Lee et al, 2014; Morimoto et al, 2016; Omeogu et al, 2020; Scott et al, 2010b; Zhang et al, 2020). All others were quasi‐experimental studies and considered high risk of bias.…”

Effectiveness of sleep interventions for rotating night shift workers: a systematic review and meta-analysis

“…Third, a cognitive behavioral approach was implemented in seven studies involving healthcare workers ( n = 388) and other occupational workers ( n = 554) ( 12 , 25 , 32 , 34 , 38 , 40 , 44 ). The interventions included educational programs consisting of sleep physiology, sleep hygiene, and fatigue-relieving and sleep-promoting strategies ( n = 4) ( 12 , 32 , 40 , 44 ), cognitive behavioral interventions ( n = 2) ( 25 , 34 ), and exercise interventions ( 38 ). The interventions were delivered through face-to-face sessions ( 25 , 32 , 40 , 44 ) and mobile technology ( 12 , 34 ).…”

“…The interventions included educational programs consisting of sleep physiology, sleep hygiene, and fatigue-relieving and sleep-promoting strategies ( n = 4) ( 12 , 32 , 40 , 44 ), cognitive behavioral interventions ( n = 2) ( 25 , 34 ), and exercise interventions ( 38 ). The interventions were delivered through face-to-face sessions ( 25 , 32 , 40 , 44 ) and mobile technology ( 12 , 34 ). The mean duration of the interventions was 9 (range, 3–24) weeks.…”

Dampak Kelelahan Kerja Dan Kualitas Tidur Terhadap Pengaruh Produktivitas Kerja

“…Meningkatkan produktivitas pekerja kantor sangat penting bagi perusahaan karena biaya konstruksi dan biaya operasional gedung untuk menyediakan kantor bagi pekerja jauh lebih kecil daripada biaya gaji dan tunjangan mereka [1]. Biaya tahunan untuk gaji dan tunjangan karyawan adalah sekitar $3000 per meter persegi, sedangkan biaya tahunan penggunaan energi adalah sekitar $20 per meter persegi oleh karena itu, peningkatan 1% dalam produktivitas tahunan memiliki dampak ekonomi yang lebih tinggi daripada pengurangan 100% dalam penggunaan energi tahunan (3).…”