Sleep Quality and Fatigue Among Prehospital Providers

Patterson, P. Daniel; Suffoletto, Brian; Kupas, Douglas F.; Weaver, Matthew D.; Hostler, David

doi:10.3109/10903120903524971

Cited by 88 publications

(93 citation statements)

References 27 publications

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“…The mean PSQI score was reported to be higher among those reporting severe fatigue than among those not reporting fatigue to emergency medical services providers (Patterson et al, 2010), and this was concordant with our results. In addition, we measured sleep and fatigue at three different times to clarify whether the relationship between sleep and fatigue was related to air temperature.…”

Section: Discussionsupporting

confidence: 95%

Fatigue and sleep under large summer temperature differences

Fujii

Fukuda

Narumi

et al. 2015

Environmental Research

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Section: Discussionsupporting

confidence: 95%

Fatigue and sleep under large summer temperature differences

Fujii

Fukuda

Narumi

et al. 2015

Environmental Research

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“…Greater than half of Emergency Medical Services (EMS) personnel report fatigue and poor sleep quality (1)(2)(3). Naps improve alertness, vigilance, and cognitive performance in laboratory and field studies (4,5).…”

Section: Introductionmentioning

confidence: 99%

Effects of Napping During Shift Work on Sleepiness and Performance in Emergency Medical Services Personnel and Similar Shift Workers: A Systematic Review and Meta-Analysis

Martin‐Gill¹,

Barger²,

Moore³

et al. 2018

Prehospital Emergency Care

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Background: Scheduled napping during work shifts may be an effective way to mitigate fatigue-related risk. This study aimed to critically review and synthesize existing literature on the impact of scheduled naps on fatigue-related outcomes for EMS personnel and similar shift worker groups. Methods: A systematic literature review was performed of the impact of a scheduled nap during shift work on EMS personnel or similar shift workers. The primary (critical) outcome of interest was EMS personnel safety. Secondary (important) outcomes were patient safety; personnel performance; acute states of fatigue, alertness, and sleepiness; indicators of sleep duration and/or quality; employee retention/turnover; indicators of long-term health; and cost to the system. Meta-analyses were performed to evaluate the impact of napping on a measure of personnel performance (the psychomotor vigilance test [PVT]) and measures of acute fatigue. Results: Of 4,660 unique records identified, 13 experimental studies were determined relevant and summarized. The effect of napping on reaction time measured at the end of shift was small and non-significant (SMD 0.12, 95% CI −0.13 to 0.36; p = 0.34). Napping during work did not change reaction time from the beginning to the end of the shift (SMD −0.01, 95% CI −25.0 to 0.24; p = 0.96). Naps had a moderate, significant effect on sleepiness measured at the end of shift (SMD 0.40, 95% CI 0.09 to 0.72; p = 0.01). The difference in sleepiness from the start to the end of shift was moderate and statistically significant (SMD 0.41, 95% CI 0.09 to 0.72; p = 0.01). Conclusions: Reviewed literature indicated that scheduled naps at work improved performance and decreased fatigue in shift workers. Further research is required to identify the optimal timing and duration of scheduled naps to maximize the beneficial outcomes.

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“…Educating and training Emergency Medical Services (EMS) personnel to mitigate fatigue and manage their sleep may lead to improved safety and worker health. The need for fatigue education and training is evidenced by the high proportion of EMS personnel that report high levels of work-related fatigue and poor sleep (8,9). …”

Section: Introductionmentioning

confidence: 99%