questionnaires on depression
EBP Literature Review
Do nurses who work 12 hour shifts make more medication errors compared to nurses who work 8 hour shifts?
· P: Nurses
· I: 8 hour shifts for all nurses
· C: 12 hour shifts compared to 8 hour shifts
· O: Less medication errors
· T: 30 days
Literature search: Hardin-Simmons University Database
· When searching for peer reviewed academic journals within the last five years…
· ‘Nurse’ → 664,538 articles
· ‘Nurse’ AND ‘Shift’ → 118,413 articles
· ‘Nurse’ AND ‘Shift’ AND ‘Medication errors’ → 11,812 articles
Article #1 (Jordan Boles)
Abdelbaset M. Saleh, Nabil J. Awadalla, Yosr M. El-masri, & Wafaa F. Sleem. (2014). Impacts
of nurses’ circadian rhythm sleep disorders, fatigue, and depression on medication
administration errors. Retrieved from
http://search.ebscohost.com.ezproxy.hsutx.edu:2048/login.aspx?direct=true&db=edsbas
&AN=edsbas.F8CC962F&site=eds-live&scope=site
Main Ideas and Recommendations
This article looks into the effects of fatigue, shift length, depression, and circadian rhythm on nurses and the impact these factors make on medication errors. The researchers used a cross-sectional study design with a sample population of 52 full time nurses. Each nurse filled out demographic data, questionnaires on depression and fatigue, a sleep diary, and was directly observed for medication errors during a full shift. The results of the study concluded that medication errors were increased during long shifts and when sleep was decreased. Other studies presented in the article supported these findings. Recommendations for this study would include taking a larger sample size that is more inclusive. The current population does not account for the older generation of nurses and only accounts for 1 male out of 52 nurses. Another improvement that could be made concerning this study is the need to include more specialties. This article only utilized medical/surgical nurses at an oncology center. A hospital-wide study that included all specialties such as labor and delivery, intensive care, and pediatrics would provide a complete picture of effects of shift length and fatigue on full time nurses.
Article #2 (Tamara Rossi)
Perry, L., Lamont, S., Brunero, S., Gallagher, R., & Duffield, C. (2015). The mental health of
nurses in acute teaching hospital settings: a cross sectional survey. BMC nursing, 14(1),
15.
Main Ideas and Recommendations
The article presents a cross-sectional study that aims to reach an understanding on how the continuous challenging nature of the nursing profession can impact the mental wellbeing of nurses in the long-term. The instrument used is the survey and a total of 382 nurses participated. Each participant was asked to fill in a questionnaire that included closed-ended questions regarding demographics (age, gender, ethnicity, type of contract), general health and comorbidities, sleeping patterns, eating habits and alcohol and tobacco use. The results of the study showed that more than half of the sample population experienced symptoms that could potentially indicate a mental health issue. Furthermore, nurses had better mental health if male, physically healthy, and living with a significant other or family rather than alone. Researchers emphasized the importance of both mental and physical wellbeing of nurses in order to provide high quality, safe, patient-centered nursing care. Finally, the study supported the creation of workplaces where working practices promoted nurses’ wellbeing. Participants were kept anonymous and the selection was very broad, since all nurses working in the hospitals were invited to participate. This fact ruled out any bias that could have possibly affect the entire study.
Article #3 (Danna Gonzales)
Thompson, B. J. (2019). Does work-induced fatigue accumulate across three compressed 12 hour shifts in hospital nurses and aides? PLoS ONE, (2). Retrieved from http://search.ebscohost.com.ezproxy.hsutx.edu:2048/login.aspx?direct=true&db=edsgov&AN=edsgcl.573035248&site=eds-live&scope=site
Main ideas and Recommendations
This article discusses the mental capabilities in the differences between nurses that work a single 12-hour shift to three consecutive 12-hour shifts. This nonexperimental design tests one group of nurses and aids at two different points of time, once at the end of a 12-hour shift and again at the end of the third 12-hour shift. A total of twenty-six nurses and aids participated in this study; 16 RNs, 8 CNAs and 2 LPNs. These tests included a psychomotor vigilance test, vertical jumps and muscle assessment in order to evaluate reaction time, lapses of attention and muscle function. The overall outcome of this cohort study concluded that there was a significant decline in each test that was given at the end of the third day. These results indicate the need for fatigue management strategies that will lower the risk for fatigue-related mishaps in the workplace. Recommendations to improve this study is to provide more fatigue assessment tests and fatigue assessment time points in order to determine when fatigue accumulation becomes most severe and when do certain strategies need to be implemented to reduce the heavy risks and burdens associated with fatigue induced impairments in performance.
Article #4 ( Munayfah Aldhafeeri) Sagherian, K., Clinton, M. E., Abu-Saad Huijer, H., & Geiger-Brown, J. (2017). Fatigue, work schedules, and perceived performance in bedside care nurses. Workplace health & safety, 65(7), 304-312. https://doi.org/10.1177/2165079916665398
Main Ideas and Recommendations
This article explores the effects of working overtime, chronic and acute fatigue, inflexible working schedule, and cognitive functioning on nurses and how these factors can negatively impact on nursing practice –leading to unfavorable patient outcomes. Descriptive cross-sectional research design was used by the researchers whereby a sample of 77 bedside nurses were involved in the study. Every nurse was issued with a questionnaire to fill in information regarding work schedules, fatigue, and perceptions regarding the nursing performance. The study findings indicated that acute and chronic fatigue led to poor physical and mental performance of nurses –hence resulting into constant medical errors. Moreover, lack of enough rest altered the cognitive functioning of nurses –resulting into poor concentration when providing patient care. All other studies related to the article supported the findings of this research. The recommendations for this research is the use of a different sampling methods whose sample size will be a representative of the entire RNs population. Secondly, future researches should be more inclusive by involving more medical professionals in the hospital. Finally, a different research design should be used in order to realize better results.
Article #5 (Brandi Offield)
Caruso C. C. (2014). Negative impacts of shiftwork and long work hours. Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses, 39(1), 16–25. doi:10.1002/rnj.107
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4629843/#idm140559828717056title
Main Ideas and Recommendations
This article uses a descriptive quasi-experimental approach to discuss the relationship between lack of sleep and working long hours, with the detrimental effects it has on nurses and patients in regards to safety and health. The article incorporates many different types of studies and instruments to validate that working long hours and not receiving adequate sleep, are directly related to slower reaction time, decreased ability to concentrate, poor health behaviors, diseases, and work related injuries and mistakes. Recommendations for this article would be to conduct a study of nurses who do get an adequate amount of sleep each night to show whether working long hours is directly related to the detrimental effects listed or is working long hours only directly related to not receiving an adequate amount of sleep.
References
Abdelbaset M. Saleh, Nabil J. Awadalla, Yosr M. El-masri, & Wafaa F. Sleem. (2014). Impacts
of nurses’ circadian rhythm sleep disorders, fatigue, and depression on medication
administration errors. Retrieved from
http://search.ebscohost.com.ezproxy.hsutx.edu:2048/login.aspx?direct=true&db=edsbas
&AN=edsbas.F8CC962F&site=eds-live&scope=site
Bae, S.H, & Fabry, D. (2014). Assessing the relationships between nurse work hours/overtime
and the nurse and patient outcomes: systemic literature review. Nursing outlook, 62(2),
138-156.
Caruso C. C. (2014). Negative impacts of shiftwork and long work hours. Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses, 39(1), 16–25. doi:10.1002/rnj.107
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4629843/#idm140559828717056title
Ferri, P., Guadi, M, Marcheselli, L., Balduzzi, S., Magnani, D., & DiLorenzo, R. (2016). The
impact of shift work on the psychological and physical health of nurses in a general
hospital: a comparison between rotating night shifts and day shifts. Risk management and
healthcare policy, 9, 203.
Perry, L., Lamont, S., Brunero, S., Gallagher, R., & Duffield, C. (2015). The mental health of
nurses in acute teaching hospital settings: a cross sectional survey. BMC nursing, 14(1),
15.
Vilde H. Bernstrøm, Daniele Evelin Alves, Dag Ellingsen, & Mari Holm Ingelsrud. (2019).
Healthy working time arrangements for healthcare personnel and patients: a systematic
literature review. BMC Health Services Research, (1), 1.
https://doi-org.ezproxy.hsutx.edu:4443/10.1186/s12913-019-3993-5
Thompson, B. J. (2019). Does work-induced fatigue accumulate across three compressed 12 hour shifts in hospital nurses and aides? PLoS ONE, (2). Retrieved from http://search.ebscohost.com.ezproxy.hsutx.edu:2048/login.aspx?direct=true&db=edsgov&AN=edsgcl.573035248&site=eds-live&scope=site
Sagherian, K., Clinton, M. E., Abu-Saad Huijer, H., & Geiger-Brown, J. (2017). Fatigue, work schedules, and perceived performance in bedside care nurses. Workplace health & safety, 65(7), 304-312. https://doi.org/10.1177/216507991666539
