Effect of Sleep Deprivation among Night-Shift Nurses on Patient Safety
Abstract
Background: Maintaining optimal physical and mental health requires getting enough sleep. Negative effects from sleep loss may occur in healthcare workers, who frequently experience sleep problems. The current study aims to analyze the effect of sleep deprivation among night shift nurses on patient safety.
Methods: The study has a descriptive cross-sectional design that included a sample of 102 nurses. A self-report questionnaire was used to gather data between January 10 and February 10, 2024. The first section of the questionnaire collected data on demographic information such as age, sex, education level, ward, and tenure. The second section focused on 12 multiple-choice items to gauge sleep deprivation. The third section evaluated patient safety during adverse events.
Results: based on results of the simple linear regression, the quality of sleep among nurses has no effect on the frequency of negative events among patients.at p≤0.05.
Conclusion: The study found that the majority of nurses had moderate sleep quality. Also, the results show no significant effect of sleep deprivation among night shift nurses on patient safety.
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References
Chattu VK, et al. The global problem of insufficient sleep and its serious public health implications. Healthcare 2018;7(1):1.
Liu H, et al. Sleep problems of healthcare workers in tertiary hospital and influencing factors identified through a multilevel analysis: A cross-sectional study in China. BMJ Open 2019;9(12):e032239.
Sandoval Y, et al. Sleep deprivation in interventional cardiology: Implications for patient care and physician‐health. Catheter Cardiovasc Interv 2018;91(5):905-10.
Bishir M, et al. Sleep deprivation and neurological disorders. Biomed Res Int. 2020;2020. https://doi.org/10.1155%2F2020%2F5764017
Muneer A, Abduljabbar AS and Al-Dahwi AM. Assessing the effect of lack of sleep on driver's performance: A simulator study. Eng Tech J 2021;39(12):1919-26.
Arzalier-Daret S, et al. Effect of sleep deprivation after a night shift duty on simulated crisis management by residents in anaesthesia. A randomized crossover study. Anaesth Crit Care Pain Med 2018;37(2):161-6. http://dx.doi.org/10.1016/j.accpm.2017.05.010
Jasim BS and Jamal MY. (2021). Evaluating patient safety culture in Iraqi community pharmacies. Iraqi J Pharm Sc 2024;30(1):154-162. https://doi.org/10.31351/vol30iss1pp154-162
Alani A. Delivering quality care and patient safety - A new paradigm. Iraqi J Med Sci 2017;15(3).
Ibrahim Al and Ameri MH. Night shift and its impact upon the quality of life of nurses working at the teaching hospitals of the medical city complex in Baghdad City, Iraq. J Nurs Care 2017;06. https://doi.org/10.4172/2167-1168.1000414.
Ramadan MZ and Al-Saleh KS. The association of sleep deprivation on the occurrence of errors by nurses who work the night shift. Curr Health Sci J 2014;40(2):97.
Naji Msc BA and Moussa AM. Nurses’ knowledge regarding prevention of surgical site infections at Baghdad cardiac centers and hospitals. Indian J Forensic Med Toxicol 2020;14(2). https://doi.org/10.37506/ijfmt.v14i2.3130.
Hattab WA, Kadhim AJ and Abdulwahhab MM. Impact of years’ experience upon nurses’ knowledge and practice concerning infection control at critical care units in Baghdad City. Indian J Forensic Med Toxicol 2021;15(1). https://doi.org/10.37506/ijfmt.v15i1.13785
Al-Jubouri MBAJ. Assessment of nurse’s knowledge about nosocomial infection at hospitals in Baghdad City. Kufa J Nurs Sci 2014;4:161–6. https://doi.org/10.36321/kjns.vi20141.2440.
Thomas CM, et al. Sleep deprivation in nursing students: The negative impact for quality and safety. J Nurs Edu Pract. 2017;7(5):87.
World Health Organization. Global patient safety action plan 2021-2030: Towards eliminating avoidable harm in health care. 2021.
Wilkinson K, Shapiro C. Development and validation of the Nonrestorative Sleep Scale (NRSS). J Clin Sleep Med. 2013 Sep 15;9(9):929-37. doi: 10.5664/jcsm.2996.
Abdulah DM, Perot KA, Holroyd E. Fatigue as a primary and secondary factor in relation to shift-rotating and patient safety in nurses. J Hosp Adm. 2020;9(1):1.
Ali N and Husseian I. The predictive role of sociodemographic factors in nurses’ psychological hardiness. Iraqi Nat J Nurs Spec 2023;36:44–47. https://doi.org/10.58897/injns.v36i1.785.
Kamil A and Ali Hattab W. Nurses’ knowledge and performance toward physical restraint at critical care units. Mosul J Nurs 2023;11:308–15. https://doi.org/10.33899/mjn.2023.180102.
Ahmed AT and Hassan HB. Assessment of nurses’ knowledge about enteral feeding at critical care units in hospitals of Al-Anbar Governorate. Iraqi Nat J Nurs Spec 2022;34:66–73. https://doi.org/10.58897/injns.v34i2.576.
Rajih Q and Mohammed W. Effectiveness of an education program on nursing staffs’ knowledge about infection control measures at intensive care unit in Al-Diwaniya Teaching Hospital. Iraqi Nat J Nurs Spec 2020;33:85–92. https://doi.org/10.58897/injns.v33i1.406.
Ahmeed S. Evaluation of nurses’ attitudes towards patients’ end of life in Diyala Governorate. Iraqi Nat J Nurs Spec 2022;35:20–30. https://doi.org/10.58897/injns.v35i1.469.
Hassan NA and Alwan IH. Emotional intelligence and its relationship to psychological hardiness among nurses. Clin Schizophr Relat Psychoses 2023;2(3):359–98. DOI: 10.3371/CSRP.2023.17. S3.100147
Ali ZH and Hattab WAA. Quality of nursing care in respiratory isolation units of coronavirus disease. Pak J Med Health Sci 2022;16:954–7. https://doi.org/10.53350/pjmhs22163954.
Abdulah DM and Suleman SK. Interactive effects of sleep difficulty and time pressure on patient safety in nurses in public hospitals. Sleep Vigil [Internet] 2021;5(2):299–307.
Stimpfel AW, Fatehi F and Kovner C. Nurses’ sleep, work hours, and patient care quality, and safety. Sleep Heal 2020;6(3):314–20.
Di Muzio M, et al. Can nurses’ shift work jeopardize the patient safety? A systematic review. Eur Rev Med Pharmacol Sci 2019;23(10):4507–19.
Alameri RA, et al. Sleep quality and fatigue among nurses working in high-acuity clinical settings in Saudi Arabia: A cross-sectional study. BMC Nurs 2024;23(1):51.
Alsharari AF, et al. Impact of night shift rotations on nursing performance and patient safety: A cross‐sectional study. Nurs Open 2021;8(3):1479–88.
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