Effect of shift work in intensive care on attention disorder in nurses

2020 ◽  
Author(s):  
Süleyman Dönmezdil ◽  
Songül Araç
Keyword(s):  
Intensive Care ◽  
Shift Work ◽  
Attention Disorder

scholarly journals Evaluating Sleep Characteristics in Intensive Care Unit and Non-Intensive Care Unit Physicians

2011 ◽  
Vol 39 (6) ◽  
pp. 1071-1075 ◽  
Author(s):  
G. Ok ◽  
H. Yilmaz ◽  
D. Tok ◽  
K. Erbüyün ◽  
S. Çoban ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Shift Work ◽  
Pittsburgh Sleep Quality Index ◽  
Sleep Latency ◽  
Total Sleep Time ◽  
Total Activity ◽  
Sleep Time ◽  
Sleep Parameters ◽  
Icu Physicians

Healthcare workers’ cognitive performances and alertness are highly vulnerable to sleep loss and circadian rhythms. The purpose of this study was to investigate the changes in sleep characteristics of intensive care unit (ICU) and non-ICU physicians. Actigraphic sleep parameters, Pittsburgh Sleep Quality Index, Epworth Sleepiness Scale and Hamilton Depression Rating Scale were evaluated for ICU and non-ICU physicians on the day before shift-work and on three consecutive days after shift-work. Total sleep time, sleep latency, wakefulness after sleep onset, total activity score, movement fragmentation index, sleep efficiency, daytime naps and total nap duration were also calculated by actigraph. In the ICU physicians, the mean Pittsburgh Sleep Quality Index score was significantly higher than the non-ICU physicians (P=0.001), however mean Epworth Sleepiness Scale scores were not found significantly different between the two groups. None of the scores for objective sleep parameters were statistically different between the groups when evaluated before and after shift-work (P >0.05). However in both ICU and non-ICU physicians, sleep latency was observed to be decreased within the three consecutive-day period after shift-work with respect to basal values (P <0.001). Total sleep time, total activity score and sleep efficiency scores prior to shift-work were significantly different from shift-work and the three consecutive-days after shift-work, in both groups. Working in the ICU does not have an impact on objective sleep characteristics of physicians in this study. Large cohort studies are required to determine long-term health concerns of shift-working physicians.

“Shift Work” Improves Survival and Reduces Intensive Care Unit Use in Seriously Injured Patients

2007 ◽  
Vol 73 (2) ◽  
pp. 185-191
Author(s):  
Luke Y. Shen ◽  
Stephen D. Helmer ◽  
Jennifer Huang ◽  
Gerayu Niyakorn ◽  
R. Stephen Smith
Keyword(s):  
Intensive Care Unit ◽  
Multivariate Analysis ◽  
Intensive Care ◽  
Hospital Mortality ◽  
Shift Work ◽  
Continuity Of Care ◽  
Injury Severity ◽  
Severely Injured ◽  
Trauma Service ◽  
Injured Patients

We assessed whether a trauma service model with an emphasis on continuity of care by using “shift work” will improve trauma outcomes and cost. This was a case-control cohort study that took place at a university-affiliated Level I trauma center. All patients (n = 4283) evaluated for traumatic injuries between May 1, 2002 and April 30, 2004 were included. During Period I (May 1, 2002 to April 30, 2003), a rotating off-service team provided initial management between 5:00 PM and 7:00 AM. The “day team” provided all other care and was responsible for continuity of care. In Period II (May 1, 2003 to April 30, 2004), a dedicated trauma service consisting of two resident teams evaluated all injured patients. Variables included hospital and intensive care unit length of stay (LOS), mechanical ventilation requirements, hospital mortality, and hospital care costs. Demographics and injury mechanism for both periods were similar, but Injury Severity Score (ISS) in Period II was greater (ISS, 8.2% vs 7.2%, P < 0.0001; ISS > 15, 18.5% vs 15.4%). In the more severely injured (ISS > 15), patients in Period II had shorter hospital LOS (8.6 vs 9.7 days, P = 0.98), a shorter ICU LOS (5.5 vs 7.7 days, P = 0.039), shorter mechanical ventilator requirements (5.5 vs 7.7 days, P = 0.32), improved hospital mortality rate (19.9% vs 26.8%, P = 0.029), and decreased hospital costs ($19,146 vs $21,274, P = 0.36). On multivariate analysis, factors affecting mortality and LOS included age, initial vital signs, injury type, and ISS. Overall, the two trauma service models resulted in similar outcomes. Although multivariate analysis revealed that treatment period did not affect mortality, our study revealed improved patient survival and reduction in LOS and cost for the severely injured in Period II.

Shift Work in Intensive Care

CHEST Journal ◽  
2006 ◽  
Vol 130 (2) ◽  
pp. 624-625 ◽  
Author(s):  
Matt Wise ◽  
Paul Frost
Keyword(s):  
Intensive Care ◽  
Shift Work

scholarly journals Ill-lighting syndrome: prevalence in shift-work personnel in the anaesthesiology and intensive care department of three Italian hospitals

2009 ◽  
Vol 4 (1) ◽  
pp. 6 ◽  
Author(s):  
Ilaria Morghen ◽  
Maria Turola ◽  
Elena Forini ◽  
Piero Di Pasquale ◽  
Paolo Zanatta ◽  
...  
Keyword(s):  
Intensive Care ◽  
Shift Work ◽  
Intensive Care Department ◽  
Care Department

Shift Work in Intensive Care

CHEST Journal ◽  
2006 ◽  
Vol 130 (2) ◽  
pp. 625
Author(s):  
Bekele Afessa ◽  
Joseph C. Kolars ◽  
Rolf D. Hubmayr
Keyword(s):  
Intensive Care ◽  
Shift Work

scholarly journals 0175 Shift Work and its Impact on Sleep, Alertness and Performance in Intensive Care Health Workers

SLEEP ◽  
2018 ◽  
Vol 41 (suppl_1) ◽  
pp. A69-A69
Author(s):  
S Ganesan ◽  
M Magee ◽  
J E Stone ◽  
M D Mulhall ◽  
A Collins ◽  
...  
Keyword(s):  
Intensive Care ◽  
Shift Work ◽  
Health Workers ◽  
Care Health ◽  
And Performance
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