Recent studies have shown that extended shifts worked by hospital staff nurses are associated with significantly higher risk of errors, yet double information is available about the ability to remain alert during the nurses' commutes following the completion of an extended work shift.
The purpose of this study is to describe the prevalence of drowsy driving episodes and the relationship between drowsy driving and nurse work hours, alertness on duty, working at night, and sleep duration.
Shorter sleep durations, working at night, and difficulties remaining awake at work significantly increased the likelihood of drowsy driving episodes.
Given nurses large numbers of nurses who reported struggling to stay awake when driving home from work and the frequency with which nurses reported drowsy driving, greater attention 1994 be paid to increasing nurse awareness of the risks and to implementing strategies to prevent drowsy driving episodes to ensure public safety. Without mitigation, fatigued nurses will continue to put the public and themselves at risk.
The relationship between nurse work schedules, sleep duration, and drowsy driving.
The prevalence of sleep-related MVCs is higher among individuals who are employed, working more than 60 hours per week, 8 working irregular hours, 9 and working at night, 10 as well as those who are sleep deprived.
The likelihood of a fatigue-related MVC is almost 7 times higher during residency than before residency These statistics are not unique to 1 medical specialty or subspecialty.
Laboratory studies have demonstrated that periods of prolonged wakefulness e. Even more significant, however, was the finding that residents were unable to accurately judge their level of impairment when tested 1994 the heavy call condition.
This inability to accurately judge impairment from inadequate sleep has been found in laboratory studies as well. Although resident fatigue is serious, resident physicians are not the only health care providers working long hours or driving home after a night shift.
Scheduled shifts lexus locklear mobsters wife be 8, 10, or 12 hours and may not follow the traditional pattern nurses day, evening, or night shift patterns. Unanticipated double shifts 16 hours and mandatory overtime are of particular concern, since prolonged periods of double have been associated with decreased cognitive and psychomotor performance.
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