Nursing Students’ Sleep Patterns and Perceptions of Safe Practice During Their Entrée to Shift Work

Details

• Personal Author:
  Butterfield P ; James L ; Tuell E
• Description:
  Background: The transition into shift work represents a critical and challenging time point in a nurse's career. The purpose of this study was to describe nursing students' sleep patterns and perceptions of safe practice during their first semester of clinical rotations. Method: Repeated measures pertaining to the sleep patterns of 19 full-time junior undergraduate nursing students were measured before, during, and after their first clinical rotations. Sleep was measured using wrist activity monitors and sleep diaries for seven consecutive days at each time period. Students' "self-efficacy" or belief in their ability to provide safe practice was measured for (a) patient care (preventing adverse events to patients) and (b) occupational health (preventing occupational injuries to themselves) using Bandura's self-efficacy scales. Associations between students' sleep, sleepiness, and their perceptions of safe practice were explored. Results: Nursing students' self-efficacy scores regarding patient care (preventing adverse events) improved across the three time periods (from 80% before clinical rotation, to 84% during clinical rotation, to 87% after clinical rotation). Although lower overall, students' self-efficacy scores regarding occupational health (preventing occupational injuries to themselves) also improved across the three time periods (from 71% before clinical rotation, to 76% during clinical rotation, to 77% after clinical rotation). Furthermore, increased sleepiness significantly predicted lower self-efficacy scores for both patient care and occupational health. Conclusion/Application to Practice: Sleepiness can impair nursing students' confidence in their ability to practice safely. [Description provided by NIOSH]
• Subjects:
  Education Fatigue Health Personnel Occupational Health Safety Shift Work Schedule Sleep Sleep Initiation And Maintenance Disorders
• Keywords:
  Author Keywords: Ursing Nurses Occupational Safety Safe Practice Self-efficacy Shift Work Sleep Sleep Deprivation Total Worker Health TWH Work Schedules

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• ISSN:
  2165-0799
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Journal Article
• Place as Subject:
  Oregon ; OSHA Region 10 ; Washington
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  67
• Issue:
  11
• NIOSHTIC Number:
  nn:20068486
• Citation:
  Workplace Health Saf 2019 Nov; 67(11):547-553
• Contact Point Address:
  Lois James, PhD, 412 E. Spokane Falls Blvd, Spokane, WA 99201, USA
• Email:
  lois_james@wsu.edu
• Federal Fiscal Year:
  2020
• NORA Priority Area:
  Transportation, Warehousing and Utilities ; Services
• Performing Organization:
  Oregon Health & Science University, Portland
• Peer Reviewed:
  True
• Start Date:
  20110901
• Source Full Name:
  Workplace Health & Safety
• End Date:
  20260831
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:56c192615d2f66ba1977dfbed463ec6758ce192bee4dce9ae8d2764ef664cd322904879a9e801704bda23d8a5750e8a6b8ed00aa94ed73672cef1e7659d5c3bd
• Download URL:
  https://stacks.cdc.gov/view/cdc/207102/cdc_207102_DS1.pdf
• File Type:
  [PDF - 141.24 KB ]