Research Article Critique Ali Korf Duke University N580: Scholar I Dr. Dren April 13, 2016 Research Article Critique “Sleep Quality in Nurses: A Randomized Clinical Trial of Day and Night Shift Workers” is a quantitative study by Nui, Chu Chung, Lin, Chang, and Chou published in the journal of Biological Research for Nursing (2012). The article aims to compare the amount of recovery time needed by nurses that work the night shift in relation to nurses that work the day shift. In order to determine if a study is eligible to use for developing evidence based practice it is important to critique research articles (Lobiondo-Wood & Haber, 2014) for their quality and applicability. This will determine if the study is relevant and can be applied to nursing practice. That is the purpose of this paper. Title and Abstract The title of this study “Sleep Quality in Nurses: A Randomized Clinical Trial of Day and Night Shift Workers” appropriately portrays the information of the article. It describes the design of the study, a randomized trial, as well as the topic, sleep quality of nurses. Overall it gives a good picture of what the article includes. The abstract provides a nice summary of the article including the purpose, method, results and conclusion of the study. There is no real sense of urgency portrayed in the abstract because the authors fail to explain what the problem is that the study is aimed at researching. The authors do include the applicability of their
With regard to sleepiness, several studies indicated that the average of sleep duration in 1910 to 2002 have decreased from 9 to 6 hours on workdays (National sleep foundation, 2002; Groger et al., 2004). Recently, a survey study of Roger et al. (2004) shows that an American Nurses have an average of 84 minutes more sleep on non workdays. Thus, shift work suggested as a cause of sleeping disorder among nurses where they feel of sleep during the shift. Considering the contributing factors of sleepiness, the literature identified that long working hours and rotating shifts are causing sleeping disorder. In the night and rotating shifts, the nurses are rarely obtained adequate amount of sleep. In fact, the nurses experiencing less sleeping hours (1 to 4 hour) than normal sleeping (Zeisler et al.,1980). Nevertheless, insufficient sleep is a significant reason of damaging planning, decision-making, and integration of information (Krueger, 1994; Harrison and Horne, 2000). More recent studies have revealed that long hour shifts and overtime are strongly linked to the difficulties of being a wake through the shift which leads to increase the risk of making an error (Scott et al., 2006; Roger et al., 2004).
Since sleeping issues among people are only getting worse, some researchers are even calling insufficient sleep the next global health crisis. A study was completed by UK’s University of Warwick Medical School to better understand sleeping insufficiency among developing nations primarily in Asia and Africa. They found that these countries are suffering just as much, if not more (in some cases) as developed countries. Bangladesh was found to be the most problematic in terms of their sleeping patterns. The driving factor was that 40% of women in Bangladesh
Inadequate sleep and resulting fatigue has major implications on the health and safety of registered nurses and can compromise patient care. Fatigue can also be costly to employers, resulting in increases in health care and workers’ compensation costs, early disability, recruitment and training costs, and legal fees. In 2014, the Professional Issues Panel on Nurse Fatigue led the effort to update ANA’s position statement on nurse fatigue. “Registered nurses and employers in all care settings must collaborate to reduce the risks of nurse fatigue and sleepiness associated with shift work and long work hours. Evidence-based strategies must be implemented to proactively address nurse fatigue and sleepiness and to promote the health, safety, and wellness of registered nurses and ensure optimal patient outcomes.” This statement articulates the American Nurses Association’s (ANA)
Parahoo (2006) believes that abstract information should be concise and succinct, including the aim, methods, samples and findings. The chosen research articles abstracts does contain the afore mentioned criteria. Therefore the abstracts did provide sufficient details regarding the nature of the study and the relevance to the reader.
Many have felt the effects of sleep deprivation and how it may affect one physically and mentally. For a nurse, when exhaustion sets in due to working long hours or inadequate sleep cognitive and physical functions begin to decrease resulting in poor critical thinking and clinical judgment. There may be circumstances, such as staffing shortages, which
A nurse’s role is to advocate for the patient, provide care to them and their families, to do no harm, to promote healthcare and to alleviate suffering (AMA, 2015). With this being said, does working the night shift increase patient care errors? The human body is regulated by the circadian rhythms that tell the body when to sleep and wake, so does this altered sleep pattern have a correlation with patient care errors? When nurses work the night shift, this natural rhythm is disrupted and can impact well-being, judgement and decision making as well as the overall health of the nurse. In the articles presented, there are several thoughts on whether or not the shift change causes decrease judgement, response time and decision making. Are nurses truly impacted by night shift or are there other variable that impact the nurse and their physical and emotional health. Are there more patient care errors on the night shift than any other shift? There are several journal articles that research this very question using Evidence-based practice and PICO.
The effects of long work hours, resulting in insufficient sleep have been well documented (Rogers, 2008). Insufficient sleep alone has been noted to cause cognitive problems, mood alterations, reduced job performance, reduced motivation, increased safety risks, and physiological changes (Rogers, 2008). Failure to obtain a sufficient amount of sleep is even an important contributor to medical errors (Rogers, 2008). Now think of the effects of sleep, and add in stressful work environments, short-staffing, pressure from administration, and unexpected events, we can begin to realize how patient outcomes may be greatly compromised.
Jaime Murphy Dawson, a Master of Public Health, writes about the environmental and behavioral factors that interfere with sleep. In this May 2013 edition of American Nurse Today, Dawson writes that people must control the factors that disturb their sleep. Being able to work productively and safely is attributed to healthy sleep. Nurses who are on call at night have become used to sleep interference, as working the night shift disrupts their sleep cycle. Dawson offers some tips that will achieve a healthier and better sleep. By making sleep a priority, people will be healthier and will reduce stress. If people establish a routine by relaxing at the end of the day, they will fall asleep faster and have will have a better night’s rest. Eating
The research is partitioned into sections; the objectives, design, background, participating individuals, basic results and a conclusion. The abstract part is very essential for quick reviewers that have restricted time to go through the whole proposal (Al-Mufti, McCarthy & Fisk, 1997). However, it may be the requisite for expert reviewers to allow them make decisions on whether to accept or ignore the research. Below the abstract is the introduction part that is essential as it is responsible for the definition of the question to be answered and provides the reasons as to why it needs to be answered. The introduction was brief was never portioned and provided the question in research as well as the answer to the question raised (Viktrup, 2002). The researchers stipulated that despite proving from research indicating the effectiveness of the conservative treatment to the condition; there have not been any studies on the prevention measures before its symptoms become
As a CNA working occasional night shifts, I noticed the difference in behaviors between those nurses who worked strictly nights versus those who were strictly days. I then questioned if there would be a correlation between those nurses who worked night shift and anxiety. Most nurses who work night shift experience a different type of environment than those in day shfit as day shift is more on their feet as the patients are awake. While exploring the different correlations, I remained curious as to if there was a correlation between the nurses behaviors and working night. I feel like if I knew the correlation
I chose this topic because, I want to go into the medical field and fatigue in nursing is one of the biggest problems in this field. This problem is affecting both the nurses and patients. The nurses aren't able to stay on task, which is putting the patient's health at risk. “According to a study by Australian researchers, there is a 3.4% chance of an error occurring when nurses obtain six hours or less of sleep during
The title of the article is clear and concise. It is only ten words long and clearly states the nature of the study. The population under study is identified, and the issue being considered is included in the title as well. All of these factors contribute in making the title of the article effective.
In this phase, it is importat to emphasize the treatment in going through the steps including the assessment of sleep patterns. The social worker should have an extensive comprehension of sleep patterns so that psychoeducation and hygiene education can give the patient. Key factors in sleep hygiene education are the understanding of the model of sleep propensity, which identifies the two processes of how both external and internal clocks can help control sleep (Zaretsky, 2003). People have different set of clocks, so some wake up late in the morning and extend their evening hours, and vise-versa. Some exhibit extreme sleep practices, but regardless of the difference, knowing one’s type is essential in organizing one’s schedule to enhance productivity and energy (Zaretsky,
The title of the article is straightforward and exact tells the reader what the article is about. One thing the article did not mention was the population and demographics of the sample. It was not until I read to the abstract to discover the population. Overall the abstract does an excellent job to given the reader insight of what they are about to read. The abstract clearly summarize the main features of the report: the problem, methods, results, and conclusion.
Working the night shift is a common practice in industrialized societies. Nevertheless, its adverse effects should not be excused as this plays a vital part in control of cancer and heart disease. Prevailing in healthcare, transport and production industries, its irreversible effects on bodily functions play a vital role in reducing accidents, sleep regulation, performance, and quality of rest.