Nurses’ sleep, work hours, and patient care quality, and safety

Source avec lien : Sleep Health: Journal of the National Sleep Foundation, (Prépublication), décembre 2019. 10.1016/j.sleh.2019.11.001

L’objectif de cette étude était de décrire la durée du sommeil et les caractéristiques du travail des infirmières diplômées (« infirmières ») dans les différents établissements et types d’unités de soins de santé et déterminer l’association entre la durée du sommeil et la qualité des soins et la sécurité des patients.

Abstract

Objectives

To describe sleep duration and work characteristics among registered nurses (“nurses”) across health care settings and unit types and determine the association between sleep duration and quality of care and patient safety.

Design

We used an observational, retrospective design. Survey data were collected from two cohorts of nurses in 2015 and 2016.

Setting

Health care and community settings across the United States, primarily acute care hospitals.

Participants

Nurses working in a staff or general duty position (N=1,568).

Measurements

The independent variable was nurses’ sleep duration before work and nonwork days. The two dependent variables were nurse reported quality of care (single item rating) and overall patient safety, measured by the Agency for Healthcare Research and Quality (AHRQ) Hospital Survey on Patient Safety Culture.

Results

Nurses reported an average of 414 minutes, or just less than 7 hours, of sleep before a work day and 497 minutes, or just over 8 hours, before a nonwork day. Short sleep duration was statistically significantly associated with lower ratings of quality of care (p=.002) and patient safety (p=.000).

Conclusions

Nurses are sleeping, on average, less than recommended amounts before work, which may be impacting their health and performance on the job. Health care managers may consider interventions to support nurses’ sleep to improve patient care. Further research is warranted.

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