Sleep and errors in a group of Australian hospital nurses at work and during the commute

Date

2008

Authors

Dorrian, J.
Tolley, C.
Lamond, N.
van den Heuvel, C.
Pincombe, J.
Rogers, A.
Drew, D.

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Journal article

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Applied Ergonomics, 2008; 39(5):605-613

Statement of Responsibility

Jillian Dorrian, Carolyn Tolley, Nicole Lamond, Cameron van den Heuvel, Jan Pincombe, Ann E. Rogers, Dawson Drew

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Abstract

There is a paucity of information regarding Australian nurses' sleep and fatigue levels, and whether they result in impairment. Forty-one Australian hospital nurses completed daily logbooks for one month recording work hours, sleep, sleepiness, stress, errors, near errors and observed errors (made by others). Nurses reported exhaustion, stress and struggling to remain (STR) awake at work during one in three shifts. Sleep was significantly reduced on workdays in general, and workdays when an error was reported relative to days off. The primary predictor of error was STR, followed by stress. The primary predictor of extreme drowsiness during the commute was also STR awake, followed by exhaustion, and consecutive shifts. In turn, STR awake was predicted by exhaustion, prior sleep and shift length. Findings highlight the need for further attention to these issues to optimise the safety of nurses and patients in our hospitals, and the community at large on our roads.

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Copyright © 2008 Elsevier Ltd All rights reserved.

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