The University of Texas at Arlington College of Nursing
In partial fulfillment of the requirements of N5301 Research in Nursing
Susan K. Grove, PhD, RN, ANP-BC, GNP-BC
June 1, 2014
Critical Appraisal #1
In a study by Scott, Hofmeister, Rogness, & Rogers (2010) it was noted that other industries have recognized the impact of shift work, lack of sleep, and fatigue on work performance and a related increase in risk for errors and injuries. In response to the recognition of theses hazards other industries have implemented programs to decrease the incidence of errors and injuries related to fatigue. The study noted that although nursing is a profession …show more content…
The concepts of sleep loss and poor sleep quality were discussed but not cognitive-behavioral outcomes. “These preliminary findings suggest that it is possible to implement fatigue countermeasures that have potential to mitigate fatigue, improve sleep, and reduce errors among hospital staff nurses” (Scott et al. 2010, p. 257). The expected findings were that “significant improvements were noted immediately after the intervention. Participants averaged an increase in sleep time by 50 minutes. Compared with the minimum amount of sleep obtained at baseline and at the 4 and 12 week post intervention periods” (Scott, et al. 2010, p. 254). The unexpected findings were that “although significant improvements were not found in daytime sleepiness scores, the severity of daytime sleepiness appeared to decrease” (Scott et al. 2010, p 256). The nurses continued to report poor sleep quality despite the improvement in sleep quality. Consistency of the study findings with other research was noted with the use of the Logbooks. Studies have been done with pilots’ alertness at the cockpit over 10 years, including physicians, flight and traffic controllers during space