Preview

Critical Appraisal Sample

Better Essays
Open Document
Open Document
2563 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Critical Appraisal Sample
Critical Appraisal #1 of Scott, Hofmeister, Rogness, and Rogers Article
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

You May Also Find These Documents Helpful

  • Good Essays

    Unit 3 P1

    • 1428 Words
    • 6 Pages

    If an employee is working nights, it is important that they get the correct amount of sleep after a shift in order for their body to function properly. Sleep depravation is a major health hazard and also can cause employees to become a health and safety risk. An example of this in the aviation industry is security officers not searching a passenger properly because they are too tired or sleep deprived to focus and perform their job properly this person may have explosives in their shoes with the intent to blow up an aircraft. If the security officer was not fatigued, then this would normally be detected instantly however because they are fatigued they may become very relaxed and lazy with security checks on passengers meaning that suspicious or dangerous items may make it through to airside. This a major health and safety risk which is why it is important that supervisor understand the effects of fatigue and how it affects a person’s alertness and work ethic. It is also important that supervisor and managers understand the effects of sleep deprivation and the serious consequences and impact it can have on the aviation industry. Supervisors must monitor employees for fatigue and know their limits especially if…

    • 1428 Words
    • 6 Pages
    Good Essays
  • Good Essays

    “Fatigue is a condition characterized by increased discomfort with lessened capacity for work, reduced efficiency of accomplishment, and loss of power or capacity to respond to stimulation” (Salazar, 2007). Fatigue is an tremendous issue that effects human capabilities and limitations in the aviation industry. Last week Tracie Newman introduced the idea of fatigue mitigation. In the 1920’s Lindbergh became aware of the damaging effect of long work days. Over the years much research has been performed on this topic. Due to the results many regulations have been implemented to prevent the numerous limitations fatigue places on the body. Such as part 117 which governs part 121 pilots requiring a certain amount of rest and limiting duty days.…

    • 386 Words
    • 2 Pages
    Good Essays
  • Good Essays

    Nurse Staffing Case Study

    • 1392 Words
    • 6 Pages

    These shifts still need to be filled because of the ever increasing patient amount within the hospital. These extra hours will play a toll on our current employees who are expected to step up and take these extra shifts. “Long work hours can lead to fatigue, restlessness, inadequate sleep, pain and deficits in performance and reaction time as a result of increased exposure to physical demands and insufficient recovery time (Bae, Nursing Overtime: Why, How Much, and Under What Working Conditions?). Continuing, “Reduced rest and recovery time leads to physiologic depletion or exhaustion that continues into the next workday. The Institute of Medicine recommended nurses work no more than 12 hours in a 24-hour period and no more than 60 hours in a 7-day period to avoid error-producing fatigue” (Bae, Nursing Overtime: Why, How Much, and Under What Working Conditions?). Nurses will not be able to abide by this recommendation from the IOM due to the need for overtime of nurses on the ICU from missing three nursing positions. This will prove to be unsafe and unhealthy for the patients and the individual nurse working so many overtime hours alike. “Excessive use of overtime increases nurse injuries, including needle stick and musculoskeletal problems” (Bae, Nursing Overtime: Why, How Much, and Under What Working…

    • 1392 Words
    • 6 Pages
    Good Essays
  • Good Essays

    I met my grandson for the first time on May 10, 2007. I was standing there in the examining room looking at the monitor screen and looking at my grandson. I could see him moving from side to side and up and down. It was the most marvelous thing anyone can witness in his or her lifetime.…

    • 573 Words
    • 3 Pages
    Good Essays
  • Powerful Essays

    When a nurse experiences this type of fatigue, it is important to be aware of what is happening because their current state must be addressed and dealt with in order to prevent further complications. Compassion fatigue “is marked by increased cynicism at work, a loss of enjoyment of our career, and eventually can transform into depression, secondary traumatic stress and stress-related illnesses”(Mathieu, 2007).…

    • 1477 Words
    • 6 Pages
    Powerful Essays
  • Good Essays

    Alarm fatigue is an unintended negative discovery in the pursuit of patient safety. Reliance on the machine rather than the human is a dangerous pitfall and steps to avoid it need implementation. Creating alarm protocols may help to decrease adverse effects of alarm fatigue (Horvath, 2014). For actual patient monitoring, nurses should rely on the fundamentals of the nursing process. These simple steps can aid in eliminating alarm fatigue and ensure the safety of patients (Horkan, 2014).…

    • 693 Words
    • 3 Pages
    Good Essays
  • Good Essays

    A program that can be implemented referring to Sleep Deprivation is a lunch-time information session. The session would only last half an hour, and would cover the causes of sleep deprivation and how it affects the work place. We would talk about different ways to combat sleep deprivation so that employees now have broader knowledge of the issue and can easily work their way to fixing the issue.…

    • 680 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Nurse Shiftwork Effects

    • 1593 Words
    • 7 Pages

    Nurses should understand the circadian rhythm and the methods to counteract its negative effects of working when their body thinks it should be sleeping. The internal pattern of the circadian rhythm is regulated by dark and light with most people programmed to sleep during the hours it is dark outside. The circadian rhythm has an effect on many other things in the body such as temperature, heartrate, and hormone regulation. The circadian rhythm also has an effect on the nurses working conditions and their cognitive function. Lack of sleep can attribute to a slower reaction time, resulting in more on the job injuries or clinical errors. These errors include drug administration errors, incorrect operation of medical equipment, and needle stick injuries. (cite) These errors in return can be minuscule or they can life threatening. The buildup of these errors over time could cost the nurse ultimately their…

    • 1593 Words
    • 7 Pages
    Good Essays
  • Good Essays

    Restorative Nap Break

    • 707 Words
    • 3 Pages

    (2006): Even though there was only 43.7% nurses’ response from the survey study, the high percentage of drowsiness and errors are convincing enough to warrant the use of nap. With the remaining percentage of nurses not surveyed, one can only expect the numerous errors unreported. The suggestion of reduced work hours sounds feasible given the facts by Scott et al. (2006) that inattentiveness from working more than 12 hours is similar to being intoxicated by alcohol. From personal experience, symptoms of dizziness, absent-mindedness, and near-driving accidents were common occurrences after working 12-hours night shift.…

    • 707 Words
    • 3 Pages
    Good Essays
  • Powerful Essays

    Answering these questions will assist the healthcare provider in gaining a better understanding of the aging population. In addition, by understanding what our barriers, prejudices, and in other words limitations…

    • 1866 Words
    • 8 Pages
    Powerful Essays
  • Powerful Essays

    The nursing profession requires an individual to be alert, watchful, and prepared. They must monitor patients closely. Concentration and attentiveness declines when a nurse is overloaded with work. Nurses who become fatigued from the work overload can become a danger to themselves and their patients. Medication errors and pressure ulcers are common results from fatigued nurses. Medication errors happen a lot when a nurse loses the ability to concentrate and focus. Pressure ulcers are a result of poor nursing care which can be caused by fatigue. A nurse may be so fatigued by the end of her shift that she does not properly position a patient. Basic care is sometimes put on the back burner, or is delegated to less qualified staff. As well as providing basic nursing care, a nurse must also give report, check patients orders, medications, and labs, all in one shift! This leaves little time to create or maintain a relationship with a patient. Often times, nurses are assigned five or more patients to take care of in one shift. Nurses become stressed from the pressures of the job, and decide to leave the profession all…

    • 1504 Words
    • 7 Pages
    Powerful Essays
  • Good Essays

    Nurse Fatigue Essay

    • 683 Words
    • 3 Pages

    Nurse fatigue is experienced every day in the nursing field, it is the inadequate adaptation and restoration of work energy (Drake, Luna, Georges, & Steege, 2012). Nurse fatigue can be emotional, physical or mental, it can also be a feeling of weariness, tiredness, lack of energy or having trouble performing at work (Drake, Luna, Georges, & Steege, 2012). Also it can be caused by working long shifts and causing exhaustion from staff burnout, leading to an adverse effect on patient outcome. It is a huge threat to patient safety. Fatigue can also cause a negative impact on nurse safety, and there is an increased risk in causing injury with a worker that is tired (Maust, 2015). Studies have shown that nursing fatigue is related to the shift length nurses work, and nursing performance can be impaired and increases the chance of making an error (Maust, 2015). The nurses who work 12.5 hours have a risk three times greater for making errors (Mason, Leavitt & Chaffee, 2014).…

    • 683 Words
    • 3 Pages
    Good Essays
  • Satisfactory Essays

    The researchers in this experiment aimed to “Investigate the quantitative differentiation of pulmonary dendritic cells in smoker with or without chronic obstructive pulmonary disorder (COPD) to explore the possible role of dendritic cells in smokers suffering COPD” (Yan-wei, Yong-jiang, & Xian-sheng, 2010). Dendritic cells (DCs) are inflammatory cells that are considered to be the promoter of immune responses; knowing this the researchers hypothesized that DCs may play an important role in the development of the disease. Subjects were broken into three groups based on an illness gradient: (control group, smokers without airflow obstruction, and COPD group as determined by the Chinese Society of Respiratory Disease). Samples of alveolar tissue were taken from these three groups and studied using immunohistochemical staining and immunofluorescence confocal laser scanning. The results from the experiment are portrayed using a one-way analysis of variance, Pearson’s r coefficient, graphs, and scatter plots. The conclusion of the data showed that “The quantity of the DCs significantly increased in smokers with COPD compared with non-smokers or smokers without COPD” (Yan-wei et al., 2010).…

    • 375 Words
    • 2 Pages
    Satisfactory Essays
  • Powerful Essays

    Newcomers Research Paper

    • 1623 Words
    • 7 Pages

    Issues such as lack of proper education, dead-end minimum wage jobs, unsanitary living conditions, and unfair labor practices can have a detrimental impact on the health condition of individuals in a community. Newcomers or recent immigrants in Canada do not always get the job that they desire and many end up doing odd jobs barely able to meet basic needs. In that case proper health and wellness would become the least of their priorities. As society and as a nation we must strive to correct all the inequities such as job opportunities, access to affordable high-quality education, and overall activities and programs that help integrate immigrants into mainstream Canadian society.…

    • 1623 Words
    • 7 Pages
    Powerful Essays
  • Good Essays

    “Of all the things I’ve lost, I miss my mind the most” (Mark Twain). The objective of this critical appraisal paper is to evaluate the qualitative research based on nursing student’s perspectives caring for the elderly people that have a cognitive impairment due to dementia, stroke, traumatic brain injuries, and or any degenerative diseases. These students know that caring for someone in this type of condition will come with many challenges and hardships, but taking the responsibility of doing what you’re supposed to do as a nursing student, nurse, and or any other medical expert speaks high volume as being professional. Working with people who are cognitively impaired can be a hard task because it can not only take a physical effect but…

    • 239 Words
    • 1 Page
    Good Essays

Related Topics