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Quiet Time

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Quiet Time
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Purpose/Problem
The purpose and the problem are identified in the first paragraphs of the Scott et al, 2010. The main topic is the safety concerns of nurses working extended shifts and the association with high risk errors due to fatigue. “The objective of this study was to evaluate the feasibility of a FCMPN for improving sleep duration and quality while reducing daytime sleepiness and patient care errors. Selected sleep variables, errors and drowsy driving, were evaluated among hospital staff nurses (n = 47) before and after FCMPN implementation” (Scott, et al., 2010, p. 250). The adoption of a standardized fatigue intervention program as utilized in other industries has been successful and its use in being able to improve nurses’ alertness for nurses was hypothesized as being able to decrease the number of near errors and actual patient care errors (Scott, et al., 2010, p. 250).
The study purpose is realistic, practical and viable but most importantly, it is a necessity. The statement of the problem is clear and actual. The purpose runs with rationality to the cited objectives from this problem including the independent and dependent variables and the population to be studied. The study was limited to white female nurses with regards to demographic variables and the sample statistical data could have been supported by including a larger, geographically diverse sample size for intervention testing (Scott, et al., 2010, p. 257).
A relational statement is made that fatigue countermeasures program for nurses (FCMPN) would need administrative support to be successful, that they may conflict with work culture issues that prohibit their use and that policy should be established to prohibit moonlighting among full-time employees. In addition there are the nurses’ obligations to report to work for duty in a state of being well rested.
Literature Review
It is organized around the purpose and problem and is directly related to a



References: Burns, N., & Grove, S. K. (2009). The practice of nursing research: Appraisal, synthesis, and generation of evidence (6th Ed.). St. Louis, MO: Saunders Elsevier. Burns, N., & Grove, S. K. (2007). Understanding Nursing Research: Building an Evidence- Based Practice (4th Ed.). St. Louis, MO: Saunders Elsevier. Buysse, D. J., et al., (1989). The Pittsburgh Sleep Quality Index: A new instrument for psychiatric practice and research. Psychiatry Research, 28(2), 193-213. Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd Ed.). Hillsdale, NJ: Lawrence Erlbaum. Groves, S. K. (2007). Statistics for healthcare research: A practical workbook. St. Louis, MO: Saunders Elsevier. Johns, M.W., Measuring daytime sleepiness. The Epworth Sleepiness Scale. Sleep, 14 (6) 540-545. Lee, K.A., Landis, C., Chasens, E.R., Dowling, G., Merritt, S., Parker, K.P., et al. (2004) Sleep and Chronobiology: Recommendations for nursing education. doi:10.1016/j.outlook.2003.12.002. Scott, L. D., Hofmeister, N., Rogness, N., Rogers, A. E. (2010). An Interventional Approach for Patient and Nurse Safety: A Fatigue Countermeasures Feasibility Study. Nursing Research, 59 (4), 250-258.

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