Quiet Time

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Strengths and Weaknesses
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 research study. It identifies areas of the objective study which is the evaluation of the countermeasures feasibility study. The literature supports the formulated questions and addresses the findings for the conclusion. The most recent literature used from 2007 and 2009 are used to support the physical evidence when fatigue is a serious issue in health care professions or drivers. However, one of the limitations is that references were not updated but were used to formulate the design. Literature from 1963 can be a limitation for the criteria of a reliable study but on the other hand, the Campbell and Stanley (1963) reference is used to validate the collection of the data from the same nursing unit which is one the requirements to obtain the sample. Another limitation of the study is not citing scientific literature that can demonstrate chemical imbalance and the physiologic changes of not having enough sleep. Framework

The study (Scott, et al., 2010) has not identified theoretical framework. The study is based on a conceptual framework on the model of impaired sleep (Lee et al., 2004). The conceptual framework represents the detailed course of the investigation using statistically representative variables and the relationship between them. The framework also links the ideas with the literature and establishes evidence to support the need for the research purpose: “Principles of circadian physiology are important in understanding human responses during actual or potential health problems, such as sleep disorders, insomnia, or daytime sleepiness. Principles of circadian physiology also have nursing implications for the timing of drug administration and interpretation of laboratory values that might also influence these human responses” (Lee et al., 2004). The framework is emphatic in incorporating the necessary interventions of the countermeasures program for nurses. The operational definition is clearly defined. However, this study is limited to only one...
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