A Comparison of the Effects of Fixed- and Rotating-Shift Schedules on Nursing Staff Attention Levels A Randomized Trial

作者:Niu Shu Fen; Chu Hsin; Chen Chiung Hua; Chung Min Huey; Chang Yu Shiun; Liao Yuan Mei; Chou Kuei Ru*
来源:Biological Research for Nursing, 2013, 15(4): 443-450.
DOI:10.1177/1099800412445907

摘要

Purpose: %26lt;br%26gt;Sleep deficit affects neurobehavioral functioning, reduces attention and cognitive function, and negatively impacts occupational safety. This study investigated selective attention levels of nursing staff on different shifts. %26lt;br%26gt;Methods: %26lt;br%26gt;Using a prospective, randomized parallel group study, selective attention was measured using the d2 test in 62 nursing staff in a medical center in Taiwan. %26lt;br%26gt;Findings: %26lt;br%26gt;There were significant differences in selective attention indicators (E%) between the fixed-day-shift group (control group) and rotating-shift group (experimental group): The percentage of errors (E%) for night-shift workers in the rotating-shift group was higher than that of fixed-day-shift workers, while the total number of items scanned minus error (TN - E) and concentration performance (CP) scores were higher for fixed-day-shift workers. Within the experimental group, the error rate on night shift was 0.44 times more than that on day shift and .62 times more than on evening shift; the TN-E on night shift was 38.99 items less than that on day shift, and the CP was 27.68 items less on night shift than on day shift; indicating that staff on the night shift demonstrated poorer speed and accuracy on the overall test than did the staff on day shifts. %26lt;br%26gt;Conclusions: %26lt;br%26gt;Inadequate sleep and a state of somnolence adversely affected the attention and operation speed of work among night-shift workers. More than 2 days off is suggested when shifting from the night shift to other shifts to provide adequate time for circadian rhythms to adjust.

  • 出版日期2013-10