Healthy
Conditions
Keywords
Sleep, Fatigue, Burnout, Night shift
Brief summary
Healthy and happy nurses are essential to ensuring optimal patient outcomes and organizational success. The evidence on the negative impacts of night shift on nurses' health and cognitive function, and their implications on patient outcomes and organizational costs, reflect the need for interventions to mitigate these detrimental outcomes. This pilot, feasibility, clinical trial will examine the feasibility of two fatigue countermeasure interventions (access to napping/relaxation room and use of blue/green light blocking glass during night shift) and explore the interventions effects on nurses' health, missed care, and burnout.
Detailed description
Aim 1 (Primary): Examine the feasibility of a larger study and hospital-wide implementation of two fatigue countermeasure interventions (access to napping/relaxation rooms and use of blue/green light blocking glass during night shift). Aim 2 (Exploratory): Explore the effects of the interventions on melatonin levels, overall health, sleep, fatigue, cognitive function, missed care, nurse burnout, and salivary melatonin levels.
Interventions
BEHAVIORALAccess to napping/relaxation room
During the night shift, study participants will have access to the hospital unit's napping/relaxation room with a sound machine, diffusers for aromatherapy, a massage chair that can be used for napping, and snacks.
OTHERBlue and green light blocking glasses
During the night shift, participants will be asked wear study-provided blue and green light blocking glasses.
Sponsors
University of Pittsburgh
Shadyside Hospital Foundation
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
OTHER
Masking
NONE
Intervention model description
All participants are in a single group/cohort. Everyone will receive the same interventions in the same order. The order of the interventions will be randomly selected from six possible choices.
Eligibility
Sex/Gender
ALL
Age
18 Years to 99 Years
Healthy volunteers
Yes
Inclusion criteria
* Being a registered nurse at UPMC Shadyside (Pittsburgh, PA) * Working full-time night or rotating shifts * Willing to wear a Fitbit around-the-clock during the study * Willing to use nap/relaxation room and glasses only when assigned to that condition * Willing to provide saliva samples
Exclusion criteria
* Having a diagnosed sleep disorder (e.g., obstructive sleep apnea, insomnia, restless leg syndrome, or shift work disorder) * Currently being treated for a serious mental illness * Needing to use eye glasses to complete work related activities (note: contact lenses are acceptable) * Use of prescription or over-the-counter sleep aides including melatonin
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Recruitment rate | 2 months | Number of potential participants screened in order to enroll 8 participants |
| Attrition rate | 4 months | Percentage of enrolled participants completing the intervention as a whole and its three conditions |
| Completeness of questionnaire responses | 4 months | Percentage of completed responses |
| Melatonin collection | 4 months | Number of salivary melatonin samples collected |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Changes in physical health between baseline and the three conditions | 3 months | Changes the in PROMIS Global Health 10-item Measure, Physical Health sub-scale T-score. T-score ranges from 16.2 to 67.7 with 50.0 (standard deviation of 10) being the population mean. Higher scores represent better physical health. |
| Changes in mental health between baseline and the three conditions | 3 months | Changes the in PROMIS Global Health 10-item Measure, Mental Health sub-scale T-score. T-score ranges from 21.2 to 67.6 with 50.0 (standard deviation of 10) being the population mean. Higher scores represent better mental health. |
| Changes in Multidimensional Sleep Health between baseline and the three conditions | 3 months | Changes in RSATED survey scores Total score ranges from 0 to 12 with higher scores representing better sleep health. |
| Changes in sleep distrubance between baseline and the three conditions | 3 months | Changes in PROMIS Sleep Disturbance 8-item Measure T-scores. T-score ranges from 28.9 to 76.5.7 with 50.0 (standard deviation of 10) being the population mean. Higher scores represent more sleep disturbances. |
| Changes in sleep-related impairment between baseline and the three conditions | 3 months | Changes in PROMIS Sleep-related Impairment 8-item Measure T-scores. T-score ranges from 30.2 to 80.1 with 50.0 (standard deviation of 10) being the population mean. Higher scores represent more sleep-related impairment. |
| Change in sleep duration between baseline and the three conditions | 3 months | Change in mean actigraphic sleep duration |
| Change in sleep efficiency between baseline and the three conditions | 3 months | Change in mean actigraphic sleep efficiency |
| Change in fatigue between baseline and the three conditions | 3 months | Change in PROMIS Fatigue 7-item Measure T-scores. T-score ranges from 29.4 to 83.2 with 50.0 (standard deviation of 10) being the population mean. Higher scores represent more fatigue. |
| Change in cognition function between baseline and the three conditions | 3 months | Change in PROMIS Cognitive Function 8-item Measure T-scores. T-score ranges from 22.41 to 83.2 with 63.48 (standard deviation of 10) being the population mean. Higher scores represent better cognitive function. |
| Change in burnout between baseline and the three conditions | 3 months | Change in Copenhagen Burnout Inventory scores. The Copenhagen Burnout Inventory has three sub-scales measuring personal burnout, work-related burnout, and client-related burnout. Sub-scales scores range from 0 to 100 with higher scores representing greater burnout. |
| Changes in missed care between baseline and the three conditions | 3 months | Changes in Tasks Undone-12 Scale scores. Scores range from 0 to 12 with higher scores representing more undone nursing tasks. |
| Changes in salivary melatonin levels between baseline and the three conditions | 3 months | Changes in salivary melatonin levels |
Countries
United States
Outcome results
None listed