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.
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.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
OTHER
Masking
NONE
Enrollment
5
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.
During the night shift, participants will be asked wear study-provided blue and green light blocking glasses.
UPMC Shadyside
Pittsburgh, Pennsylvania, United States
Recruitment rate
Number of potential participants screened in order to enroll 8 participants
Time frame: 2 months
Attrition rate
Percentage of enrolled participants completing the intervention as a whole and its three conditions
Time frame: 4 months
Completeness of questionnaire responses
Percentage of completed responses
Time frame: 4 months
Melatonin collection
Number of salivary melatonin samples collected
Time frame: 4 months
Changes in physical health between baseline and the three conditions
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.
Time frame: 3 months
Changes in mental health between baseline and the three conditions
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.
Time frame: 3 months
Changes in Multidimensional Sleep Health between baseline and the three conditions
Changes in RSATED survey scores Total score ranges from 0 to 12 with higher scores representing better sleep health.
Time frame: 3 months
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Changes in sleep distrubance between baseline and the three conditions
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.
Time frame: 3 months
Changes in sleep-related impairment between baseline and the three conditions
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.
Time frame: 3 months
Change in sleep duration between baseline and the three conditions
Change in mean actigraphic sleep duration
Time frame: 3 months
Change in sleep efficiency between baseline and the three conditions
Change in mean actigraphic sleep efficiency
Time frame: 3 months
Change in fatigue between baseline and the three conditions
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.
Time frame: 3 months
Change in cognition function between baseline and the three conditions
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.
Time frame: 3 months
Change in burnout between baseline and the three conditions
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.
Time frame: 3 months
Changes in missed care between baseline and the three conditions
Changes in Tasks Undone-12 Scale scores. Scores range from 0 to 12 with higher scores representing more undone nursing tasks.
Time frame: 3 months
Changes in salivary melatonin levels between baseline and the three conditions
Changes in salivary melatonin levels
Time frame: 3 months