title: Sleep and errors in a group of Australian hospital nurses at work and during the commute.
abstract: There is a paucity of information regarding Australian nurses' sleep and fatigue levels, and whether they result in impairment. Forty-one Australian hospital nurses completed daily logbooks for one month recording work hours, sleep, sleepiness, stress, errors, near errors and observed errors (made by others). Nurses reported exhaustion, stress and struggling to remain (STR) awake at work during one in three shifts. Sleep was significantly reduced on workdays in general, and workdays when an error was reported relative to days off. The primary predictor of error was STR, followed by stress. The primary predictor of extreme drowsiness during the commute was also STR awake, followed by exhaustion, and consecutive shifts. In turn, STR awake was predicted by exhaustion, prior sleep and shift length. Findings highlight the need for further attention to these issues to optimise the safety of nurses and patients in our hospitals, and the community at large on our roads.
authors.affiliation: The School of Psychology and The Centre for Sleep Research, The University of South Australia, 7th Floor Playford Building (P7-35), City East Campus, Frome Rd., Adelaide, SA 5000, Australia. jill.dorrian@unisa.edu.au <jill.dorrian@unisa.edu.au>
authors.forename: Jillian
authors.initials: J
authors.lastname: Dorrian
authors.forename: Carolyn
authors.initials: C
authors.lastname: Tolley
authors.forename: Nicole
authors.initials: N
authors.lastname: Lamond
authors.forename: Cameron
authors.initials: C
authors.lastname: van den Heuvel
authors.forename: Jan
authors.initials: J
authors.lastname: Pincombe
authors.forename: Ann E
authors.initials: AE
authors.lastname: Rogers
authors.forename: Dawson
authors.initials: D
authors.lastname: Drew
mesh_terms: D000328:Adult; D001315:Australia; D001334:Automobile Driving / Q000706:statistics & numerical data*; D005221:Fatigue / Q000453:epidemiology; D005260:Female; D006801:Humans; D008297:Male; D019300:Medical Errors / Q000706:statistics & numerical data*; D008875:Middle Aged; D009726:Nurses; D009741:Nursing Staff, Hospital; D010865:Pilot Projects; D011363:Professional Impairment; D012307:Risk Factors; D012449:Safety; D020178:Sleep Disorders, Circadian Rhythm / Q000150:complications / Q000453:epidemiology*; D012894:Sleep Stages; D013315:Stress, Psychological; D011795:Surveys and Questionnaires; D014851:Wakefulness; D014940:Work Schedule Tolerance / Q000502:physiology*