Can taking a nap during a night shift counteract the impairment of executive skills in residents?
Objectives Long and repeated periods of sustained wakefulness constitute a serious problem for shift workers in general and for medical interns in particular. In a real clinical setting, we investigated whether taking a long nap can counteract the negative consequences of acute sleep deprivation on...
| Publicado en: | Medical Education Vol. 47; no. 10; pp. 1013 - 1022 |
|---|---|
| Autores principales: | , , , , |
| Formato: | pictorial research Journal Article |
| Publicado: |
Wiley-Blackwell
Oct2013
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104224316&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104224316 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03080110 ESF jtl: Medical Education issn: 03080110 maglogo: Y pubinfo: dt: Oct2013 vid: 47 iid: 10 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 104224316 90146338 10.1111/medu.12256 NLM24016171 104224316 ppf: 1013 ppct: 9 formats: fmt: @attributes: type: P tig: atl: Can taking a nap during a night shift counteract the impairment of executive skills in residents? aug: au: Tempesta, Daniela Cipolli, Carlo Desideri, Giovambattista Gennaro, Luigi Ferrara, Michele affil: Department of Life, Health and Environmental Sciences University of L'Aquila sug: subj: Interns and Residents Shiftwork Sleep Deprivation Sleep Standards Cognition Task Performance and Analysis Human Funding Source Italy Female Male Adult Questionnaires Scales Descriptive Statistics Data Collection, Computer Assisted Chi Square Test Analysis of Variance Fisher's Exact Test Post Hoc Analysis Data Analysis Software Reaction Time Pearson's Correlation Coefficient Adult: 19-44 years Female Male ab: Objectives Long and repeated periods of sustained wakefulness constitute a serious problem for shift workers in general and for medical interns in particular. In a real clinical setting, we investigated whether taking a long nap can counteract the negative consequences of acute sleep deprivation on executive skills in residents. Methods Fifty-four interns at the Faculty of Medicine of the University of L' Aquila ( Italy) participated in the study. Thirty-two participants who worked the night shift were assigned to a wake or nap group ( WG, NG). The remaining 22 participants, who maintained regular diurnal working hours, were assigned to a control sleep group ( SG). Each participant performed task switching and go/no-go tasks in three sessions, carried out on 3 consecutive days, to provide baseline and experimental (after the night shift [ WG and NG]) data and data subsequent to having a normal night's sleep at home ( SG) and subsequent to recovery (after a night's sleep at home). The dependent variables were submitted to a mixed-model analysis of variance ( anova). Results After the night shift, SG and NG participants demonstrated better performance speed at task switching than WG participants. Moreover, WG participants showed lower accuracy throughout the study protocol compared with SG and NG participants. Conclusions Taking a long nap proved to be effective in ameliorating the deterioration in executive skills that accompanies night shift-working in interns. This finding raises the two entwined issues of how long a nocturnal nap should be and when it should best occur in order to support the maintenance of an effective process of consolidation of new executive skills. pubtype: Academic Journal doctype: pictorial research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|