Nursing Students' Sleep Patterns and Perceptions of Safe Practice During Their Entrée to Shift Work.

Background: The transition into shift work represents a critical and challenging time point in a nurse's career. The purpose of this study was to describe nursing students' sleep patterns and perceptions of safe practice during their first semester of clinical rotations. Method : Repeated measures p...

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Publicado en:Workplace Health & Safety Vol. 67; no. 11; pp. 547 - 554
Autores principales: James, Lois, Butterfield, Patricia, Tuell, Erica
Formato: research tables/charts Journal Article
Publicado: Sage Publications Inc. Nov2019
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov2019
      vid: 67
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        atl: Nursing Students' Sleep Patterns and Perceptions of Safe Practice During Their Entrée to Shift Work.
      aug:
        au:
          James, Lois
          Butterfield, Patricia
          Tuell, Erica
        affil: Washington State University
      sug:
        subj:
          Students, Nursing, Baccalaureate Psychosocial Factors
          Sleep
          Patient Safety
          Occupational Safety
          Occupational Health
          Education, Clinical
          Shiftwork
          Funding Source
          Human
          Students, Undergraduate
          Repeated Measures
          Diaries
          Actigraphy
          Self-Efficacy
          Scales
          Sleepiness
          Occupational-Related Injuries Prevention and Control
          Prospective Studies
          Confidence
          Conceptual Framework
          Convenience Sample
          Descriptive Statistics
          Sleep Hygiene
          Data Analysis Software
          Male
          Female
          Male
          Female
      ab: Background: The transition into shift work represents a critical and challenging time point in a nurse's career. The purpose of this study was to describe nursing students' sleep patterns and perceptions of safe practice during their first semester of clinical rotations. Method : Repeated measures pertaining to the sleep patterns of 19 full-time junior undergraduate nursing students were measured before, during, and after their first clinical rotations. Sleep was measured using wrist activity monitors and sleep diaries for seven consecutive days at each time period. Students' "self-efficacy" or belief in their ability to provide safe practice was measured for (a) patient care (preventing adverse events to patients) and (b) occupational health (preventing occupational injuries to themselves) using Bandura's self-efficacy scales. Associations between students' sleep, sleepiness, and their perceptions of safe practice were explored. Results : Nursing students' self-efficacy scores regarding patient care (preventing adverse events) improved across the three time periods (from 80% before clinical rotation, to 84% during clinical rotation, to 87% after clinical rotation). Although lower overall, students' self-efficacy scores regarding occupational health (preventing occupational injuries to themselves) also improved across the three time periods (from 71% before clinical rotation, to 76% during clinical rotation, to 77% after clinical rotation). Furthermore, increased sleepiness significantly predicted lower self-efficacy scores for both patient care and occupational health. Conclusion/Application to Practice : Sleepiness can impair nursing students' confidence in their ability to practice safely.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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