The impact of sleep deprivation on work performance towards night-shift healthcare workers: an evidence-based case report
File(s)
Published version
Author(s)
Habiburrahman, Muhammad
Lesmana, Elvira
Harmen, Fadhilah
Gratia, Nadya
Mirtha, Listya Tresnanti
Type
Journal Article
Abstract
Background. Poor sleep and excessive fatigue among workers can reduce well-being and physical fitness. However, not many studies have mentioned how sleeping deprivation among night-shift healthcare workers impacted their work performance in multiple aspects.
Method. We conducted an evidence-based case report (EBCR) of a night shift nurse who was worried about the impact of her sleep deprivation on her work performance in the future due to prior history of needle-stick injuries. We aimed to determine whether sleeping deprivation caused by regular night shifts leads to decreased work performance among night-shift healthcare workers by formulating a clinical question. Evidence was searched systematically using five major journal databases (Proquest, EBSCO-Host, PubMed, ScienceDirect, and Cochrane) and was assessed thoroughly using inclusion and exclusion criteria.
Results. Eleven eligible studies were obtained with a medium level of evidence (III-IV), three systematic reviews with meta-analyses (SR-MA), three SR without MA, and five observational studies. All of them were analyzed and critically appraised using Oxford Evidence-Based Medicine and Joanna Briggs Institute tools. We found that reduced quantity and quality of sleep impacted all dimensions of work performance among healthcare professionals, be it in task performance (e.g., skill proficiency), contextual performance (e.g., communication skill and mental health issues), and patient and health worker safety (accident and medication error). It could also encourage counterproductive work behavior, such as absenteeism. Furthermore, sleep deprivation changes circadian rhythms, causing decreased information processing and affective recognition functions in some vital brain areas, ultimately affecting several work dimensions.
Conclusion. In conclusion, stakeholders need to adjust proper shift scheduling for health care workers, practice sleep hygiene, maintain physical fitness, and consume nutritional food, positively correlated to health and productivity.
Method. We conducted an evidence-based case report (EBCR) of a night shift nurse who was worried about the impact of her sleep deprivation on her work performance in the future due to prior history of needle-stick injuries. We aimed to determine whether sleeping deprivation caused by regular night shifts leads to decreased work performance among night-shift healthcare workers by formulating a clinical question. Evidence was searched systematically using five major journal databases (Proquest, EBSCO-Host, PubMed, ScienceDirect, and Cochrane) and was assessed thoroughly using inclusion and exclusion criteria.
Results. Eleven eligible studies were obtained with a medium level of evidence (III-IV), three systematic reviews with meta-analyses (SR-MA), three SR without MA, and five observational studies. All of them were analyzed and critically appraised using Oxford Evidence-Based Medicine and Joanna Briggs Institute tools. We found that reduced quantity and quality of sleep impacted all dimensions of work performance among healthcare professionals, be it in task performance (e.g., skill proficiency), contextual performance (e.g., communication skill and mental health issues), and patient and health worker safety (accident and medication error). It could also encourage counterproductive work behavior, such as absenteeism. Furthermore, sleep deprivation changes circadian rhythms, causing decreased information processing and affective recognition functions in some vital brain areas, ultimately affecting several work dimensions.
Conclusion. In conclusion, stakeholders need to adjust proper shift scheduling for health care workers, practice sleep hygiene, maintain physical fitness, and consume nutritional food, positively correlated to health and productivity.
Date Issued
2021-09-22
Date Acceptance
2021-09-01
Citation
Acta Medica Philippina, 2021, 55 (6), pp.650-665
ISSN
0001-6071
Publisher
University of the Philippines Manila
Start Page
650
End Page
665
Journal / Book Title
Acta Medica Philippina
Volume
55
Issue
6
Copyright Statement
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Articles are published under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License (https://creativecommons.org/licenses/by-nc-nd/4.0/).
Copyright ownership is shared between authors and Acta Medica Philippina once an article is published in the journal. Commercial use needs the permission of both the Journal and the article author(s). A fee is charged by the journal for such commercial use.
This license lets others remix, adapt, and build upon your work non-commercially, as long as they credit you and license their new creations under identical terms.
Articles are published under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License (https://creativecommons.org/licenses/by-nc-nd/4.0/).
Copyright ownership is shared between authors and Acta Medica Philippina once an article is published in the journal. Commercial use needs the permission of both the Journal and the article author(s). A fee is charged by the journal for such commercial use.
This license lets others remix, adapt, and build upon your work non-commercially, as long as they credit you and license their new creations under identical terms.
Identifier
http://dx.doi.org/10.47895/amp.v55i6.3157
Publication Status
Published
Date Publish Online
2021-09-22