Errors during the Night Shift: An Age Management Policy is Needed for Nurses Over 55

Maria Luisa Asta, Salvatore Lo Presti
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Abstract

In the study “Relation between sleep deprivation and nursing errors during the night shift,” conducted on a sample of 3358 nurses, 94.7% of the respondents stated that they perform regular activities during the night shift. 16.8% of the respondents made errors in the last two night shifts, with 59.5% of the cases involving a single error. Sleep deprivation (3-5 hours of sleep within the 24 hours preceding the interview) appears to contribute to a higher frequency of errors. This tendency is particularly pronounced among nurses working in critical care units (23.9%). The number of nights worked also influences the likelihood of making errors, with an error frequency of 20.5%. The propensity to make errors is relatively high among the younger age group (17.2%), decreases in the middle age group (15.8%), and then increases again in the older age group (17.6%). We have concluded that night-time care is exhausting and demanding and can have negative effects on the quality of care provided. Therefore, healthcare organizations should support nurses in the organization of night-time care by investing in strategies for safe and quality night-time care that minimizes the negative impact on nurses’ quality of life and psycho-physical well-being. This includes increasing the number of nursing staff during the night shift. Furthermore, the authors conclude that precise age management strategies supported at the management level are needed to minimize the negative effects of the current situation and to enhance the skills that increase in quantity and quality with work experience, utilizing them as valuable resources within the
夜班失误:55岁以上护士需要年龄管理政策
在“睡眠剥夺与夜班护理失误之间的关系”研究中,对3358名护士进行了抽样调查,94.7%的受访者表示他们在夜班期间进行常规活动。16.8%的被调查者在最近两个夜班中出现错误,其中59.5%的案件涉及一次错误。睡眠剥夺(在面试前24小时内睡眠3-5小时)似乎会导致更高的错误频率。这一趋势在重症监护室工作的护士中尤为明显(23.9%)。工作的天数也会影响出错的可能性,出错的频率为20.5%。犯错倾向在低龄人群中较高(17.2%),在中年人群中下降(15.8%),在老年人群中再次上升(17.6%)。我们得出的结论是,夜间护理既累人又费力,而且会对所提供的护理质量产生负面影响。因此,医疗机构应该通过投资于安全和高质量的夜间护理策略来支持护士组织夜间护理,从而最大限度地减少对护士生活质量和身心健康的负面影响。这包括增加夜班护理人员的数量。此外,作者得出结论,需要在管理一级支持精确的年龄管理战略,以尽量减少目前情况的负面影响,并提高技能,增加工作经验的数量和质量,利用它们作为宝贵的资源
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