新生儿转运过程中的心理测量警戒评估:西澳大利亚的经验

Alexander Wilson, Kylie McDonald, Matthew Cooper, Paul Stevenson, Jonathan Davis, Sanjay Patole
{"title":"新生儿转运过程中的心理测量警戒评估:西澳大利亚的经验","authors":"Alexander Wilson, Kylie McDonald, Matthew Cooper, Paul Stevenson, Jonathan Davis, Sanjay Patole","doi":"10.1101/2024.03.07.24303951","DOIUrl":null,"url":null,"abstract":"Objectives\nTo assess whether undertaking retrieval was associated with fatigue independent of sleep and circadian disruption. Background\nFatigue is associated impaired clinician performance and safety. The association between shift work, sleep deprivation and circadian disruption is well established. No studies have specifi-cally assessed the independent effect of the retrieval environment on fatigue. Method\nMedical and nursing staff of the neonatal retrieval team were prospectively recruited over a 12-month period. Simple reaction times (RT) were recorded at the start and end of a day shift using a validated 3-min Psychometric Vigilance Test (PVT). Results\nEnd of shift RT increased by 6.38ms (95% CI: -2.17 to 14.92ms, p = 0.149) when retrieval was undertaken. A 1ms increase in RT increased the odds of being in a subjective sleepy cate-gory by 0.57% (log odds: 0.0057, 95% CI: 0.0036 to 0.0078). Consuming caffeine during the shift increased mean RT by 16.26 ms (95% CI: 4.43 to 28.1 ms, p <0.01).\nConclusion\nThe 3-min PVT was found to be an easy method of objectively assessing fatigue in the re-trieval setting. The effects of caffeine consumption on RT warrants further investigation.","PeriodicalId":501249,"journal":{"name":"medRxiv - Intensive Care and Critical Care Medicine","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2024-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Assessment of Psychometric Vigilance on Neonatal Transport: A Western Australian Experience\",\"authors\":\"Alexander Wilson, Kylie McDonald, Matthew Cooper, Paul Stevenson, Jonathan Davis, Sanjay Patole\",\"doi\":\"10.1101/2024.03.07.24303951\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Objectives\\nTo assess whether undertaking retrieval was associated with fatigue independent of sleep and circadian disruption. Background\\nFatigue is associated impaired clinician performance and safety. The association between shift work, sleep deprivation and circadian disruption is well established. No studies have specifi-cally assessed the independent effect of the retrieval environment on fatigue. Method\\nMedical and nursing staff of the neonatal retrieval team were prospectively recruited over a 12-month period. Simple reaction times (RT) were recorded at the start and end of a day shift using a validated 3-min Psychometric Vigilance Test (PVT). Results\\nEnd of shift RT increased by 6.38ms (95% CI: -2.17 to 14.92ms, p = 0.149) when retrieval was undertaken. A 1ms increase in RT increased the odds of being in a subjective sleepy cate-gory by 0.57% (log odds: 0.0057, 95% CI: 0.0036 to 0.0078). Consuming caffeine during the shift increased mean RT by 16.26 ms (95% CI: 4.43 to 28.1 ms, p <0.01).\\nConclusion\\nThe 3-min PVT was found to be an easy method of objectively assessing fatigue in the re-trieval setting. The effects of caffeine consumption on RT warrants further investigation.\",\"PeriodicalId\":501249,\"journal\":{\"name\":\"medRxiv - Intensive Care and Critical Care Medicine\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-03-09\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"medRxiv - Intensive Care and Critical Care Medicine\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1101/2024.03.07.24303951\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"medRxiv - Intensive Care and Critical Care Medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1101/2024.03.07.24303951","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

摘要

目的 评估进行检索是否与疲劳有关,而与睡眠和昼夜节律紊乱无关。背景疲劳会影响临床医生的工作表现和安全。轮班工作、睡眠不足和昼夜节律紊乱之间的关系已得到公认。目前还没有研究专门评估检索环境对疲劳的独立影响。方法在 12 个月内对新生儿复苏小组的医护人员进行前瞻性招募。在日班开始和结束时,使用经过验证的 3 分钟心理警觉测试 (PVT) 记录简单反应时间 (RT)。结果当进行检索时,班次结束时的反应时间增加了 6.38 毫秒(95% CI:-2.17 至 14.92 毫秒,p = 0.149)。RT每增加 1 毫秒,主观犯困的几率就会增加 0.57%(对数几率:0.0057,95% CI:0.0036 至 0.0078)。在轮班期间摄入咖啡因会使平均 RT 增加 16.26 毫秒(95% CI:4.43 至 28.1 毫秒,p <0.01)。饮用咖啡因对 RT 的影响值得进一步研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Assessment of Psychometric Vigilance on Neonatal Transport: A Western Australian Experience
Objectives To assess whether undertaking retrieval was associated with fatigue independent of sleep and circadian disruption. Background Fatigue is associated impaired clinician performance and safety. The association between shift work, sleep deprivation and circadian disruption is well established. No studies have specifi-cally assessed the independent effect of the retrieval environment on fatigue. Method Medical and nursing staff of the neonatal retrieval team were prospectively recruited over a 12-month period. Simple reaction times (RT) were recorded at the start and end of a day shift using a validated 3-min Psychometric Vigilance Test (PVT). Results End of shift RT increased by 6.38ms (95% CI: -2.17 to 14.92ms, p = 0.149) when retrieval was undertaken. A 1ms increase in RT increased the odds of being in a subjective sleepy cate-gory by 0.57% (log odds: 0.0057, 95% CI: 0.0036 to 0.0078). Consuming caffeine during the shift increased mean RT by 16.26 ms (95% CI: 4.43 to 28.1 ms, p <0.01). Conclusion The 3-min PVT was found to be an easy method of objectively assessing fatigue in the re-trieval setting. The effects of caffeine consumption on RT warrants further investigation.
求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信