Abstract
This issue of Workplace Health & Safety contains a Continuing Nursing Education Module for 1.0 contact hour of continuing nursing education credit will be awarded by AAOHN upon successful completion of the posttest and evaluation.
A certificate will be awarded when the following requirements are met by the participant: (1) Participant logs on to the AAOHN LMS website at www.aaohn.org/education/online-learning-center and enrolls in the course ($10 members; $15 non-members); (2) The completed posttest and course evaluation are entered online at http://www.aaohn.org by October 2023; (3) A score of 75% (6 correct answers) is achieved by the participant.
Upon completion of this lesson, the occupational health nurse will be able to:
Identify the importance of brief naps as part of a fatigue risk management system
Discuss the effects of sleepiness on workplace errors, accidents, and injuries
The American Association of Occupational Health Nurses, Inc. is an Approved Provider of continuing nursing education by the American Association of Occupational Health Nurses, Inc., an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. The American Association of Occupational Health Nurses, Inc. is additionally approved as a CNE provider by the California Board of Registered Nursing (#CEP9283).
Contact hours received for successful completion of the posttest and evaluation may be used for relicensure, certification, and re-certification.
1. Sleepiness during the night shift is associated with: Workplace errors Injuries at work Drowsy driving after working night shift All the above
2. A literature review by the authors found that: Napping while at work is not feasible Napping increased errors at the workplace After 3 years of the implementation of brief naps, no adverse events due to napping were found More motor vehicle accidents after night shifts were reported after naps were instituted
3. Napping as a fatigue reduction measure is: A very recent (within the last 2 years) phenomenon Evidence-based and can help to decrease drowsy driving False because napping has been found to contribute to poor health outcomes Useless, because hospitals will never allow nurses on the night shift to nap
4. The purpose of this quality improvement project was to: Introduce napping on all shifts in the hospital Introduce napping only in the Intensive Care Units Introduce the implementation of a brief night shift nap opportunity for nurses throughout the hospital Introduce the implementation of a brief nap for hospital administrators
5. This project was described as, ‘multiphase’ because: The project was carried out on different days of the week It involved nurses at different phases of their career It included a pre-implementation survey phase, a review and summary of the literature and a post-implementation surve It included multiple hospital units
6. Implementation of this project was supported by nursing leadership because: Findings from the surveys indicated that nurses liked to nap The literature indicated that taking a short nap was likely to be effective in preventing drowsy driving at the end of the night shift The opportunity to take a short nap could prevent workplace errors related to sleepinessd. B & C
7. Recommendation for the napping initiative included: Nurses be allowed to take one hour naps as needed The nap was to be taken right before change of shift Napping was to be allowed when staffing and acuity permitted The definition of a ‘brief’ nap was 45 minutes or less
8. Implications for Occupational Health Nurses (OHNs) include:
The recognition that napping may be just part of a fatigue risk management system That it is possible to implement brief naps for night shift nurses in acute care hospital units Brief naps have the potential to decrease drowsy driving on the way home from night shift All the above