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The relationship between nurse work schedules, sleep duration, and drowsy driving.

机译：护士工作时间表，睡眠时间和困倦驾驶之间的关系。

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STUDY OBJECTIVES: Recent studies have shown that extended shifts worked by hospital staff nurses are associated with significantly higher risk of errors, yet little information is available about the ability to remain alert during the nurses' commutes following the completion of an extended work shift. The purpose of this study is to describe the prevalence of drowsy driving episodes and the relationship between drowsy driving and nurse work hours, alertness on duty, working at night, and sleep duration. PARTICIPANTS: Data were collected from 2 national random samples of registered nurses (n=895). MEASUREMENTS AND RESULTS: Full-time hospital staff nurses (n=895) completed logbooks on a daily basis for 4 weeks providing information concerning work hours, sleep duration, drowsy and sleep episodes at work, and drowsy driving occurrences. Almost 600 of the nurses (596/895) reported at least 1 episode of drowsy driving, and 30 nurses reported experiencing drowsy driving following every shift worked. Shortersleep durations, working at night, and difficulties remaining awake at work significantly increased the likelihood of drowsy driving episodes. CONCLUSIONS: Given the large numbers of nurses who reported struggling to stay awake when driving home from work and the frequency with which nurses reported drowsy driving, greater attention should be paid to increasing nurse awareness of the risks and to implementing strategies to prevent drowsy driving episodes to ensure public safety. Without mitigation, fatigued nurses will continue to put the public and themselves at risk.
机译：研究目标：最近的研究表明，医院工作人员护士长期轮班与错误发生的风险显着相关，但很少有信息表明在完成长期轮班后护士在通勤期间保持警觉的能力。这项研究的目的是描述困倦驾驶事件的发生率，以及困倦驾驶和护士工作时间，值班警觉性，夜间工作和睡眠时间之间的关系。参与者：数据来自2名全国注册护士的随机样本（n = 895）。测量与结果：医院的专职护士（n = 895）每天完成4周的日志，提供有关工作时间，睡眠时间，昏昏欲睡，工作中的睡眠发作以及昏昏欲睡的驾驶情况的信息。几乎600名护士（596/895）报告了至少1次困倦驾驶事件，并且30名护士报告了每工作一次便会出现困倦驾驶事件。较短的睡眠时间，夜间工作以及上班仍保持清醒的困难显着增加了昏昏欲睡的驾驶事件的可能性。结论：鉴于有大量的护士报告下班回家时挣扎着保持清醒，并且护士报告困倦驾驶的频率很高，因此应更加注意提高护士对危险的认识以及实施预防昏睡驾驶事件的策略。确保公共安全。没有缓解措施，疲惫的护士将继续使公众和自己面临风险。

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