TY  - JOUR
PY  - 2018//
TI  - Night shift preparation, performance, and perception: are there differences between emergency medicine nurses, residents, and faculty?
JO  - Clinical and experimental emergency medicine
A1  - Richards, John R.
A1  - Stayton, Taylor L.
A1  - Wells, Jason A.
A1  - Parikh, Aman K.
A1  - Laurin, Erik G.
SP  - 240
EP  - 248
VL  - 5
IS  - 4
N2  - OBJECTIVE: Determine differences between faculty, residents, and nurses regarding night shift preparation, performance, recovery, and perception of emotional and physical health effects. <br><br>METHODS: Survey study performed at an urban university medical center emergency department with an accredited residency program in emergency medicine. <br><br>RESULTS: Forty-seven faculty, 37 residents, and 90 nurses completed the survey. There was no difference in use of physical sleep aids between groups, except nurses utilized blackout curtains more (69%) than residents (60%) and faculty (45%). Bedroom temperature preference was similar. The routine use of pharmacologic sleep aids differed: nurses and residents (both 38%) compared to faculty (13%). Residents routinely used melatonin more (79%) than did faculty (33%) and nurses (38%). Faculty preferred not to eat (45%), whereas residents (24%) preferred a full meal. The majority (>72%) in all groups drank coffee before their night shift and reported feeling tired despite their routine, with 4:00 a.m. as median nadir. Faculty reported a higher rate (41%) of falling asleep while driving compared to residents (14%) and nurses (32%), but the accident rate (3% to 6%) did not differ significantly. All had similar opinions regarding night shift-associated health effects. However, faculty reported lower level of satisfaction working night shifts, whereas nurses agreed less than the other groups regarding increased risk of drug and alcohol dependence. <br><br>CONCLUSION: Faculty, residents, and nurses shared many characteristics. Faculty tended to not use pharmacologic sleep aids, not eat before their shift, fall asleep at a higher rate while driving home, and enjoy night shift work less.<p />  <p>Language: en</p>
LA  - en
SN  - 2383-4625
UR  - http://dx.doi.org/10.15441/ceem.17.270
ID  - ref1
ER  -