Featured Research

from universities, journals, and other organizations

Fatigued nurses more likely to regret their clinical decisions, study shows

Date:
January 2, 2014
Source:
American Association of Critical-Care Nurses (AACN)
Summary:
Nurses impaired by fatigue, loss of sleep, daytime sleepiness and an inability to recover between shifts are more likely to express concern that they made a wrong decision about a patient’s care, according to a study.

Fatigued nurses are more likely to express concern that they made a wrong decision about a patient's care, according to a study in the January issue of American Journal of Critical Care (AJCC).

"Association of Sleep and Fatigue With Decision Regret Among Critical Care Nurses" found that nurses impaired by fatigue, loss of sleep, daytime sleepiness and an inability to recover between shifts are more likely than well-rested nurses to report decision regret.

Decision regret is a negative cognitive emotion that occurs when an actual outcome differs from the desired or expected outcome. For nurses, it reflects concerns that the wrong decision may have been made regarding patient care.

Although decision regret reflects previous decisions and adverse outcomes, it may also contribute to work-related stress and compromise patient safety in the future.

This link between nurse fatigue and decision regret adds to the body of evidence that supports the need for appropriate staffing to ensure the use of fatigue management strategies to promote both patient safety and a healthy work environment.

Lead author Linda D. Scott, RN, PhD, NEA-BC, FAAN, is associate dean for academic affairs and an associate professor at the University of Illinois at Chicago College of Nursing. Cynthia Arslanian-Engoren, RN, PhD, ACNS-BC, FAHA, FAAN, and Milo C. Engoren, MD, FCCM, from the University of Michigan, Ann Arbor, served as co-authors.

"Registered nurses play a pivotal role as members of the healthcare team, but fatigued and sleep-deprived critical care nurses put their patients and themselves at serious risk," Scott said. "Proactive intervention is required to ensure that critical care nurses are fit for duty and can make decisions that are critical for patients' safety."

Critical care nurses and their employers must acknowledge the effect of fatigue, sleep deprivation and excessive daytime sleepiness on clinical performance and patient outcomes and must engage in strategies to mitigate these impairments.

Healthcare employers should implement scheduling models that maximize management of fatigue, ensure that support resources for clinical decisions are available and encourage the use of relief staff to provide completely relieved work breaks and strategically planned nap times.

"By working together to manage fatigue, critical care nurses and employers can ensure patients receive care from alert, vigilant and safe employees," Scott said. For the study, more than 600 nurses working full-time in critical care units completed a questionnaire on personal and work-related data, sleep quality, daytime sleepiness, sleep quantity, clinical-decision self-efficacy and decision regret.

Most respondents reported moderately high fatigue, significant sleep deprivation and daytime sleepiness, all of which affect their ability to be alert, vigilant and safe. Furthermore, the nurses were not likely to sufficiently recover from their fatigue-related states during non-work periods.

Decision regret was most common among nurses who are male, work 12-hour shifts and have lower levels of satisfaction with their clinical decisions.


Story Source:

The above story is based on materials provided by American Association of Critical-Care Nurses (AACN). Note: Materials may be edited for content and length.


Journal Reference:

  1. L. D. Scott, C. Arslanian-Engoren, M. C. Engoren. Association of Sleep and Fatigue With Decision Regret Among Critical Care Nurses. American Journal of Critical Care, 2014; 23 (1): 13 DOI: 10.4037/ajcc2014191

Cite This Page:

American Association of Critical-Care Nurses (AACN). "Fatigued nurses more likely to regret their clinical decisions, study shows." ScienceDaily. ScienceDaily, 2 January 2014. <www.sciencedaily.com/releases/2014/01/140102112043.htm>.
American Association of Critical-Care Nurses (AACN). (2014, January 2). Fatigued nurses more likely to regret their clinical decisions, study shows. ScienceDaily. Retrieved July 28, 2014 from www.sciencedaily.com/releases/2014/01/140102112043.htm
American Association of Critical-Care Nurses (AACN). "Fatigued nurses more likely to regret their clinical decisions, study shows." ScienceDaily. www.sciencedaily.com/releases/2014/01/140102112043.htm (accessed July 28, 2014).

Share This




More Health & Medicine News

Monday, July 28, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Trees Could Save More Than 850 Lives Each Year

Trees Could Save More Than 850 Lives Each Year

Newsy (July 27, 2014) A national study conducted by the USDA Forest Service found that trees collectively save more than 850 lives on an annual basis. Video provided by Newsy
Powered by NewsLook.com
Google's Next Frontier: The Human Body

Google's Next Frontier: The Human Body

Newsy (July 27, 2014) Google is collecting genetic and molecular information to paint a picture of the perfectly healthy human. Video provided by Newsy
Powered by NewsLook.com
What's To Blame For Worst Ebola Outbreak In History?

What's To Blame For Worst Ebola Outbreak In History?

Newsy (July 27, 2014) A U.S. doctor has tested positive for the deadly Ebola virus, as the worst-ever outbreak continues to grow. Video provided by Newsy
Powered by NewsLook.com
Losing Sleep Leaves You Vulnerable To 'False Memories'

Losing Sleep Leaves You Vulnerable To 'False Memories'

Newsy (July 27, 2014) A new study shows sleep deprivation can make it harder for people to remember specific details of an event. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins