Using Cognitive-Behavioral Change and Mobile Technology to Improve RN Sleep and Fatigue

利用认知行为改变和移动技术改善 RN 睡眠和疲劳

• 批准号: 10643045
• 负责人: Beverly M Hittle
• 金额: $ 10.8万
• 依托单位: UNIVERSITY OF CINCINNATI
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-01 至 2026-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10643045
• 关键词: Using; Cognitive; Behavioral; Change; Mobile

Project Summary The U.S. registered nurse (RN) workforce is one of the largest in the Healthcare and Social Assistance Sector, and at high risk for injuries and errors due to poor sleep and fatigue. Shift work (i.e., nights, evenings, rotating shifts) can contribute to RNs not obtaining adequate, restful sleep. Work intensity, including heavy physical and emotional workloads of caring for critically ill patients, can contribute to job stress, resulting in spill-over effects at home when RNs experience difficulties falling and staying asleep. To address work and home sleep barri- ers, this project proposes the development and pilot testing of RN-SLEEP, skill-building mobile application designed to improve sleep. RN-SLEEP will provide a convenient, flexible space for RNs to learn evidence- based shift work specific strategies, and cognitive-behavioral methods, (e.g., goalsetting, relaxation training) to enhance sleep. Using NIOSH’s Research 2 Practice (R2P) approach, the study team will collaborate with par- ticipants (N=18-24) from an RN union to refine RN-SLEEP content, integrating current sleep literature (includ- ing National Institute for Occupational Safety and Health [NIOSH] material) with cognitive-behavioral based training. RN-SLEEP will be pilot-tested using a two-group pretest-posttest study design, comparing sleep out- come measures (duration, quality) of RN-SLEEP participant users’ (n=35) with participants from an education control group (n=35). Data trends on behavior change (beliefs and self-efficacy) and other sleep outcome measures (timing, regularity, efficiency, daytime sleepiness) will be explored. RN-SLEEP goals align with Healthy People 2030, NIOSH strategic goal to promote safe and healthy work design and well-being, through two NIOSH Healthcare and Social Assistance Sector/Healthy Work Design Cross-Sector (HCSA/HWD) intermediate goals. HWD goal 7.2A is to conduct intervention research addressing fatigue (poor sleep sequala) due to suboptimal work designs (shift work) in the healthcare industry. HCSA/HWD goal 7.12A prioritizes interventions designed to impact work and non-work contributors to safety and health. This RN-SLEEP intervention aims to improve sleep through building skills that help RNs overcome obstacles to sleep from work and home, thus improving health and safety. Immediate outputs include a mobile app, de- signed and tested in collaboration with RNs, to improve sleep. Study results will be disseminated through our union collaborators, nursing conferences and journal publications, and our University’s NIOSH sponsored Edu- cation and Research Center social media outlets. Intermediate outcomes include enhancing RN sleep through training rarely available in nursing school and traditional health and safety training programs. Improv- ing sleep can reduce fatigue and may decrease occupational injuries and errors. RN-SLEEP is adaptable, where future versions could be modified to meet the needs of other HCSA workers (i.e., nursing aides) and workers in other industries (e.g., oil and gas) scheduled to work non-standard work hours. End outcomes in- clude integrating RN-SLEEP into a broader hospital organization intervention to mitigate fatigue risks.

项目摘要 美国注册护士（RN）劳动力是医疗保健和社会援助部门中最大的劳动力之一， 由于睡眠不良和疲劳而导致受伤和错误的高风险。轮班工作（即夜晚，evens，旋转 班次）可能会导致RN无法获得足够的，宁静的睡眠。工作强度，包括沉重的身体和 照顾重症患者的情绪工作负载会导致工作压力，从而导致溢出效应 当RNS遇到困难并入睡时，在家里。解决工作和家庭睡眠barri- 该项目提出了RN-袖子，技能构建移动应用程序的开发和试点测试 旨在改善睡眠。 RN-Sleep将为RN提供一个方便，灵活的空间来学习证据 - 基于班次工作的特定策略和认知行为方法（例如，目标，放松训练） 增强睡眠。使用NIOSH的研究2实践（R2P）方法，研究团队将与PAR-合作 来自RN联合的TICIPANT（n = 18-24），以完善RN睡眠含量，整合当前的睡眠文献（包括 - 国立国家职业安全与健康研究所（NIOSH]材料）具有认知行为 训练。将使用两组预测试的研究设计进行RN-Sleep进行试验测试，与睡眠相比 RN-Sleep参与者用户（n = 35）的来测量（持续时间，质量）与来自教育的参与者 对照组（n = 35）。行为改变（信念和自我效能感）和其他睡眠结果的数据趋势 将探索措施（时机，规律性，效率，白天嗜睡）。 RN睡眠目标与 健康人2030，NIOSH的战略目标，以促进安全健康的工作设计和福祉， 通过两个NIOSH医疗保健和社会援助行业/健康工作设计跨部门 （HCSA/HWD）中级目标。 HWD目标7.2a是进行干预研究解决疲劳 （睡眠不良）由于医疗保健行业的次优工作设计（轮班工作）。 HCSA/HWD目标 7.12A优先考虑旨在影响工作和健康的非工作贡献者的干预措施。这 RN睡眠干预旨在通过建筑技能来改善睡眠，从而帮助RN克服障碍 下班和家庭睡眠，从而改善了健康和安全。立即输出包括移动应用程序，DE- 与RNS合作进行签名和测试以改善睡眠。研究结果将通过我们的 工会合作者，护士会议和期刊出版物以及我们的大学的NIOSH赞助 阳离子和研究中心社交媒体。中级结果包括增强RN睡眠 通过在护士学校和传统健康与安全培训计划中很少获得培训。提升- 睡眠可以减轻疲劳，并可能减少占据损伤和错误。 rn sleep是适应性的， 可以修改未来版本以满足其他HCSA工人的需求（即护士助手）和 其他行业的工人（例如，石油和天然气）计划在非标准工作时间工作。结束结果 包括将RN - 睡眠整合到更广泛的医院组织干预措施中，以减轻疲劳风险。