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.

项目概要 美国注册护士 (RN) 劳动力是医疗保健和社会援助行业中规模最大的劳动力之一， 由于睡眠不足和疲劳而导致受伤和错误的风险很高（即夜间、晚上、轮班）。 轮班）可能导致注册护士无法获得充足、安宁的睡眠 工作强度，包括繁重的体力劳动和工作强度。 照顾危重病人的情绪工作量可能会增加工作压力，从而产生溢出效应 当 RN 难以入睡和保持睡眠时在家中解决工作和家庭睡眠障碍。 呃，这个项目建议开发和试点测试 RN-SLEEP，技能培养移动应用程序 旨在改善睡眠的 RN-SLEEP 将为 RN 提供一个方便、灵活的空间来学习证据- 基于轮班工作的具体策略和认知行为方法（例如目标设定、放松训练） 研究团队将利用 NIOSH 的研究 2 实践 (R2P) 方法与相关人员合作。 来自 RN 工会的参与者 (N=18-24) 精炼 RN-SLEEP 内容，整合当前的睡眠文献（包括- 荷兰国家职业安全与健康研究所 [NIOSH] 材料），基于认知行为 RN-SLEEP 将使用两组前测-后测研究设计进行试点测试，比较睡眠时间。 对来自教育机构的参与者进行 RN-SLEEP 参与者用户 (n=35) 的测量（持续时间、质量） 对照组 (n=35) 行为变化（信念和自我效能）和其他睡眠结果的数据趋势。 将探索与 RN-SLEEP 目标相一致的措施（时间、规律性、效率、白天嗜睡）。 Healthy People 2030，NIOSH 促进安全健康工作设计和福祉的战略目标， 通过两个 NIOSH 医疗保健和社会援助部门/健康工作设计跨部门 (HCSA/HWD) 中期目标 HWD 目标 7.2A 是开展解决疲劳问题的干预研究。 （睡眠不足）由于医疗保健行业的工作设计（轮班工作）不理想。 7.12A 优先考虑旨在影响工作和非工作贡献者安全与健康的干预措施。 RN-SLEEP 干预旨在通过培养帮助 RN 克服障碍的技能来改善睡眠 工作和在家睡觉，从而改善健康和安全。 与注册护士合作签署和测试，以改善睡眠研究结果将通过我们的传播。 工会合作者、护理会议和期刊出版物以及我们大学的 NIOSH 赞助的教育- 阳离子和研究中心社交媒体渠道的中期成果包括改善 RN 睡眠。 通过护士学校很少提供的培训以及传统的健康和安全培训计划。 睡眠可以减轻疲劳并可能减少职业伤害和错误 RN-SLEEP 具有适应性， 未来的版本可以进行修改以满足其他 HCSA 工作人员（即护理助理）的需求以及 其他行业（例如石油和天然气）的工人计划在非标准工作时间内工作。 包括将 RN-SLEEP 整合到更广泛的医院组织干预中，以减轻疲劳风险。