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Actigraph estimates of the sleep of Australian midwives: the impact of shift work

journal contribution
posted on 06.12.2017, 00:00 by R Tremaine, J Dorrian, Jessica PatersonJessica Paterson, A Neall, Ellie PiggottEllie Piggott, C Grech, J Pincombe
Midwives often work night and rotating shift schedules, which can lead to sleep disturbances, increased fatigue, and greater likelihood of accidents or errors. This study investigated the sleep of midwives (n ¼ 17) in an Australian metropolitan hospital. Midwives completed work and sleep logbooks and wore wrist actigraphs for 28 days. Midwives worked combinations of morning, afternoon, and/or night shifts on constant (n ¼ 6) or rotating schedules (n ¼ 11). They obtained less than recommended amounts of sleep, getting only 6–7 hr per 24-hr period. Morning shifts were associated with the lowest sleep durations, lowest subjective sleep quality, and highest postsleep fatigue ratings. Despite the significantly higher amount of wake after sleep onset (51 min), the sleep before afternoon shifts had significantly lower postsleep fatigue ratings and was rated as significantly higher quality than sleep before other shifts or days off. Those who were married or living with a partner reported significantly more sleep and lower postsleep fatigue than those who were separated or divorced (p < .05). Seventy-one percent of midwives took naps, primarily before night shifts, with nearly 40% of nightshifts preceded by a nap. Average nap durations were nearly 1.5 hr. Midwives reported feeling moderately to very physically or mentally exhausted on 22–50% of all shifts and days off. Exhaustion was most common on night shift. This study suggests that midwives may be suffering from chronic sleep loss and as a consequence may be at risk of impairments in functioning that accompany fatigue.

History

Volume

15

Issue

2

Start Page

191

End Page

199

Number of Pages

9

eISSN

1552-4175

ISSN

1099-8004

Location

United States

Publisher

Sage

Language

en-aus

Peer Reviewed

Yes

Open Access

No

External Author Affiliations

Centre for Sleep Research; Not affiliated to a Research Institute; School of Nursing and Midwifery;

Era Eligible

Yes

Journal

Biological research for nursing.