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）是医疗保健和社会援助部门最大的劳动力之一， 并且由于睡眠不好和疲劳，受伤和出错的风险很高。轮班工作（即，晚上，晚上，轮流 轮班）可能导致RN无法获得充足的休息睡眠。工作强度，包括繁重的体力劳动和 照顾危重病人的情绪工作量，可能会导致工作压力，导致溢出效应 在家里，当RNs遇到入睡和保持睡眠的困难时。为了解决工作和家庭睡眠障碍- 因此，该项目提出了RN-SLEEP，技能建设移动的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- 基于轮班工作的具体策略，以及认知行为方法，（例如，目标设定、放松训练）， 增强睡眠。使用NIOSH的研究2实践（R2 P）方法，研究小组将与Par-Practice合作， 来自RN联盟的专家（N=18-24），以完善RN-SLEEP内容，整合当前的睡眠文献（包括 美国国家职业安全与健康研究所[NIOSH]材料）， 训练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- 来自教育参与者的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 将探索测量（定时、规律性、效率、白天嗜睡）。RN-SLEEP目标与 健康人2030，NIOSH的战略目标，以促进安全和健康的工作设计和福祉， 通过两个NIOSH保健和社会援助部门/健康工作设计跨部门 (HCSA/HWD）的中期目标。HWD目标7.2A是针对疲劳进行干预研究 (poor睡眠后遗症），这是由于医疗保健行业中的次优工作设计（轮班工作）。HCSA/HWD目标 7.12A优先考虑旨在影响安全和健康的工作和非工作贡献者的干预措施。这 RN-SLEEP干预旨在通过建立帮助RN克服障碍的技能来改善睡眠 在工作和家里睡觉，从而改善健康和安全。直接产出包括一个移动的应用程序， 与RN合作签署并测试，以改善睡眠。研究结果将透过 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- 阳离子和研究中心的社交媒体渠道。中间结果包括增强RN睡眠 通过护士学校很少提供的培训和传统的健康和安全培训计划。即兴表演- 睡眠可以减少疲劳，并可能减少职业伤害和错误。RN-SLEEP适应性强， 其中可以修改未来的版本以满足其他HCSA工作者的需要（即，护理助理）和 其他行业的工人（例如，石油和天然气）安排非标准工作时间。最终结果- 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。