Is Adequate Sleep Becoming Outlandish Among Healthcare Professionals? - A Review on Its Toll on Their Health
DOI:
https://doi.org/10.5455/njcm.20211215092244Keywords:
Sleep deprivation, Sleep, Healthcare professional, Public health, Occupational healthAbstract
Sleep deprivation has been hinted to have a deleterious effect on health workers who are involved in multitude of life saving tasks, which often require more attention and concentration. The Centers for Disease Control and Prevention and the national health portal (Government of India) have now recognized sleep deprivation as a public health epidemic. The main effects of sleep deprivation include physical effects (sleepiness, fatigue, or hypertension), cognitive impairment (deterioration of performance, attention, concentration and intellectual capacity and increase of the likelihood of accidents) and mental health complications. Rotational night shift work is often accompanied by insufficient sleep and disruption of circadian phase, each related to repeated errors on task performance as a result of lapses in attention and increased reaction time. Maintaining good quality of sleep is vital for the establishment of positive health and physical/mental well-being; nonetheless, lifestyle and environmental factors are progressively causing hitches in sleeping. Individuals with shift work sleep disorders need a customized and comprehensive therapy that includes counselling, yoga/meditation and behavioural therapy along with requisite pharmacological management, as and when warranted.
References
Merriam Webster. Definition of SLEEP [Internet]. Merriam-webster.com. [cited 16 October 2020]. Available from: https: //www.merriam-webster.com/dictionary/sleep
Anderson S, Becker T, Flannery A, Gustafson L, Sarmiento G, Sreeram, A. The Effects of Sleep Deprivation on Cognitive Function. Journal of advanced studies in science. 2017;1:1-13.
Wong K, Chan A, Ngan S. The Effect of Long Working Hours and Overtime on Occupational Health: A Meta-Analysis of Evidence from 1998 to 2018. International Journal of Environmental Research and Public Health. 2019;16(12):2102
Crowley S, Wilkinson L, Burroughs E, Muraca S, Wigfall L, Louis-Nance T et al. Sleep During Basic Combat Training: A Qualitative Study. Military Medicine. 2012;177(7):823-828.
V Lentino C, L Purvis D, J Murphy K, A Deuster P. Sleep as a Component of the Performance Triad: The Importance of Sleep in a Military Population. The Army Medical Department Journal. 2013:98-108.
Schaefer E, Williams M, Zee P. Sleep and circadian misalign-ment for the hospitalist: A review. Journal of Hospital Medi-cine. 2012;7(6):489-496.
Firth-Cozens J. Interventions to improve physicians’ well-being and patient care. Social Science & Medicine. 2001; 52(2): 215-222.
ILO. Quality sleep [Internet]. Ilo.org. [cited 17 October 2020]. Available from: https://www.ilo.org/safework/areasofwork/ WCMS_118392/lang--en/index.htm
Sugden C, Housden C, Aggarwal R, Sahakian B, Darzi A. Effect of Pharmacological Enhancement on the Cognitive and Clinical Psychomotor Performance of Sleep-Deprived Doctors. Annals of Surgery. 2012;255(2):222-227.
Kazman JB, Abraham PA, Zeno SA, Poth M, Deuster PA. Self-reported sleep impairment and the metabolic syndrome among African Americans. Ethn Dis. 2012;22(4):410-415
Cho HJ, Lavretsky H, Olmstead R, Levin MJ, Oxman MN, Irwin MR. Sleep disturbance and depression recurrence in commu-nity-dwelling older adults: a prospective study. A J Psychiatry. 2008;165(12):1543-1550.
Pompili M, Rihmer Z, Gonda X, Serafi ni G, Sher L, Girardi P. Early onset of action and sleep-improving effect are crucial in decreasing suicide risk: the role of quetiapine XR in the treat-ment of unipolar and bipolar depression. Riv Psichiatr. 2012;47(6):489-497.
Irwin MR. Infl ammation at the intersection of behavior and somatic symptoms. Psychiatr Clin North Am. 2011;34(3):605-620.
Mong JA, Baker FC, Mahoney MM, et al. Sleep, rhythms, and the endocrine brain: infl uence of sex and gonadal hormones. J Neurosci. 2011;31(45):16107-16116.
Hung HC, Yang YC, Ou HY, Wu JS, Lu FH, Chang CJ. The associa-tion between self-reported sleep quality and metabolic syn-drome. PLoS One. 2013;8(1):e54304.
Hamilton P, Wilkinson RT, Edwards RS. A studyoffour days partial sleep deprivation. In: Colquhoun WP, ed.Aspects of Human Efficieny. London, England: English Universities Press, Ltd.; 1972:101-113.
Henican E. Their sleepless nightmares. Newsday 1999; (Feb 3): A06.
Geer RT, Jobes DR, Tew JD, Stepsis LH. Incidence of automobile accidents involving anesthesia residents after on-call duty cycles [abstract]. Anesthesiology 1997;87:A938.
Kaliyaperumal D. Effects of Sleep Deprivation on the Cognitive Performance of Nurses Working in Shift. Journal Of Clinical And Diagnostic Research. 2017; p 1-3
Sleep Foundation. How Much Sleep Do We Really Need? - Na-tional Sleep Foundation [Internet]. National Sleep Foundation. [cited 2 May 2020]. Available from: https://www.sleepfounda tion.org/articles/how-much-sleep-do-we-really-need
WHO. WHO technical meeting on sleep and health [Internet]. Euro.who.int. [cited 9 March 2019]. Available from: https:// www.euro.who.int/__data/assets/pdf_file/0008/114101/E84683.pdf
Van Dongen HA, Maislin G, Mullington J, Dinges DF. The cumu-lative cost of additional wakefulness: dose-response effects on neurobehavioral functions and sleep physiology from chronic sleep restriction and total sleep deprivation. Sleep 2003;26: 117–26.
Harma M, Hakola T, Kandolin I, Sallinen M, Virkkala J, Bonne-fond A, et al. A controlled intervention study on the effects of a very rapidly forward rotating shift system on sleep– wakefulness and well-being among young and elderly shift workers. Int J Psychophysiol 2006; 59:70–9. DOI 10.1016/ j.ijpsycho. 2005.08.005.
Haimov I, Arendt J. The prevention and treatment of jet lag. Sleep Med Rev 1999;3:229–40.
Coren S. Sleep deprivation, psychosis and mental efficiency. Psychiatric Times 1998;15:1.
PG Doctors. PG Doctors of India must work not more than 48 Hr/week: SC [Internet]. Pgtimes.in. 2013 [cited 4 May 2020]. Available from: https://www.pgtimes.in/2013/09/pg-doctors -of-india-must-work-not-more.html
Patrick Y, Lee A, Raha O, Pillai K, Gupta S, Sethi S et al. Effects of sleep deprivation on cognitive and physical performance in university students. Sleep and Biological Rhythms. 2017; 15(3): 217-225.
Stefánsdóttir M. The effects of sleep deprivation and quality of sleep on cognitive performance and mental wellbeing [Inter-net]. Skemman.is. 2015 [cited 9 September 2019]. Available from: https://skemman.is/bitstream/1946/22502/1/BSc_ma riaosk.pdf
Hoermann H, Steinmann M, Uken T, Elmenhorst E. Sleep De-privation Effects On Cognitive Performance [Internet]. Elib.dlr.de. [cited 9 August 2019]. Available from: https:// elib.dlr.de/70497/1/63-172108HoermannISAPPaper-Sleepdeprivationeffectsoncognitiveperformance.pdf
Alhola P, Polo-Kantola P. Sleep deprivation: Impact on cogni-tive performance. Neuropsychiatr Dis Treat. 2007;3(5):553-567.
Halbach M, Spann C, Egan G. Effect of sleep deprivation on medical resident and student cognitive function: A prospective study. American Journal of Obstetrics and Gynecology. 2003;188(5):1198-1201.
Robbins J, Gottlieb F. Sleep deprivation and cognitive testing in internal medicine house staff. West J Med. 1990;152(1):82-86.
Estryn-Behar M, Kaminski M, Peigne E, Bonnet N, Vaichere E, Gozlan C et al. Stress at work and mental health status among female hospital workers. British Journal of Industrial Medi-cine. 1990;47(1):20-28.
Angerer P, Schmook R, Elfantel I, Li J. Night Work and the Risk of Depression: A Systematic Review. Deutsches Aerzteblatt Online. 2017; p 404-11
Johnson A, Jung L, Brown K, Weaver M, Richards K. Sleep De-privation and Error in Nurses who Work the Night Shift. JONA: The Journal of Nursing Administration. 2014;44(1):17-22.
Gold D, Rogacz S, Bock N, Tosteson T, Baum T, Speizer F et al. Rotating shift work, sleep, and accidents related to sleepiness in hospital nurses. American Journal of Public Health. 1992; 82(7):1011-1014.
Lockley S, Barger L, Ayas N, Rothschild J, Czeisler C, Landrigan C. Effects of Health Care Provider Work Hours and Sleep De-privation on Safety and Performance. The Joint Commission Journal on Quality and Patient Safety. 2007;33(11):7-18.
Edward M, McMillan D, Fallis W. Napping during breaks on night shift: critical care nurse managers’ perceptions. Dynam-ics. 2013;24(4):30-35
Sleep Hygiene | Counseling and Psychological Services (CAPS) [Internet]. Brown.edu. [cited 1 September 2020]. Available from: https://www.brown.edu/campus-life/support/ coun-seling-and-psychological-services/sleep-hygiene
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