Quantity and quality of napping to mitigate fatigue and sleepiness among nurses working long night shifts: a prospective observational study
2025

Napping to Reduce Fatigue in Night-Shift Nurses

Sample size: 32 publication 10 minutes Evidence: moderate

Author Information

Author(s): Watanabe Kazuhiro, Shishido Inaho, Ito Yoichi M., Yano Rika

Primary Institution: Hokkaido University

Hypothesis

This study aims to explore the quantity and quality of napping among nurses working long night shifts to mitigate fatigue and sleepiness.

Conclusion

Nurses should aim for at least 120 minutes of napping with a sleep efficiency of at least 70% to effectively reduce fatigue and sleepiness during night shifts.

Supporting Evidence

  • 81.2% of nurses worked four night shifts per month.
  • Napping conditions of at least 120 minutes and 70% sleep efficiency were associated with lower fatigue and sleepiness.
  • Sleep reactivity and pre-nap electronic device usage were common factors related to effective napping.

Takeaway

Nurses can feel less tired and sleepy if they take longer naps during their night shifts, especially if they sleep well during those naps.

Methodology

A month-long prospective observational study involving 32 nurses working 16-hour night shifts, measuring napping quantity and quality using a wearable device.

Potential Biases

Selection bias may have been present as only nurses who agreed to participate were included.

Limitations

The study was limited to one hospital ward and excluded nurses who did not nap, which may affect the generalizability of the results.

Participant Demographics

{"age_mean":34.6,"nursing_experience_mean":11.8,"sex_distribution":{"female":29,"male":3}}

Statistical Information

P-Value

p<0.05

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/s40101-024-00378-z

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