Sleep deprivation in nursing students: The negative impact for quality and safety
Bibliographic record
Abstract
Objective: The purpose of this pilot study was to understand nursing students’ perception of the relationship between sleep deprivation and learning, and personal and patient safety when in a clinical or work setting.Methods: Design: The researchers used a cross-sectional correlational design. Setting: The study was conducted in a Mid-western state university school of nursing with an average of 400 undergraduate pre-licensure nursing students. Sample: All 328 undergraduate pre-licensure nursing students were invited to participate in the study. The convenience sample of 179 (response rate of 55%) pre-licensure, nursing students completed the study. Methodology: The Sleep Deprivation of Nursing Students, a 4-point Likert scale questionnaire, consisted of demographic questions and forty-five questions on personal sleep habits, caffeine/stimulant use, and sleep inducing aids, motor vehicle safety, spare time activities, and safety during work and clinical experiences.Results: One hundred and fifty-five (n = 155) students needed seven or more hours of sleep daily to feel rested, but received less than 5 hours/day. All participants reported (n = 179) feeling sleep deprived. Sleep inducing aids were used by (n = 56) participants, and (n = 35) took stimulants to stay awake. Students (n = 166) worked 8 or more hours at a job, and (n = 158) had at some 12 hour school clinical rotations, and (n = 64) reported a combined clinical and work of five to greater than 12 consecutive days. Students (n = 172) believed they provided safe practice at work and (n = 174) and safe practice in a clinical setting. Some students reported being awake 17-19 hours. The majority of students (n = 144) believed 12-hour-clinicals were too long, yet more than half of the students preferred 12-hour work and clinical experiences.Conclusions: Nursing students may lack the knowledge that chronic sleep deprivation may result in personal and patient safety issues when in a clinical or work setting. Students are potentially exposing themselves to acute and chronic health problems as a result of sleep deprivation and the use of substances to remain awake or obtain sleep. Nurse educators and nurse managers must collaborate to reduce the number of consecutive clinical and work shifts, limit overtime hours, and better educate students on the negative impact of sleep deprivation.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.003 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.000 | 0.001 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".