[citation report] Effects of Napping on Sleepiness and Sleep-Related Performance Deficits in Night-Shift Workers

Cited by 146 publications

(133 citation statements)

References 39 publications

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“…The current study's analysis was aimed to more directly evaluate outcomes on participants that are most like EMS personnel. Still, the findings of Rugiero and Redeker agree with this study, as they identified that most investigations found night shift napping led to decreased sleepiness and improved sleep-related performance (13). Similarly, they did not find any studies, even in non-shift worker participants that evaluated the effects of naps on safety outcomes.…”

Section: Agreement and Disagreement With Other Systematic Reviewssupporting

confidence: 73%

“…Ruggiero and Redeker performed a narrative review of the evidence on napping while incorporating elements of a systematic review (e.g., exploring literature from multiple repositories) (13). While the current study's systematic review and meta-analysis was isolated to shift workers (14), Ruggiero and Redeker included studies involving healthy volunteers or non-shift worker study participants (13) (e.g., Sagaspe et al, 2007;38).…”

Section: Agreement and Disagreement With Other Systematic Reviewsmentioning

confidence: 99%

“…Although a review of the evidence on napping was previously conducted, it was limited by small heterogeneous studies (13). A more focused summary of the evidence exploring the effects of intra-shift napping on EMS or similar shift workers would benefit EMS administration and their decisions germane to fatigue risk management.…”

Section: Introductionmentioning

confidence: 99%

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Effects of Napping During Shift Work on Sleepiness and Performance in Emergency Medical Services Personnel and Similar Shift Workers: A Systematic Review and Meta-Analysis

Martin‐Gill¹,

Barger²,

Moore³

et al. 2018

Prehospital Emergency Care

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Background: Scheduled napping during work shifts may be an effective way to mitigate fatigue-related risk. This study aimed to critically review and synthesize existing literature on the impact of scheduled naps on fatigue-related outcomes for EMS personnel and similar shift worker groups. Methods: A systematic literature review was performed of the impact of a scheduled nap during shift work on EMS personnel or similar shift workers. The primary (critical) outcome of interest was EMS personnel safety. Secondary (important) outcomes were patient safety; personnel performance; acute states of fatigue, alertness, and sleepiness; indicators of sleep duration and/or quality; employee retention/turnover; indicators of long-term health; and cost to the system. Meta-analyses were performed to evaluate the impact of napping on a measure of personnel performance (the psychomotor vigilance test [PVT]) and measures of acute fatigue. Results: Of 4,660 unique records identified, 13 experimental studies were determined relevant and summarized. The effect of napping on reaction time measured at the end of shift was small and non-significant (SMD 0.12, 95% CI −0.13 to 0.36; p = 0.34). Napping during work did not change reaction time from the beginning to the end of the shift (SMD −0.01, 95% CI −25.0 to 0.24; p = 0.96). Naps had a moderate, significant effect on sleepiness measured at the end of shift (SMD 0.40, 95% CI 0.09 to 0.72; p = 0.01). The difference in sleepiness from the start to the end of shift was moderate and statistically significant (SMD 0.41, 95% CI 0.09 to 0.72; p = 0.01). Conclusions: Reviewed literature indicated that scheduled naps at work improved performance and decreased fatigue in shift workers. Further research is required to identify the optimal timing and duration of scheduled naps to maximize the beneficial outcomes.

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Section: Agreement and Disagreement With Other Systematic Reviewssupporting

confidence: 73%

Section: Agreement and Disagreement With Other Systematic Reviewsmentioning

confidence: 99%

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Effects of Napping During Shift Work on Sleepiness and Performance in Emergency Medical Services Personnel and Similar Shift Workers: A Systematic Review and Meta-Analysis

Martin‐Gill¹,

Barger²,

Moore³

et al. 2018

Prehospital Emergency Care

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“…These observations nevertheless suggest that a quick return to the night shift may enable more sleep closer to the night shift, which subsequently may enhance the individual's level of functioning on the night shift. Such effects would be consistent with evidence that naps on the night shift improve alertness and functional ability (Ruggiero and Redeker 2014). However, it remains unclear whether these apparent benefits of quick returns to the night shift outweigh any disadvantages of such double shifts, and it should be noted that one study observed increased sleepiness with these quick returns (Costa et al 2014).…”

Section: Discussionmentioning

confidence: 59%

Systematic review of the relationship between quick returns in rotating shift work and health-related outcomes

et al. 2015

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“…99,101 The practice of napping has also been associated with improvements in sleep-restriction-sensitive working performance and reduced accidents. 20,68,78 …”

Section: Research Agendamentioning

confidence: 98%

Napping: A public health issue. From epidemiological to laboratory studies

Faraut

Andrillon

Vecchierini

et al. 2017

Sleep Medicine Reviews

130

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Effects of Napping on Sleepiness and Sleep-Related Performance Deficits in Night-Shift Workers

Cited by 146 publications

References 39 publications

Effects of Napping During Shift Work on Sleepiness and Performance in Emergency Medical Services Personnel and Similar Shift Workers: A Systematic Review and Meta-Analysis

Effects of Napping During Shift Work on Sleepiness and Performance in Emergency Medical Services Personnel and Similar Shift Workers: A Systematic Review and Meta-Analysis

Systematic review of the relationship between quick returns in rotating shift work and health-related outcomes

Napping: A public health issue. From epidemiological to laboratory studies

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