This pilot study indicates that shift work and long hours have a negative impact on nurses’ sleep patterns. Although we did not find a significant relationship between sleep deficiency and cognitive mistakes, we did find that nurses working 12-hr rotations had more difficulties with sleep and sleepiness.
Time. Time is by far our scarcest resource. Want tips about developing productivity rituals? Have a read of the below and click the link to delve deeper. Productivity rituals means you expend less energy so that you have more time and energy on the things that really matter.
Time is our scarcest resource, yet we spend so much of it doing things that are unproductive — usually without meaning to. The average person wastes 31 hours in unproductive meetings according to Atlassian. And a McKinsey study shows we spend an average of 13 hours per week reading, writing, or responding to email. That’s leaves roughly half of your time at work actually spent doing work.
There are many procedures where patients are sedated.
In many instances, patients are sedated when undergoing some form of endoscopy.
But endoscopy is not the only type of procedure where a patient is sedated to decrease discomfort as well as improve the procedural conditions.
Some patients have described the endoscopy process as uncomfortable and distressing.
Other patients do not recall the procedures at all.
Nurses have a role in explaining to patients what will happen before, during and after the procedure.
The experiences of high-risk respiratory patients undergoing bronchoscopy with “conscious sedation” have been documented in a study published in the Journal of Clinical Nursing.
The consequences of their findings are applicable to other procedures that require sedation.
Conscious sedation is where smaller doses of sedation and analgesia are given to depress the patient’s consciousness without causing respiratory compromise.
The overall patient experience was negative.
Patients experienced frustration and fear and were concerned about their comfort and safety.
In this study, some patients experienced choking and coughing and were aware during the bronchoscopy.
Finally, the consequences post-procedure was an important part of the patient experience.
This study found
“that some patients are fully aware during bronchoscopy when conscious sedation and analgesia are used and may have full recollection of the procedure with its attendant discomforts. Participants remembered coughing and choking and that they were distressed by it. We also found that awareness during the procedure could lead to the disclosure of information to the patient at an inappropriate time, such as difficulties associated with the procedure, obtaining a biopsy or diagnostic outcomes.”
The authors recommend that the clinicians involved in the procedure should treat the patient as though they were aware during the whole procedure.
Most importantly, with this procedure and other similar types of procedures, is preparing patients for the potential that they may be aware.
Procedures should be enacted that take the possibility of patients being aware into account.
To learn more about patient awareness during sedation,
The results from our experiment strongly suggest that limiting social media usage does have a direct and positive impact on subjective well-being over time, especially with respect to decreasing loneliness and depression. That is, ours is the first study to establish a clear causal link between decreasing social media use, and improvements in loneliness and depression. It is ironic, but perhaps not surprising, that reducing social media, which promised to help us connect with others, actually helps people feel less lonely and depressed.
Here are seven factors that can lead to mistakes at work. Nurses face these factors every day.
When it comes to overloading our cognitive brains, the seven factors are: being outside of your circle of competence, stress, rushing or urgency, fixation on an outcome, information overload, being in a group where social cohesion comes into play, and being in the presence of an “authority.” Acting alone any of these are powerful enough, but together they dramatically increase the odds you are unaware that you’ve been cognitively compromised.