492 results match your criteria working 12-hour


Three is a crowd: Clinical outcomes of a twice daily versus a thrice daily metronidazole dosing strategy from a multicenter study.

Anaerobe 2021 May 6:102378. Epub 2021 May 6.

Yale University School of Medicine, Department of Internal Medicine, Section of Infectious Diseases, Department of Pharmacy Services, New Haven, CT, United States, Department of Pharmacy, Yale New Haven Health System, New Haven, CT, United States.

This was a multicenter, retrospective study of patients with anaerobic bacteremia comparing metronidazole 500mg every 8 hours versus 500mg every 12 hours. Of 782 patients reviewed, 85 met inclusion criteria. There was no significant difference in mortality, length of stay, or escalation of therapy between dosing strategies. Read More

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Differences in obstetrical care and outcomes associated with the proportion of the obstetrician's shift completed.

Am J Obstet Gynecol 2021 Apr 2. Epub 2021 Apr 2.

Department of Obstetrics and Gynecology, Oregon Health and Science University, Portland, OR.

Background: Understanding and improving obstetrical quality and safety is an important goal of professional societies, and many interventions such as checklists, safety bundles, educational interventions, or other culture changes have been implemented to improve the quality of care provided to obstetrical patients. Although many factors contribute to delivery decisions, a reduced workload has addressed how provider issues such as fatigue or behaviors surrounding impending shift changes may influence the delivery mode and outcomes.

Objective: The objective was to assess whether intrapartum obstetrical interventions and adverse outcomes differ based on the temporal proximity of the delivery to the attending's shift change. Read More

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Influenza-1918.

Authors:

Am J Nurs 2021 04;121(4):69-70

Editor's note: From its first issue in 1900 through to the present day, AJN has unparalleled archives detailing nurses' work and lives over more than a century. These articles not only chronicle nursing's growth as a profession within the context of the events of the day, but they also reveal prevailing societal attitudes about women, health care, and human rights. Today's nursing school curricula rarely include nursing's history, but it's a history worth knowing. Read More

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Open-Label Adhesion Performance Studies of a New Lidocaine Topical System 1.8% versus Lidocaine Patches 5% and Lidocaine Medicated Plaster 5% in Healthy Subjects.

J Pain Res 2021 23;14:513-526. Epub 2021 Feb 23.

Community Health and Family Medicine, University of Florida Community Health & Family Medicine, Gainesville, FL, USA.

Purpose: The primary objective was to evaluate adhesion performance of the lidocaine topical system 1.8% for 12 hours in healthy human subjects in three studies: as a single product (Study 1) and versus other lidocaine topical products (lidocaine patch 5% and lidocaine medicated plaster 5% [Study 2] and generic lidocaine patch 5% [Study 3]). Safety of the lidocaine topical system 1. Read More

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February 2021

Changes in Fatigue Levels and Sleep Measures of Hospital Nurses During Two 12-Hour Work Shifts.

J Nurs Adm 2021 Mar;51(3):128-134

Author Affiliations: PhD Student (Ms Cho and Ms Brzozowski) and Associate Professor (Dr Steege), School of Nursing, University of Wisconsin-Madison; and Clinical Nurse Specialist (Dr Arsenault Knudsen), UW Health-Hospitals and Clinics, Madison, Wisconsin.

Objective: The aims of this study were to explore nurses' fatigue levels and sleep measures during two 12-hour consecutive day shifts and examine the relationships between nurses' fatigue levels within shifts and their previous-night sleep characteristics.

Background: Monitoring changes in fatigue and sleep is important to enable effective fatigue management.

Methods: This was a descriptive, repeated-measures study. Read More

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Heterogeneous catalytic ozonation of atrazine with Mn-loaded and Fe-loaded biochar.

Water Res 2021 Apr 20;193:116860. Epub 2021 Jan 20.

State Key Laboratory of Urban Water Resource and Environment, School of Environment, Harbin Institute of Technology, Harbin 150090, China.

After reaction with permanganate or ferrate, the resulted Mn-loaded and Fe-loaded biochar (MnOx/biochar and FeOx/biochar) exhibited excellent catalytic ozonation activity. O (2.5 mg/L) eliminated 48% of atrazine (ATZ, 5 μM) within 30 min at pH 7. Read More

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Scheduled Naps Improve Drowsiness and Quality of Nursing Care among 12-Hour Shift Nurses.

Int J Environ Res Public Health 2021 01 20;18(3). Epub 2021 Jan 20.

School of Nursing, University of Maryland Baltimore, Baltimore, MD 21201, USA.

Scheduled naps in the workplace are an effective countermeasure to drowsiness in safety-sensitive industries. This quasi-experimental study with a one-group, pre- and post-test design aimed to examine the effects of scheduled naps on nurses working 12-h shifts. Nurses in two pediatric intensive care units at a tertiary hospital were provided 30-min scheduled nap opportunities during their shifts. Read More

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January 2021

An Examination of Work Characteristics, Fatigue, and Recovery Among Acute Care Nurses.

Authors:
Karen R Cochran

J Nurs Adm 2021 Feb;51(2):89-94

Author Affiliation: Grant Evaluation Specialist, Western Carolina University, Asheville, North Carolina.

Objective: To examine self-perceived fatigue among nurses and to quantify levels of fatigue and the ability to recover from fatigue between worked shifts across various work characteristics.

Background: Fatigue is associated with working long hours, disruption of sleep, and inadequate time to recover between shifts. Fatigue degrades the nurses' performance leading to poorer patient outcomes and increased occupational injuries. Read More

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February 2021

Effect of shift work on fatigue and sleep in neonatal registrars.

PLoS One 2021 14;16(1):e0245428. Epub 2021 Jan 14.

Department of Neonatal Paediatrics, King Edward Memorial Hospital, Perth, Western Australia, Australia.

Objective: We aimed to study fatigue and sleep in registrars working 12-hour rotating shifts in our tertiary neonatal intensive unit.

Methods And Participants: This study involved neonatal registrar's working day (08:00-21:00) and night (20:30-08:30) shifts. Participants maintained a sleep diary, answered a self-reported sleepiness questionnaire assessing subjective sleepiness, and performed a 10-minute psychomotor vigilance task (PVT) at the start and end of each shift. Read More

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January 2021

Treatment of Inguinal Hernia: Systematic Review and Updated Network Meta-Analysis of Randomized Controlled Trials.

Ann Surg 2021 Jan 8;Publish Ahead of Print. Epub 2021 Jan 8.

Department of Biomedical Science for Health, Division of General Surgery, University of Milan, Istitituto Clinico Sant'Ambrogio, Milan, Italy Department of Surgery, University of Insubria, Istituto Clinico Sant'Ambrogio, Milan, Italy Department of Pathophysiology and Transplantation, INCO and Department of General Surgery, University of Milan, Istituto Clinico Sant'Ambrogio, Milan, Italy.

Background: Despite the advent of innovative surgical platforms and operative techniques, a definitive indication of the best surgical option for the treatment of unilateral primary inguinal hernia remains unsettled. Purpose was to perform an updated and comprehensive evaluation within the major approaches to inguinal hernia.

Methods: Systematic review and network meta-analyses of Randomized Controlled Trials (RCTs) compare Lichtenstein tension-free repair, laparoscopic transabdominal preperitoneal (TAPP) repair, and totally extraperitoneal repair (TEP). Read More

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January 2021

Surgeons Maintain Better Focus Working 12-Hour Shifts Compared to 24-Hour Calls.

J Surg Educ 2020 Dec 29. Epub 2020 Dec 29.

Department of Surgery, Texas Tech University Health Sciences Center, Lubbock, Texas.

Background: In this quality improvement project, we analyzed surgeon focus and attention utilizing a visual tracking device. We hypothesized that surgeons maintained better focus working 12-hour shifts compared to 24-hour calls.

Materials And Methods: A prospective, quality improvement project was performed on surgery residents, medical students, and attending physicians working at a busy, tertiary referral, safety-net hospital with Level 1 trauma and burn centers. Read More

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December 2020

Opioid-Free Anesthesia in the Perioperative Setting-A Preliminary Retrospective Matched Cohort Study.

Mil Med 2020 Dec 28. Epub 2020 Dec 28.

Anesthesiology Department, Walter Reed National Military Medical Center, Bethesda, MD 20814, USA.

Introduction: Anesthesiologists have long used multimodal analgesia for effective pain control. Opioid-sparing anesthetics are gaining popularity among practitioners in light of increasing concerns for both immediate opioid side effects and the long-term opioid misuse among susceptible patients. Currently, there is a critical gap in knowledge regarding outcomes after an opioid-free anesthetic (OFA) during general anesthesia. Read More

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December 2020

"Compassion Outside of the Box": The Role of Allied Healthcare Professionals in Providing a Companion Service for Patients at the End of Life During the COVID-19 Pandemic.

J Pain Symptom Manage 2020 Nov 30. Epub 2020 Nov 30.

Great Western Hospital NHS Foundation Trust, Swindon, United Kingdom.

Context: In response to the COVID-19 pandemic, NHS England prohibited people visiting acute hospital trusts. An end-of-life companion scheme was introduced to support the delivery of care for seriously unwell and dying patients during this time.

Objectives: This study aims to capture the companions' experience and activities, including qualitative feedback, as well as outline recommendations for this role in future services and training. Read More

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November 2020

The 12-hour shift: radiographers' perspectives and its applicability during a pandemic.

Radiography (Lond) 2021 05 24;27(2):512-518. Epub 2020 Nov 24.

Changi General Hospital, 2 Simei Street 3, 529889, Singapore. Electronic address:

Introduction: Traditionally, shift work for radiographers at our institution comprised of three shift patterns - morning (8am-2pm), afternoon (2pm-9pm) and night (9pm-8am). However, when COVID-19 was first detected in Singapore in January 2020, the 12-h shift was introduced for better team segregation and deployment to meet the service needs of the Emergency Department. The 12-h shift consisted of the day (9am-9pm) and night (9pm-9am) shifts. Read More

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Rheumatology Milestones 2.0: A Roadmap for Competency-Based Medical Training of Rheumatology Fellows in the 21 Century.

Arthritis Care Res (Hoboken) 2020 Nov 12. Epub 2020 Nov 12.

Medicine, Harvard Medical School, Rheumatology Fellowship Training Program, Massachusetts General Hospital, Boston, MA, United States.

Objective: Since 2014, rheumatology fellows have been assessed not only based on their ability to provide patient care and possess medical knowledge but also on their skill in serving as patient advocates, navigators of health systems, and members of a health care team. Such assessments have been carried out through the use of competency-based "milestones" from the Accreditation Council of Graduate Medical Education (ACGME). However, a needs assessment demonstrated interest in more context validity and subspecialty-relevance since the development of the ACGME Internal Medicine (IM) Subspecialty Reporting Milestones. Read More

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November 2020

Considerations from the Innovation and Quality Induction Working Group in Response to Drug-Drug Interaction Guidance from Regulatory Agencies: Guidelines on Model Fitting and Recommendations on Time Course for In Vitro Cytochrome P450 Induction Studies Including Impact on Drug Interaction Risk Assessment.

Drug Metab Dispos 2021 Jan 2;49(1):94-110. Epub 2020 Nov 2.

Genentech, South San Francisco, California (S.G.W.); Alnylam Pharmaceuticals, Cambridge, Massachusetts (D.R.); Janssen R&D, Spring House, Pennsylvania (S.D.); Vertex Pharmaceuticals, Boston, Massachusetts (C.F., N.H.); Novartis, East Hanover, New Jersey (H.J.E.); GlaxoSmithKline, King of Prussia, Pennsylvania (L.C.); Pfizer Global Research and Development, Groton, Connecticut (T.C.G.); Pfizer Global Research and Development, Cambridge, Massachusetts (P.D.Y.); Eisai, Cambridge, Massachusetts (Y.A.S.); Corning Life Sciences, Woburn, Massachusetts (G.Z.); Merck & Co., Inc., Kenilworth, New Jersey (D.T., J.P.); and AstraZeneca, Cambridge, Cambridgeshire, United Kingdom (B.J.).

Translational and ADME Sciences Leadership Group Induction Working Group (IWG) presents an analysis on the time course for cytochrome P450 induction in primary human hepatocytes. Induction of CYP1A2, CYP2B6, and CYP3A4 was evaluated by seven IWG laboratories after incubation with prototypical inducers (omeprazole, phenobarbital, rifampicin, or efavirenz) for 6-72 hours. The effect of incubation duration and model-fitting approaches on induction parameters (E and EC) and drug-drug interaction (DDI) risk assessment was determined. Read More

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January 2021

COVID-19: How did community pharmacies get through the first wave?

Can Pharm J (Ott) 2020 Sep-Oct;153(5):243-251. Epub 2020 Aug 14.

Leslie Dan Faculty of Pharmacy and the Institute for Health Policy, Management and Evaluation, Faculty of Medicine, University of Toronto, Ontario.

Background: The coronavirus disease 2019 (COVID-19) pandemic of early 2020 was one of the most impactful events in living memory. As an essential service, community pharmacies remained open to provide care and service. The unprecedented nature and scale of the pandemic triggered considerable change in daily practice. Read More

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The Effect of 12 Hour Shifts, Time of Day, and Sleepiness on Emotional Empathy and Burnout in Medical Students.

Clocks Sleep 2019 Dec 6;1(4):501-509. Epub 2019 Dec 6.

University of South Carolina School of Medicine and Greenville, Greenville, SC 29605, USA;

Sleepiness decreases alertness and results in decrements in performance. This is especially problematic in the healthcare field due to restricted sleep from shift-work. Sleepiness increases medical errors, but it also affects emotions and interpersonal interactions. Read More

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December 2019

Deciphering Age Differences in Experience-Based Decision-Making: The Role of Sleep.

Nat Sci Sleep 2020 29;12:679-691. Epub 2020 Sep 29.

Faculty of Psychology, Southwest University, Chongqing, People's Republic of China.

Objective: Recent studies have demonstrated that sleep not only facilitates memory consolidation but also benefits more complex cognitive skills such as decision-making in young adults. Older adults use different decision strategies compared with young adults, which leaves the role of sleep in older adults' decision-making unclear. We investigated the age-by-sleep effect on decision-making. Read More

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September 2020

Coblation of paediatric cystic laryngeal lymphovascular malformations: a safe and effective alternative to tracheostomy.

BMJ Case Rep 2020 Sep 29;13(9). Epub 2020 Sep 29.

Department of Paediatric Otolaryngology, NHS Lothian, Edinburgh, UK.

We describe the case of a 12-hour-old, full-term newborn girl referred to the Ear, Nose and Throat emergency team with increased work of breathing and stridor present at birth. Flexible nasendoscopy revealed a cystic laryngeal lesion obstructing the glottis that prompted securing of the airway with intubation and transfer to a tertiary paediatric centre. On further investigation with MRI and direct visualisation, the lesion was identified as a mixed macro/microcystic laryngeal lymphovascular malformation. Read More

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September 2020

The Impact of Shift Work on Psychosocial Functioning and Quality of Life Among Hospital-Employed Nurses: A Cross-Sectional Comparative Study.

Psychiatr Danub 2020 Sep;32(Suppl 2):262-268

Faculty of Health Studies, University of Mostar, Zrinskog Frankopana 34, 88000 Mostar, Bosnia and Herzegovina,

Background: Approximately 20% of the European labour force is involved in some type of shift work, with nurses being on the forefront. In Bosnia and Herzegovina, a specific work scheme is pervasive in the health care arena, where all nurses involved in shift work are committed to eight night shifts per month - unlike other European countries that restrict the number of night shifts. Accordingly, we aimed to investigate whether such shift work significantly affects psychosocial functioning and the quality of life of hospital nursing personnel in this country. Read More

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September 2020

Shift work and hospital employees: A descriptive multi-site study.

Int J Nurs Stud 2020 Dec 12;112:103746. Epub 2020 Aug 12.

Independent Nursing Consultant, Kansas City, MO 64151, USA. Electronic address:

Background: Hospitals staff with 12-hour and other shift work patterns to account for daily and seasonal workload requirements. Research in healthcare and industries requiring shift work suggests there may be negative health consequences to the workers related to fatigue and other factors. Due to the 24/7 nature of healthcare, it is important to understand the impact of shift work on employees. Read More

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December 2020

Mitigating the Adverse Effects of 12-Hour Shifts: Nursing Leaders' Perspectives.

Authors:
Yolanda Keys

J Nurs Adm 2020 Oct;50(10):539-545

Author Affiliation: Professor, College of Nursing and Health Sciences, Texas A&M University-Corpus Christi.

Objective: The purpose of this study was to explore perspectives of nurse leaders regarding strategies to mitigate the job demands of 12-hour shift work and learn their views regarding the role of breaks in offsetting the cognitive and physical demands of acute care nurses working 12-hour shifts.

Background: The strain of long shifts can result in adverse outcomes for nurses, organizations, and patients.

Methods: A modified, 3-round, e-Delphi solicited input from nurse leaders. Read More

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October 2020

Endogenous melatonin mediation of systemic inflammatory responses to ozone exposure in healthy adults.

Sci Total Environ 2020 Dec 3;749:141301. Epub 2020 Aug 3.

Nicholas School of the Environment, Duke University, Durham, NC 27705, USA; Global Health Institute, Duke University, Durham, NC 27708, USA; Duke Kunshan University, Kunshan City, Jiangsu Province 215316, China. Electronic address:

Background/aim: Melatonin is a free radical scavenger and an anti-inflammatory biomolecule. Air pollution exposure has been associated with increased inflammatory responses. We hypothesize that endogenous melatonin plays a role in inflammatory responses to air pollution exposure. Read More

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December 2020

Fluctuating seawater pCO/pH induces opposing interactions with copper toxicity for two intertidal invertebrates.

Sci Total Environ 2020 Dec 29;748:141370. Epub 2020 Jul 29.

College of Life and Environmental Sciences: Biosciences, Geoffrey Pope Building, University of Exeter, Stocker Road, Exeter EX4 4QD, United Kingdom.

Global ocean pCO is increasing as a result of anthropogenic CO emissions, driving a decline in seawater pH. However, coastal waters already undergo fluctuations in pCO/pH conditions over far shorter timescales, with values regularly exceeding those predicted for the open ocean by the year 2100. The speciation of copper, and therefore its potential toxicity, is affected by changing seawater pH, yet little is known concerning how present-day natural fluctuations in seawater pH affect copper toxicity to marine biota. Read More

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December 2020

Exploring Perceptions of Shift Length: A State-Based Survey of Registered Nurses.

J Nurs Adm 2020 Sep;50(9):449-455

Author Affiliations: Nursing Administrator (Ms Haller), Research Coordinator (Ms Miller-Davis), Coordinator (Ms Noguera), and Research Program Lead (Dr Letzkus), University of Virginia Health System; Assistant Professor (Drs Quatrara and Keim-Malpass), University of Virginia School of Nursing; Assistant Professor (Dr Pannone), Department of Public Health Sciences, University of Virginia School of Medicine; and Professor (Dr Guterbock), University of Virginia Center for Survey Research, Charlottesville.

Objective: The aim of this study was to explore clinical nurses' perspectives of shift length.

Background: Discussions about scheduling practices, work rotations, and shift length are pervasive among nurses and nursing leadership. However, the science surrounding nurse perceptions of longer shifts is limited. Read More

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September 2020

Night-shift nurses and drowsy driving: A qualitative study.

Int J Nurs Stud 2020 Dec 15;112:103600. Epub 2020 May 15.

Industrial and Systems Engineering, Texas A&M University, 3131 TAMU, College Station, TX 77843, USA; Center for Outcomes Research, Houston Methodist, 6550 Fannin St., Houston, TX 77030, USA. Electronic address:

Background: Drowsy driving following the night shift is persistent among nurses resulting in elevated rates of vehicle crashes and crash-related injuries and deaths. While considerable effort has been dedicated to the development of countermeasures, implementation of these countermeasures in nursing has lagged behind other shift work oriented industries. Developing effective countermeasures for drowsy driving in nurses requires a thorough characterization of nurse's perceptions of drowsy driving and potential mitigations. Read More

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December 2020

The association between 12-hour shifts and nurses-in-charge's perceptions of missed care and staffing adequacy: a retrospective cross-sectional observational study.

Int J Nurs Stud 2020 Dec 20;112:103721. Epub 2020 Jul 20.

School of Health Sciences, The University of Southampton, UK. Electronic address:

Background: Due to worldwide nursing shortages and difficulty retaining staff, long shifts for nursing staff (both registered nurses and nursing assistants) working in hospitals have been adopted widely. Because long shifts reduce the daily number of shifts from three to two, many assume that long shifts improve productivity by removing one handover and staff overlap. However, it is unclear whether staffing levels are more likely to be perceived as adequate when more long shifts are used. Read More

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December 2020

[Turnicity as a determining factor in the occurrence of insomnia in the working population: a systematic review.]

Rev Esp Salud Publica 2020 Jul 14;94. Epub 2020 Jul 14.

Departamento de Enfermería. Facultad de Enfermería, Fisioterapia y Podología. Universidad de Sevilla. Sevilla. España.

Background: Insomnia is the most frequent sleep disorder in the adult population with a prevalence of around 30% being responsible for the deterioration in the quality of life. At work level, shift work is the main risk factor associated with the onset of insomnia. Despite its clinical relevance, it usually goes unnoticed by healthcare professionals due to lack of time, resources or information. Read More

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The association between 12-hour shifts and nurses-in-charge's perceptions of missed care and staffing adequacy: a retrospective cross-sectional observational study.

Int J Nurs Stud 2020 Jun 30;109:103702. Epub 2020 Jun 30.

School of Health Sciences, The University of Southampton, UK. Electronic address:

Background: Due to worldwide nursing shortages and difficulty retaining staff, long shifts for nursing staff (both registered nurses and nursing assistants) working in hospitals have been adopted widely. Because long shifts reduce the daily number of shifts from three to two, many assume that long shifts improve productivity by removing one handover and staff overlap. However, it is unclear whether staffing levels are more likely to be perceived as adequate when more long shifts are used. Read More

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