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Critical Appraisal 1 - Research Paper Example

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Running head: CRITICAL APPRAISAL # 1 Critical Appraisal # 1 Course Submission Date Critical Appraisal # 1 Theoretical Framework a. The study framework was clearly indentified as Model of Impaired Sleep (Lee et al., 2004), which is a substantive theory (Burns & Grove, 2009)…
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Download file to see previous pages The major study concepts include: sleep loss (deprivation or disruption) and cognitive-behavioral outcomes such as decreased sleep duration, increased daytime sleepiness, decreased alertness/drowsiness (vigilance) and increased accidents/errors (nurse & patients). Variable Identification and Definitions Independent Variable: Fatigue Countermeasures Program for Nurses (FCMPN) Conceptual Definition: “The 60-minute education component of the FCMPN included information about fatigue, sleep, and circadian rhythms: neurobehavioral and health effects associated with sleep loss or deprivation; and misconceptions about sleepiness. Strategies for managing alertness, minimizing fatigue, and maximizing sleep duration and quality were highlighted …” The program is discussed in detail in Scott et al. (2010, p. 252) article. Operational Definition: “The underlying concept of most fatigue countermeasures programs is that fatigue management is a joint responsibility of the employing institution and each employee. Comprehensive programs to manage fatigue in work setting usually include the following six elements: (a) education and training, (b) compliance with hours of service regulation, (c) appropriate scheduling practices, (d) countermeasures that can be instituted in the work setting, (e) design (ergonometric) and technology (fail-safe designs), and (f) research” (Scott et al., 2010, p. 252). ...
254). Sleep Quality Conceptual Definition: Not conceptually defined but a likely definition is the weariness on waking and all through the day. Operational Definition: “Subjective quality of sleep was measured using the PSQI” (Scott et al., 2010, p. 253). Daytime Sleepiness Conceptual Definition: Not conceptually defined but indicates the tiredness in individuals due to lack of or disruptive sleep. Operational Definition: “The ESS (Johns, 1991) was used to evaluate the severity of daytime sleepiness” (Scott et al., 2010, p. 253). Vigilance Conceptual Definition: “It is the inability to remain alert during and after work” (Scott et al., 2010, p. 253). Operational Definition: “Measured by drowsiness and unplanned sleep episodes at work and while driving” (Scott et al., 2010, p. 253). Risk for Accidents and Errors Conceptual Definition: “Number of incidents of motor vehicle crashes (MVC)” (Scott et al., 2010, p. 255) and “mistakes involving medication administration, patient care procedures, and transcript issues” (Scott et al., 2010, p. 256). Operational Definition: “Accident or error data was calculated using data from the participants’ daily logbooks” (Scott et al., 2010, p. 253). Short-Term Memory: Conceptual Definition: “Mistakes involving medication administration, patient care procedures, and transcript issues” (Scott et al., 2010, p. 256). Operational Definition: “Error description was calculated using data from the participants’ daily logbooks” (Scott et al., 2010, p. 253). Problem Solving and Coping Conceptual Definition: Not conceptually defined but a possible definition is the ability to intercept and discover errors. Operational Definition: “Error description was calculated using data ...Download file to see next pagesRead More
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