Improving Night Shift Nurses' Health and Reducing Burnout

Not Applicable

Not yet recruiting

• Conditions: Healthy

• Registration Number: NCT06829979
• Lead Sponsor: University of Pittsburgh

Brief Summary

Healthy and happy nurses are essential to ensuring optimal patient outcomes and organizational success. The evidence on the negative impacts of night shift on nurses' health and cognitive function, and their implications on patient outcomes and organizational costs, reflect the need for interventions to mitigate these detrimental outcomes.

This pilot, feasibility, clinical trial will examine the feasibility of two fatigue countermeasure interventions (access to napping/relaxation room and use of blue/green light blocking glass during night shift) and explore the interventions effects on nurses' health, missed care, and burnout.

Detailed Description

Aim 1 (Primary): Examine the feasibility of a larger study and hospital-wide implementation of two fatigue countermeasure interventions (access to napping/relaxation rooms and use of blue/green light blocking glass during night shift).

Aim 2 (Exploratory): Explore the effects of the interventions on melatonin levels, overall health, sleep, fatigue, cognitive function, missed care, nurse burnout, and salivary melatonin levels.

Study Timeline

• Study First Submitted: 2025-02-11
• Study First Submitted QC: 2025-02-11
• Study First Posted: 2025-02-17
• Status Verified: 2025-05
• Study Start: 2025-05
• Last Update Submitted: 2025-05-01
• Last Update Posted: 2025-05-06
• Primary Completion: 2025-09-30
• Study Completion: 2025-12-31

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 8

Inclusion Criteria

• Being a registered nurse at UPMC Shadyside (Pittsburgh, PA)
• Working full-time night or rotating shifts
• Willing to wear a Fitbit around-the-clock during the study
• Willing to use nap/relaxation room and glasses only when assigned to that condition
• Willing to provide saliva samples

Exclusion Criteria

• Having a diagnosed sleep disorder (e.g., obstructive sleep apnea, insomnia, restless leg syndrome, or shift work disorder)
• Currently being treated for a serious mental illness
• Needing to use eye glasses to complete work related activities (note: contact lenses are acceptable)
• Use of prescription or over-the-counter sleep aides including melatonin

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Primary Outcome Measures

Name	Time	Method
Recruitment rate	2 months	Number of potential participants screened in order to enroll 8 participants
Attrition rate	4 months	Percentage of enrolled participants completing the intervention as a whole and its three conditions
Completeness of questionnaire responses	4 months	Percentage of completed responses
Melatonin collection	4 months	Number of salivary melatonin samples collected

Secondary Outcome Measures

Name	Time	Method
Changes in physical health between baseline and the three conditions	3 months	Changes the in PROMIS Global Health 10-item Measure, Physical Health sub-scale T-score.; T-score ranges from 16.2 to 67.7 with 50.0 (standard deviation of 10) being the population mean.; Higher scores represent better physical health.
Changes in mental health between baseline and the three conditions	3 months	Changes the in PROMIS Global Health 10-item Measure, Mental Health sub-scale T-score.; T-score ranges from 21.2 to 67.6 with 50.0 (standard deviation of 10) being the population mean.; Higher scores represent better mental health.
Changes in Multidimensional Sleep Health between baseline and the three conditions	3 months	Changes in RSATED survey scores Total score ranges from 0 to 12 with higher scores representing better sleep health.
Changes in sleep distrubance between baseline and the three conditions	3 months	Changes in PROMIS Sleep Disturbance 8-item Measure T-scores. T-score ranges from 28.9 to 76.5.7 with 50.0 (standard deviation of 10) being the population mean.; Higher scores represent more sleep disturbances.
Changes in sleep-related impairment between baseline and the three conditions	3 months	Changes in PROMIS Sleep-related Impairment 8-item Measure T-scores. T-score ranges from 30.2 to 80.1 with 50.0 (standard deviation of 10) being the population mean. Higher scores represent more sleep-related impairment.
Change in sleep duration between baseline and the three conditions	3 months	Change in mean actigraphic sleep duration
Change in sleep efficiency between baseline and the three conditions	3 months	Change in mean actigraphic sleep efficiency
Change in fatigue between baseline and the three conditions	3 months	Change in PROMIS Fatigue 7-item Measure T-scores. T-score ranges from 29.4 to 83.2 with 50.0 (standard deviation of 10) being the population mean. Higher scores represent more fatigue.
Change in cognition function between baseline and the three conditions	3 months	Change in PROMIS Cognitive Function 8-item Measure T-scores. T-score ranges from 22.41 to 83.2 with 63.48 (standard deviation of 10) being the population mean. Higher scores represent better cognitive function.
Change in burnout between baseline and the three conditions	3 months	Change in Copenhagen Burnout Inventory scores. The Copenhagen Burnout Inventory has three sub-scales measuring personal burnout, work-related burnout, and client-related burnout. Sub-scales scores range from 0 to 100 with higher scores representing greater burnout.
Changes in missed care between baseline and the three conditions	3 months	Changes in Tasks Undone-12 Scale scores. Scores range from 0 to 12 with higher scores representing more undone nursing tasks.
Changes in salivary melatonin levels between baseline and the three conditions	3 months	Changes in salivary melatonin levels

Trial Locations

Locations (1)

UPMC Shadyside; 🇺🇸 Pittsburgh, Pennsylvania, United States