Performance awareness: Predicting cognitive performance during simulated shiftwork using chronobiological measures.

Physiological tracers of circadian rhythms and a performance awareness index were examined as predictors of cognitive performance during two sleep deprivation conditions common to occupational shiftwork. Study 1: Thirty-three sleep-deprived participants completed a simulated nightshift. Study 2: Thirty-two partially sleep-deprived participants completed a simulated dayshift. A standardized logic test was used to measure cognitive performance. Body temperature and heart rate were measured as chronobiological indices of endogenous circadian rhythms. Performance awareness was calculated as a correlation between actual and perceived performance. These studies demonstrated a parallelism between performance awareness and the circadian rhythm. Chronobiological changes were predictive of performance awareness during the simulated nightshift but not dayshift. Only oral temperature was a significant independent predictor. Oral temperature predicted an individual's awareness of their own performance better than their own subjective awareness. These findings suggest that using circadian rhythms in applied ergonomics may reduce occupational risk due to low performance awareness.

The effects of extended work under sleep deprivation conditions on team-based performance.

Teamwork is becoming increasingly common in today's workplaces; however, little research has examined how well teams perform under sleep deprivation conditions. The purpose of the current study was to examine the effect of extended work under sleep deprivation conditions on team performance. A total of 24 participants were sleep deprived for 30 h and completed 16 h of sustained operations during the last portion of the sleep deprivation period. The participants completed the Wombat, a complex task including vigilance and cognitive components, with a partner in four 24-min testing sessions during the sustained operations period. The results indicated that team performance increased during the work period while, within each testing session, team performance on vigilance tasks remained stable and overall performance decreased. The current results suggest that performance on two-person teams results in improved performance but does not fully counteract the decreases in performance within each work period. Performance in two-person teams increased across an extended work shift under sleep deprivation conditions. However, vigilance performance remained stable while overall performance decreased when examining performance in 8-min segments. These results suggest that averaging team-based performance over a longer testing period may mask the negative effects of sleep deprivation. STATEMENT OF RELEVANCE: Performance in two-person teams increased across an extended work shift under sleep deprivation conditions. However, vigilance performance remained stable while overall performance decreased when examining performance in 8-min segments. These results suggest that averaging team-based performance over a longer testing period may mask the negative effects of sleep deprivation.

Using a task analysis to describe nursing work in acute care patient environments.

To improve the healthcare environment where nurses work and patients receive care, it is necessary to understand the elements that define the healthcare environment. Primary elements include (a) the occupants of the room and what knowledge, skills, and abilities they bring to the situation; (b) what tasks the occupants will be doing in the room; and (c) the characteristics of the built environment. To better understand these components, a task analysis from human factor research was conducted to study nurses as they cared for hospitalized patients. Multiple methods, including a review of nursing textbooks, observations, and interviews, were used to describe nurses' capabilities, nursing activities, and the environmental problems with current patient room models. Findings from this initial study are being used to inform the design and evaluation of an inpatient room prototype and to generate future research in improving clinical environments to support nursing productivity.