Circadian Rhythm Sleep Disorder Among Nurses in Emergency Department: a Systematic Review

Background: Circadian Rhythm Sleep Disorders (CRSD) is a sleep pattern disorder that can be caused by a shift work system, especially the night shift. This disorder can cause various cardiovascular diseases, psychological, decreased concentration, even Alzheimer's. Some professions that demand high precision such as nurses who work with night shifts in the Emergency Room are very vulnerable to CRSD and if not handled, it can lead to work negligence. The purpose of this review is to review CRSD due to work shifts, possible risks to the ED nurse and how to overcome them.Subjects and Method: This article uses CRSD-related reviews published from 2000-2018 from various databases: PubMed, PMC Central and Elsevier open-access. The search was conducted on 1-14 July 2018 with keywords: "Circadian Rhythm Sleep Disorders", "treatment AND CRSD", "the effect of CRSD", "CRSD AND nursing, and" CRSD in night workers ".Results: Based on the 20 articles reviewed, CRSD is a sleep pattern disorder that can be caused by endogenous factors and exogenous factors. One exogenous factor is a disturbance due to working time with the shift work disorders (SWD) system. There are several ways to overcome CRSD due to working hours, including: taking a nap before work, modifying the environment by avoiding light if going to sleep, but approaching light if you have to wake up, resetting your sleep schedule, and giving melatonin.Conclusions: CRSD due to work disorders is called SWD which can be overcome by rearranging sleep, modifying the environment to fit the circadian rhythm, and consuming melatonin if needed.Keywords: Circadian rhythm sleep disorders, shift work disorders, nursesCorrespondence: Arief Wahyudi Jadmiko. Study Program of Nursing, Faculty of Health Sciences, Universitas Pembangunan Nasional Jakarta. Email: [email protected] Journal of Medicine (2018), 3(1): 27-32https://doi.org/10.26911/theijmed.2018.03.01.0

Hubungan Circadian Rhytme Sleep Disorders Dengan Motivasi Kerja Perawat Di Rumah Sakit Moewardi Surakarta

ABSTRACT By: Rieh Firdausi* dan Arief Wahyudi Jadmiko** Nurse job description in shares of emergency installation was patient handling of emergency requiring high intensity and concentration with the situation that uncertain. Trouble of appearance, sleep / Circadian Rhythm Sleep Disorders (CRSD) at nurse affecting at nurse performance specially nurse work motivation. This research was purposed to analyse the correlation of Circadian Rhythm Sleep Disorders (CRSD) with nurse work motivation in Emergency Department RSUD DR. Moewardi Surakarta. This research was a correlation descriptive with the cross sectional approach. The research population was the nurse in the Emergency Department room in of RSUD Dr. Moewardi Surakarta and have a sample account 27 nurses with purposive sampling. The data collecting was using questioner and analyzed was using correlation test. Research result in the form of Rank Spearman correlation of the correlation Circadian Ryhtme Sleep Disorders (CRSD) with nurse work motivation obtained Rs value equal to -0,414 (p-value = 0,032) so H0 refused. Research conclusion the descriptive of Circadian Rhythm Sleep Disorders (CRSD) at nurse in Emergency Department of RSUD Dr. Moewardi Surakarta mostly do not experience of Circadian Rhythm Sleep Disorders (CRSD) (56%), the descriptive of work motivation nurse in Emergency Department of RSUD Dr. Moewardi Surakarta mostly lower equal to 14 respondents (52%), and there were correlation of Circadian Rhythm Sleep Disorders (CRSD) with nurse work motivation in Emergency Department RSUD DR. Moewardi Surakarta. Keywords: Emergency Department, Circadian Rhythm Sleep Disorders, motivation,nurse

Circadian Rhythm Sleep Disorder among Nurses in Emergency Department: A Systematic Review

Background: Circadian Rhythm Sleep Disorders (CRSD) is a sleep pattern disorder that can be caused by a shift work system, especially the night shift. This disorder can cause various cardiovascular diseases, psychological, decreased concentration, even Alzheimer's. Some professions that demand high precision such as nurses who work with night shifts in the Emergency Room are very vulnerable to CRSD and if not handled, it can lead to work negligence. The purpose of this review is to review CRSD due to work shifts, possible risks to the ED nurse and how to overcome them. Subjects and Method: This article uses CRSD-related reviews published from 2000-2018 from various databases: PubMed, PMC Central and Elsevier open-access. The search was conducted on 1-14 July 2018 with keywords: "Circadian Rhythm Sleep Disorders", "treatment AND CRSD", "the effect of CRSD", "CRSD AND nursing, and" CRSD in night workers ". Results: Based on the 20 articles reviewed, CRSD is a sleep pattern disorder that can be caused by endogenous factors and exogenous factors. One exogenous factor is a disturbance due to working time with the shift work disorders (SWD) system. There are several ways to overcome CRSD due to working hours, including: taking a nap before work, modifying the environment by avoiding light if going to sleep, but approaching light if you have to wake up, resetting your sleep schedule, and giving melatonin. Conclusion: CRSD due to work disorders is called SWD which can be overcome by rearranging sleep, modifying the environment to fit the circadian rhythm, and consuming melatonin if needed