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A Hybrid Effectiveness-Implementation Study of a Multi-Component Lighting Intervention for Hospital Shift Workers

Author

Listed:
  • Elizabeth M. Harrison

    (Center for Circadian Biology, University of California San Diego, La Jolla, CA 92093, USA
    Leidos, Inc., San Diego, CA 92121, USA
    Health and Behavioral Sciences Department, Naval Health Research Center, San Diego, CA 92016, USA)

  • Emily A. Schmied

    (School of Public Health, San Diego State University, San Diego, CA 92182, USA)

  • Alexandra P. Easterling

    (Center for Circadian Biology, University of California San Diego, La Jolla, CA 92093, USA
    Leidos, Inc., San Diego, CA 92121, USA
    Health and Behavioral Sciences Department, Naval Health Research Center, San Diego, CA 92016, USA)

  • Abigail M. Yablonsky

    (Health and Behavioral Sciences Department, Naval Health Research Center, San Diego, CA 92016, USA
    Naval Medical Center, San Diego, CA 92134, USA)

  • Gena L. Glickman

    (Center for Circadian Biology, University of California San Diego, La Jolla, CA 92093, USA
    Departments of Psychiatry and Neuroscience, Uniformed Services University of the Health Sciences, Bethesda, MD 20814, USA)

Abstract

Simple lighting solutions may mitigate the harmful effects of shiftwork. This hybrid effectiveness–implementation study evaluated a multi-component lighting intervention in hospital nurses that included 6500 K architectural lighting in the nurses’ station plus optional behavioral components (a lightbox, blueblocker glasses, eyemasks) with instruction about appropriately timed usage. Selective improvements from baseline were observed in on-shift performance, sleep quality, and caffeine consumption in day workers (all p < 0.05); off-shift sleepiness scores improved for night workers ( p < 0.05). Further, self-reported measures of quality of life improved for both groups ( p < 0.05). Preliminary implementation data from interviews and questionnaires suggest perceived benefits and high acceptability of the intervention.

Suggested Citation

  • Elizabeth M. Harrison & Emily A. Schmied & Alexandra P. Easterling & Abigail M. Yablonsky & Gena L. Glickman, 2020. "A Hybrid Effectiveness-Implementation Study of a Multi-Component Lighting Intervention for Hospital Shift Workers," IJERPH, MDPI, vol. 17(23), pages 1-10, December.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:23:p:9141-:d:458236
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    Cited by:

    1. Elizabeth M. Harrison & Emily A. Schmied & Suzanne L. Hurtado & Alexandra P. Easterling & Gena L. Glickman, 2022. "The Development, Implementation, and Feasibility of a Circadian, Light, and Sleep Skills Program for Shipboard Military Personnel (CLASS-SM)," IJERPH, MDPI, vol. 19(5), pages 1-15, March.
    2. Ružena Králiková & Laura Džuňová & Ervin Lumnitzer & Miriama Piňosová, 2022. "Simulation of Artificial Lighting Using Leading Software to Evaluate Lighting Conditions in the Absence of Daylight in a University Classroom," Sustainability, MDPI, vol. 14(18), pages 1-16, September.

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