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• W2609619478 abstract "Many industries provide parameters for protected sleep time after extended hours of wakefulness, but little is known about the on-call and sleep habits of U.S. certified nurse-midwives. American College of Nurse-Midwives (ACNM) convened an ad hoc Sleep Task Force to write a position statement on adequate sleep parameters for its members. To strengthen the statement, a national survey was developed and distributed to members. An online survey was constructed and validated by 15 nurse-midwifery educators and researchers consisting of 39 questions related to work schedules, on-call, sleep time, “near misses”, and driving drowsy. The survey was sent to 4,358 members. IRB approval was obtained. Of 726 respondents (16.6%), the majority were female (98.5%), Caucasian (92.4%) and between 25 and 76 years (M=50, SD=11.67). The majority attended clinic hours prior to (76.4%) and following (52%) a night call shift. Most births (85%) were attended in hospitals. Many respondents reported no hospital policy for protected sleep time (88.7%) and only 4.9% had the dangers of sleep deprivation discussed during their educational programs. 30.6% were on call an average of 25 or more hours. Most had access to a call room (90.7%) and slept or napped while on call (96.9%). 48.4% reported sleeping prior to driving after a busy call shift. 73.8% felt too drowsy to drive after working, but 65% drove anyway. 28% had fallen asleep driving resulting in 3.8% accidents. Sleepiness resulted in self-reported clinical errors (23.6%) and “near misses” (39.4%). The majority (71%) of midwives who reported limiting or leaving practice did so in part due to fatigue or sleep loss. Midwives work extended duty hours and report somnolence with related errors/risk/accidents. Midwife means “with woman” which has long been interpreted to remain in support of a woman in labor despite extended provider wake time that carries attendant adverse workforce implications. New graduates require adequate preparation for the rigors of rotating and extended shift work. An ACNM position statement may effect culture change that includes protected sleep time and increases awareness of adequate sleep recommendations. Access to ACNM membership email list was granted." @default.
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• W2609619478 date "2017-04-28" @default.
• W2609619478 modified "2023-10-14" @default.
• W2609619478 title "1185 ON-CALL AND SLEEP HABITS OF U.S. MIDWIVES: TOWARDS A POSITION STATEMENT ON ADEQUATE SLEEP" @default.
• W2609619478 doi "https://doi.org/10.1093/sleepj/zsx050.1184" @default.
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