Occupational screening for sleep disorders in 12-h shift nurses using the Berlin Questionnaire
Abstract
Background The Berlin Questionnaire has been validated as a screening tool for sleep apnea in clinical samples, but no occupational studies have reported screening validity parameters for this instrument. The objectives of this pilot study were to describe the prevalence of sleep-disordered breathing symptoms in registered nurses and examine the validity of the Berlin Questionnaire to screen for sleep apnea in this chronically partially sleep-deprived group. Validity parameters for the Berlin Questionnaire are tabulated for published studies to 2012.Methods Twenty-one female nurses working full time 12-h shifts underwent overnight, in-laboratory polysomnography to identify sleep disorders and completed a Berlin Questionnaire.Results By polysomnogram, the prevalence of sleep-disordered breathing [Respiratory Disturbance Index (RDI) ≥ 5] was 43 %, although by the Berlin Questionnaire only 24 % were deemed high risk. The sensitivity of the Berlin Questionnaire to detect high-risk subjects (RDI > 5) was 0.33, with a specificity of 0.83, a positive predictive value of 0.60, and negative predictive value of 0.63. Berlin criterion 3 (obesity or hypertension) performed the best for predicting sleep apnea in 12-h shift nurses.Conclusions Although the Berlin Questionnaire produced valuable data about symptoms of sleep apnea in this population, it had a high proportion of false negatives. To improve its sensitivity for screening health care workers for sleep apnea, it must better capture symptoms specific to this population. Increasing the weighting of Berlin criterion 3 items should be considered to improve its psychometric properties.
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For nurses, shift work and long work hours are related to adverse health outcomes and indicators of reduced functioning.
“For nurses, shift work and long work hours have been shown to be related to adverse health outcomes and indicators of reduced functioning.208–217”
From Sleep, Health, and Society (2017) · cites this paper as [215]
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- Authors
- Geiger-Brown, J., Rogers, V. E., Han, K., Trinkoff, A., Bausell, R. B., & Scharf, S. M.
- Affiliations
- University of Maryland, Baltimore (US)
- Corresponding author
- Geiger-Brown, Jeanne
- Venue
- Sleep And Breathing
- Published
- 2012-04-26
- Volume
- 17
- Issue
- 1
- Pages
- 381-388
- ISSN
- 1520-9512 (ISSN-L)
- 1522-1709
- OpenAlex
- W1987977904
- Cited by
- 40
- References
- 38
- Citations by year
- 2024: 1 · 2023: 4 · 2022: 1 · 2021: 4 · 2020: 3 · 2019: 2 · 2018: 4 · 2017: 2 · 2016: 5 · 2015: 2 · 2014: 9 · 2013: 3
- FWCI
- 3.00
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Sleep And Breathing (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5k12rr023250-05)
- National Center for Research Resources (5K12RR023250-05)
- Topics
- Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Keywords
- Berlin questionnaire, sleep apnea screening, shift work, nurses, 12-hour shifts, sleep-disordered breathing, occupational health, screening validity, sensitivity and specificity, respiratory disturbance index, Berlin criteria, obesity, hypertension, sleep deprivation
- MeSH terms
- Adult, Cross-Sectional Studies, Female, Health Surveys, Humans, Mass Screening, Middle Aged, Nursing Staff, Hospital, Occupational Diseases, Pilot Projects, Psychometrics, Surveys and Questionnaires, Snoring, Baltimore, Reproducibility of Results, Polysomnography, Sleep Disorders, Circadian Rhythm, Sleep Apnea, Obstructive
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