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Cited by 113Sleep and Work-Related FatigueHospital Admissions and OutcomesHealthcare professionals’ stress and burnout

The DOI matches its Crossref record; 5 of the 5 references it cites were found in a registry or an index.

Effect of Fatigue Training on Safety, Fatigue, and Sleep in Emergency Medical Services Personnel and Other Shift Workers: A Systematic Review and Meta-Analysis

Open access
Barger, Laura K., Runyon, Michael S., Renn, Megan L., Moore, Charity G., Weiss, Patricia M., Condle, Joseph P., Flickinger, Katharyn L., Divecha, Ayushi A., Coppler, Patrick J., Sequeira, Denisse J., Lang, Eddy S., Higgins, J. Stephen, Patterson, P. Daniel·2018·Prehospital Emergency Care
DOI 10.1080/10903127.2017.1362087
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Abstract

BACKGROUND: Fatigue training may be an effective way to mitigate fatigue-related risk. We aimed to critically review and synthesize existing literature on the impact of fatigue training on fatigue-related outcomes for Emergency Medical Services (EMS) personnel and similar shift worker groups. METHODS: We performed a systematic literature review for studies that tested the impact of fatigue training of EMS personnel or similar shift workers. Outcomes of interest included personnel safety, patient safety, personnel performance, acute fatigue, indicators of sleep duration and quality, indicators of long-term health (e.g., cardiovascular disease), and burnout/stress. A meta-analysis was performed to determine the impact of fatigue training on sleep quality. RESULTS: Of the 3,817 records initially identified for review, 18 studies were relevant and examined fatigue training in shift workers using an experimental or quasi-experimental design. Fatigue training improved patient safety, personal safety, and ratings of acute fatigue and reduced stress and burnout. A meta-analysis of five studies showed improvement in sleep quality (Fixed Effects SMD -0.87; 95% CI -1.05 to -0.69; p < 0.00001; Random Effects SMD -0.80; 95% CI -1.72, 0.12; p < 0.00001). CONCLUSIONS: Reviewed literature indicated that fatigue training improved safety and health outcomes in shift workers. Further research is required to identify the optimal components of fatigue training programs to maximize the beneficial outcomes.

Overview

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Crossref · 10.1080/10903127.2017.1362087

Cites

5 of 5 references verified0 citation errors · 0 not checkable

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  • The circadian misalignment associated with shift work, especially night shifts, results in physiologic changes, further impacting the risk of illness and chronic disease among shift workers.

    “The circadian misalignment associated with shift work, especially night shifts, results in physiologic changes, further impacting the risk of illness and chronic disease among shift workers (Barger et al., 2018).”

    From Understanding the Occupational Factors that Influence Paramedic Health and Wellbeing (2024) · cites this paper as Barger et al., 2018

Citations

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Metadata

Authors
Barger, L. K., Runyon, M. S., Renn, M. L., Moore, C. G., Weiss, P. M., Condle, J. P., Flickinger, K. L., Divecha, A. A., Coppler, P. J., Sequeira, D. J., Lang, E. S., Higgins, J. S., & Patterson, P. D.
Affiliations
  • Brigham and Women's Hospital (US)
  • University of Pittsburgh (US)
Corresponding author
Patterson, P. Daniel
ORCID
Venue
Prehospital Emergency Care
Publisher
Informa UK Limited
Published
2018-01-11
Volume
22
Issue
sup1
Pages
58-68
ISSN
  • 1090-3127 (ISSN-L)
  • 1545-0066
DOI
10.1080/10903127.2017.1362087
OpenAlex
W2784234620
Cited by
113
References
5
Citations by year
2026: 10 · 2025: 17 · 2024: 16 · 2023: 16 · 2022: 11 · 2021: 17 · 2020: 11 · 2019: 8 · 2018: 7
FWCI
1.71
Type
journal article
Language
en
Open access
Locations
  • Prehospital Emergency Care (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Highway Traffic Safety Administration (DTNH2215R00029)
Topics
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
  • Health Sciences › Nursing › Leadership and Management › Hospital Admissions and Outcomes
  • Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
Keywords
shift workers, emergency medical personnel, patient safety, occupational safety, acute fatigue, sleep quality, burnout, stress, cardiovascular disease
MeSH terms
Shift Work Schedule, Burnout, Professional, Emergency Medical Services, Emergency Medical Technicians, Fatigue, Health Education, Humans, Research Design, Safety, Sleep, Work Schedule Tolerance, Sleep Disorders, Circadian Rhythm

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