Clinical trial NCT06492928: Attentionnal Performance of Shift Health Workers in Emergency Department
Official title: Evaluation of Attentionnal Performance by PVT of Health Workers During Their Shift in Emergency Department
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Work-Related Condition
Keywords: shift-work
PVT
Health worker
Attentionnal performance
Emergency department
Lead sponsor: Centre Hospitalier de Roubaix
Sponsor class: OTHER
Collaborators: name: Boulogne sur Mer Hospital Center
name: Centre Hospitalier de l'Arrondissement de Montreuil-sur-mer
name: Centre Hospitalier Saint-Omer
name: Centre Hospitalier de Bethune
name: Centre Hospitalier de Lens
name: Polyclinique de la Clarence
name: Centre hospitalier de Dunkerque
name: Centre Hospitalier de Douai
name: Centre Hospitalier de Valenciennes
name: Centre Hospitalier d'Hazebrouck
name: Centre Hospitalier de Watrelos
name: Centre Hospitalier de Denain
name: Tourcoing Hospital
name: GHICL
name: Polyclinique de Grande Synthe
First posted: 2024-07-09
Enrollment: 69
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: OTHER
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: All Health Workers who start their shift during the study duration

Brief summary: Atypical working hours can be a risk factor for workers. In fact, the body is subject to a circadian rhythm, which affects numerous physiological activities. These biological rhythms reflect the need for certain physiological activities to occur at a specific time of day. This cycle can be disrupted and shifted by external factors. This disruption of biological rhythms can manifest itself in the appearance of health effects.

The innovative nature of our work lies in the search for an alteration in psychomotor functions in nursing staff (subject to atypical working hours). To this end, we decided to study the concentration of care workers using a reflex-based psychomotor test, the Psychomotor Vigilance Test (PVT). Other factors will be studied in order to assess the factors that may affect this test.

Detailed description: Population : All care staff in the emergency departments of the participating hospitals: physicians, residents, nurses and nursing assistants.

The main objective is to evaluate concentration in medical/non-medical staff at the start and end of a work shift.

To this end, we will evaluate the Psychomotor Vigilance Test (PVT) and its variation at the start and end of a shift in these personnel.

The endpoint is the difference in reflex time to a visual stimulus performed at the beginning and end of the shift with a 3-minute PVT Test.

The first secondary objective is to analyze the number of PVT errors. The criterion defining an error is a reaction time greater than 500ms.

The second secondary objective is to compare the PVT and its variation in certain subgroups. The subgroups compared will be defined according to the following criteria :

* Shift duration: Non-medical staff (\<10h, \>10h), Medical staff (6 to 10h, 10 to 15h, 15 to 24h) Staggered shift: start before 6h or end after 22h,
* Type of service: acute care, MCO, SSR (or emergency sector)
* Sleep quality (Pittsburgh Sleep Quality Index),
* Professional fatigue (Maslach Burnout lnventory),
* Anxiety (French official version of the PSS-14),
* Chronotype (Morningness-Eveningness Questionnaire).

Eligibility criteria: Inclusion Criteria:

* Physicians,
* residents,
* nurses,
* nursing assistants

Exclusion Criteria:

* Students,
* paramedics

Primary outcomes:
measure: Evaluation of concentration in medical/non-medical staff at the start and end of a work shift.
timeFrame: Day 1
Secondary outcomes:
measure: The first secondary objective is to analyze the number of PVT errors.
timeFrame: Day 1
measure: Sub-group analysis
timeFrame: Day 7
Other outcomes:
Locations:
city: Armentières
country: France
facility: Emergency Department, General Hospital
state: Nord
city: Hazebrouck
country: France
facility: Emergency Department, General Hospital
state: Nord
city: Lomme
country: France
facility: Emergency Department, GHICL Saint-Philibert
state: Nord
city: Tourcoing
country: France
facility: Emergency Department, General Hospital
state: Nord
Study officials:
affiliation: Centre Hospitalier de Roubaix
name: Remy Diesnis, MD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Agence nationale de sécurité sanitaire de l'alimentation, de l'environnement et du travail.; 2016 juin. Report No.: 2011-SA-0088.
citation: Thun E, Bjorvatn B, Torsheim T, Moen BE, Magerøy N, Pallesen S. Night work and symptoms of anxiety and depression among nurses: A longitudinal study. Work Stress. 2 oct 2014;28(4):376 86.
citation: Folkard S, Tucker P. Shift work, safety and productivity. Occup Med (Lond). 2003 Mar;53(2):95-101. doi: 10.1093/occmed/kqg047.