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Completed

NCT Number: NCT06492928

Attentionnal Performance of Shift Health Workers in Emergency Department

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.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

Emergency Department, General Hospital, Armentières, Nord, France

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About this study

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).

Who can participate

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Physicians,
  • residents,
  • nurses,
  • nursing assistants

Exclusion criteria

  • Students,
  • paramedics

Treatment and study plan

Psychomotor Vigilance Task

Other

T0 - at the start of the shift: completion of the 1st PVT / socio-demographic and workstation questionnaire T1 - at the end of the shift: completion of the second PVT and questionnaire on the course of the shift that has just taken place T2 - 1 week after the end of the shift: additional questionnaire sent with scales to assess work-related fatigue (MBI), anxiety (PSS), sleep quality (PSQI) and chronotype (MEQ).

Other names: Maslach Burnout Inventory, Perceived Stress Scale, Pittsburgh Sleep Quality Index, Morningness-Eveningness Questionary

Primary outcomes

  1. Evaluation of concentration in medical/non-medical staff at the start and end of a work shift.

    Time frame: Day 1

    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.

Secondary outcomes

  1. The first secondary objective is to analyze the number of PVT errors.

    Time frame: Day 1

    The criterion defining an error is a reaction time greater than 500ms.

  2. Sub-group analysis

    Time frame: Day 7

    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).

Sponsors and collaborators

Lead sponsor

Centre Hospitalier de Roubaix

Other

Collaborators

  • Boulogne sur Mer Hospital Center
  • Centre Hospitalier Saint-Omer
  • Centre Hospitalier d'Hazebrouck
  • Centre Hospitalier de Bethune
  • Centre Hospitalier de Denain
  • Centre Hospitalier de Douai
  • Centre Hospitalier de Lens
  • Centre Hospitalier de Valenciennes
  • Centre Hospitalier de Watrelos
  • Centre Hospitalier de l'Arrondissement de Montreuil-sur-mer
  • Centre hospitalier de Dunkerque
  • GHICL
  • Polyclinique de Grande Synthe
  • Polyclinique de la Clarence
  • Tourcoing Hospital

Registry information

Official study title

Evaluation of Attentionnal Performance by PVT of Health Workers During Their Shift in Emergency Department

Acronym: Emerg-APoSHeW

Important dates

Study start
2024
Primary completion
2024
Study completion
2024
First posted
Jul 9, 2024
Registry last updated
Oct 16, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

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This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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