Plus-Hex CLINICAL
Improvements are possible . Evidence suggests that a series of consecutive night shifts results in significantly better sleep quality and cognitive function than working a mixture of nights and days in the same week . Research also suggests that there may be an optimal number of consecutive nights to provide the best cognitive outcomes [ 46 , 48 – 50 ] . Using blue-infused white light in the workplace , instead of standard white light bulbs , improved reaction time and significantly reduced working memory-related errors [ 51 ] . Technological advances , such as CCTV and telemedicine , can also improve staff welfare and patient outcomes , while still meeting rising expectations for essential OOH care [ 13 , 50 ] .
The RCVS and its members could use this study and further research in this area to inform them on future policy on OOH practice . The members of the profession who are responsible for providing and coordinating OOH care could use this study to try to improve the working environment for employees and members alike . Oxtoby et al . [ 42 ] explain that it is the moral duty of veterinary practices to reduce fatigue and stress in their employees , abiding by the Working Time Regulations 1998 and giving a break of 11 hours between shifts despite the demands of OOH work . The effects of fatigue , which often go unrecognised , are often cited as a factor in misconduct [ 28 , 30 , 32 , 48 ] , so this study and its findings should be used as a proof of concept to the profession and a pilot for researchers to further improve the wellbeing of the profession ' s members .
Conclusions
The short-term and long-term effects of sleep loss are well documented in the general population , but societal views commonly overlook this issue in the fields of veterinary and human medicine . The purpose of this study was to highlight the immediate and short-term effects of sleep deprivation on VSs and VNs , which are not currently well evidenced in the veterinary industry .
The findings may support the well-documented physiological effects of increased reaction time and decreased cognitive function in these individuals , but the limitations affect the reliability of the results . The validity of the study was compromised due to the small sample size and the Covid-19 pandemic , which limited the collection period , but it can still contribute to the field . The findings of this study should encourage further research into this area , looking into the effects that sleep deprivation could have on patient outcomes and clinician wellbeing in the veterinary field .
OOH working is an essential part of many veterinary practices , and the profession ' s supporting and regulatory bodies should be raising awareness of the effects this can have on clinicians and , through further research , find suitable ways in which to deliver 24 / 7 care to patients without causing adverse physiological or psychological effects in veterinary professionals .
Volume 39 ( 1 ) • February 2024
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