![]() Sleep inertia was rare (very groggy or sluggish on arising, 1.3%). ![]() For over half of naps, nurses reported sleeping slightly (43%) or deeply (14%). A high level of sleepiness was present at the beginning of 44% of naps. A Nap Experience Survey measured sleepiness prior to the nap, the nap duration and perceived sleep, sleep inertia after the nap, and the perceived helpfulness of the nap. On the successful unit, one hundred fifty three 30-minutes naps were taken during the 3-month pilot period. Barriers primarily occurred at the point of seeking unit-based nursing leadership approval. Successful implementation occurred in only one of the six units with partial success in a second unit. ![]() In this two-hospital implementation project, napping was offered to six nursing units where nurse executives had previously approved nap implementation for the night shift as a pilot project. Napping has been adopted as an effective countermeasure to sleepiness and fatigue in other safety-sensitive industries but has not had widespread acceptance in nursing. Some nurses who work the night shift experience high levels of sleepiness.
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