Fadiga, trabalho por turnos rotativos e qualidade do sono no pré-hospitalar: revisão integrativa

Introduction: As prehospital professionals work in rotating shifts, it is common to find lack of rest between shifts due to lack of time or disturbances of the sleep pattern. For this reason, it is important for the professional to have a restful sleep because sleep and rest are essential to promote the well-being of the human being. As a consequence of long periods of sleeplessness, interrupted sleep, and poor sleep quality, it may compromise the professional's performance and effectiveness in solving urgent and emerging situations in the prehospital setting. The aim of the study was to understand the impact that fatigue, rotational shifts and sleep quality have on the prehospital emergency professional. Material and Method: The integrative review was used and the research was carried out in the b-ON database. Out of a total of 21,464 articles, after inclusion criteria (5-year articles in full text and peer-reviewed), the exclusion criteria (excluding articles in which the abstract did not refer to the subject under study) and Repeated studies. We selected 5. As descriptors (MeSH) for the research were used: Emergency technician or Emergency responders, Fatigue, Prehospital or pre-hospital or pre-hospital, Shift work, Sleep deprivation or Sleep disorder. Result: The quality of sleep should be valued because it allows the good functioning of the body, physical and psychological well-being, good productivity and decision-making. Poor sleep quality is a problem that affects more than half of professionals and has serious consequences in the professional. Most of the professionals reported that fatigue had a direct and negative relation in their performance because it predisposed the clinical error in the care delivery. We concluded that 90% of the professionals reported that they had a sense of compromised safety in their workplace due to lack of rest. It is understood that fatigue arises associated with rotating shifts, working at night, difficulty in getting to sleep, inability to get adequate rest and / or poor sleep quality. As a consequence, poor sleep quality leads to fatigue and drowsiness. As a result, 48% of the professionals reported that they had already fallen asleep or "dozed" while driving a vehicle while driving a pre-hospital environment. Conclusions: The professionals are confronted with the poor quality of sleep, which influences their ability to concentrate, interfere with a good professional performance and causes fatigue, exhaustion, poor eating habits, health problems, social and family isolation.