UNLV Sleep Deprivation in Health Care Essay


Formulate an Abstract from the “Sleep Deprivation in Health Care” paper. Attached below is a template to construct an abstract. Fill out the template, please.Sleep Deprivation in Healthcare
April 14, 2023
Sleep Deprivation in Health Care
The selected topic for this research is sleep deprivation in healthcare. Healthcare workers are
important professionals, as they are the custodians of a nation’s healthcare. As such, it is
imperative that the quality of their life and health is promoted. About 40% of all healthcare
workers worldwide are directly affecting by gaps in sleep quality, and overall sleep disturbances
(Shaik et al., 2022). Due to this, the study on sleep deprivation among healthcare professionals is
critical in the modern world.
It is a common assumption that healthcare workers are healthier than members of the general
population. In contrast, they are also grappled by health concerns like everyone else. According
to Shaik et al. (2022), sleep deprivation is among the most common problems faced by
healthcare workers, in regard to their health. Sleep deprivation is state where a person is not
accessing the recommended full hours of sleep, so that they are either unable to sleep, or have
interrupted sleep. Poor sleep has potential to harm a person’s wellbeing, and quality of life
(Shaik et al., 2022). Due to burnout and workload, sleep deprivation is a common health problem
among healthcare workers.
About 40% of all healthcare workers worldwide are directly affecting by gaps in sleep
quality, and overall sleep disturbances (Shaik et al., 2022). Due to this, the study on sleep
deprivation among healthcare professionals is critical in the modern world. Following the
COVID-19 pandemic in 2020, the rate of sleep deprivation among healthcare workers has
exponentially increased. As of 2022, up to 60% of nursing staff and physicians in tertiary
hospitals across the United States had experienced a variation of sleep deprivation.
Despite the continuing increase in the incidence of sleep deprivation in healthcare globally,
there is a dearth of literature on the topic. The changes in sleep deprivation among healthcare
workers’ deprivation are not being addressed in research, which informs the need for further
review on this topic, with a specific concentration on workers within the United States. The
subject of sleep deprivation in healthcare is however, widely researched and explored in China,
informing an improvement in the prevalence of the heath problem in the Country. The
foundations of sleep deprivation in the United States will be reviewed in the scholarly articles in
the mathematical and scientific context. The two articles will provide a reference and comparison
point for the research on the subject in China and the United States. The foundations of Shaik et
al. (2022) and Liu et al. (2021) on sleep deprivation in healthcare will be utilized as references
for further review on this topic.
Scientific Inquiry
In the research study by Shaik et al. (2022), it was found that sleep deprivation, and
specifically Obstructive Sleep Apnea (OSP) in healthcare affects the mental and physical health
of healthcare professionals, ultimately affecting their safety and service delivery. The study was
done because the researchers believe that sleep deprivation and other sleep disorders are the
leading cause of errors in medical professionalism. The authors present that nurses and physicians
who have heavy workload tend to suffer from burnout, which ultimately affects the quality and
duration of their sleep, even when not on call.
For example, when examining the impact of OSP and sleep deprivation on safety among
healthcare workers in the United States, Shaik et al. (2022) found that sleep morbidity was the
leading cause of safety issues among physicians. Moreover, when reviewing the impact of sleep
deprivation on quality of healthcare delivered, Shaik et al. (2022) conducted a review of literature
revealing that a dramatic decrease occurred in sleep duration among frontline healthcare workers
following the COVID 19 pandemic.
To summarize the study, Shaik et al. (2022) conclude that besides the sleep deprivation
outcome of OSA, burnout and overload of employees reduces the quality of care delivered by
healthcare professionals. Further, the scholars indicate that this issue should be taken seriously in
healthcare, as it poses a great danger to the ultimate quality of healthcare, and the overall health of
the professionals tasked with delivering it.
The results of this study showed that the researcher was right that sleep deprivation and
OSP impact negatively, the safety of professionals in healthcare. The study also showed that if
efforts are not employed to address burnout and workload for physicians and nurses, the impacts
of sleep deprivation in healthcare in the United States are bound to worsen in the coming years,
and especially in the event of another global health outbreak.
This study is effective because it identifies and addresses, clearly, a primary issue in
today’s healthcare system. With the increase in chronic disease incidence and prevalence globally
and in the United States, more work is being availed for healthcare workers. Yet, the recruitment
of new professionals is not happening at the same rate. As a result, existing professionals are
burdened with care requirements for their patients, informing burnout in them, and ultimately,
negatively affecting their safety. The findings of this study are relevant, and similar to those of
other studies, such as those of Liu et al. (2019) on the impact of sleep deprivation on healthcare in
Chinese tertiary hospitals.
Mathematical Inquiry
Sleep Deprivation in health care is an important topic to discuss as it has affected up to one
million people in the United States, which accounts for up to 50% of the total number of people
affected by sleep deprivation worldwide in the last year (Shaik et al., 2022). An estimated 7.6% of
the general population is affected by sleep problems globally every year (Shaik et al., 2019).
Moreover, up to 45% of all healthcare workers in the United States are affected by sleep
deprivation at least once in their professional practice (Shaik et al., 2022). It is predicted to affect
9% of the American healthcare professional population in the next ten years (Shaik et al., 2022),
if the relevant authorities in healthcare do no employ relevant efforts to promote more
accommodative shifts and workloads for physicians and nurses, especially those working in
tertiary institutions.
In a study by Shaik et al. (2022), it was shown that sleep deprivation in healthcare affects
primarily middle-aged physicians and nurses in the United States and this is because of
unfavorable work shifts, and workload which eventually cause burnout. Healthcare professionals
caring for critical care patients are the most predisposed to burnout, and consequently, sleep
deprivation. The population of the healthcare workers in the United States that is primarily
impacted by sleep deprivation is the nursing fraternity, with 67% of registered nurses in the United
States reporting symptoms related to burnout and sleep morbidity annually (Shaik et al., 2022).
According to NCBI, there was a 3.4 percent likelihood of a mistake when nurses had 6 or
fewer hours of sleep in the previous 24 hours and 12 or fewer hours of sleep in the previous 48
hours. Although a 3.4 percent chance of an error or near miss may appear tiny, it translates to a
probability of 34 incidents every day. In a typical hospital with 1,000 nursing shifts each day, this
translates to a likelihood of 34 occurrences every day. In addition to endangering patient safety,
nurses who do not get enough sleep jeopardize their own health and safety (Rogers, n.d.).
To understand some of the barriers to treating sleep deficiency in healthcare, one needs
look at the expenses. These include the costs of managing the outcomes of sleep deprivation in
healthcare. Health professionals working under the pressure of dealing with the symptoms of sleep
morbidity risk making mistakes during patient care, which could expose themselves and the
hospital to legal battle costs in terms of compensation for damages, and other legal fees, which are
projected to be above $20 million annually across the United States (Ganesan et al., 2019). This is
a serious problem because only less than 10% of the affected healthcare workers are receiving care
for symptoms related to sleep deprivation (Ganesan et al., 2019).
Another study by Liu et al. (2019), has shown that sleep deprivation in healthcare has
provided a possible insight into the factors contributing to increased hospital-acquired infections
by patients during care, especially in tertiary hospital settings. These statistics show that sleep
deprivation in healthcare is an important topic that needs to be explored more in scientific research
to open room for better evidence-based practice.
Ethical Inquiry
China implemented The Basic Healthcare and Health Promotion Law in 2019 to guide its
healthcare system. The law contains multiple propositions for reforms in the healthcare sector
that would minimize the incidence and prevalence of sleep deprivation among nurses. For
instance, it intends to increase government stimulus and input in healthcare, which could
increase the number of registered nurses and their incentives, minimizing their workloads and
enhancing job satisfaction. The Chinese constitution also protects the dignity and safety of
healthcare professionals under the Healthy China Strategy, although it is seldom adhered to,
creating loopholes for more incidence and prevalence of workplace violence.
While the law protecting healthcare professionals from violence and maltreatment exists,
it is barely adhered to, and the Chinese legal system needs to improve its approach in relevant
legal issues. Notably, the adverse attitude towards nurses and other practitioners places them at
risk of being abused, causing stress and other mental health issues that contribute to sleep
deprivation. Second, the Chinese government should develop healthcare legislations that outline
the nurse-patient ratios in all institutions in the country to alleviate the massive workloads nurses
in the country have to bear.
Shi et al. (2017) conducted a study to determine the prevalence of physical and
psychological violence against nurses in China whose findings were concerning. For instance,
25.77% of the respondents reported experiencing physical violence, 2.76% sexual harassment
and 63.65% non-physical violence. These cases constitute ethical issues in the sector and could
translate to adverse patient outcomes arising from practitioner stress, which also affects the
practitioners’ wellbeing.
This study was done because it was shown that workplace violence is a significantly
prevalent problem in China, especially due to the culture’s adverse perception of nursing practice
as an occupation (Shi et al., 2017). Thus, most people, including patients tend to perceive nurses
as lower-ranking under-achievers, an idea that is perpetuated by the poor incentives they receive
and the ineffectiveness of legal action on such claims.
The abuse of nurses in China is a common occurrence, with incidences ranging from
mere verbal aggression to fata violence including batteries, rapes, and stabbings in the
workplace. These events hinder nurses’ ability to deliver quality care, especially for patients who
have already indicated adverse dispositions, affecting patient outcomes (Shi et al., 2017). For
instance, a nurse already struggling with an excessive workload will be unwilling to tend to
violent or aggressive patients, affecting their outcomes. Additionally, the law does not do much
to shield practitioners from such conduct, which encourages perpetrators as they will not be held
liable. Finally, the authors assert that the risk factors for such violence include work settings,
work environment and nurses’ personal characteristics.
Liu et al. (2019) conducted a study whose findings align with Zhang et al. (2017). The
authors examined the influence of workplace violence on nurse job satisfaction, stress levels and
other factors, which translate into patient safety issues. For instance, the author argues that
violence toward nurses creates an adverse work environment, increasing their stress and mental
health symptoms like sleep deprivation, which in turn cause burnout and adverse patient
outcomes. This perspective aligns with the latter in that they justify the role of workplace
violence in the adverse mental health status of nurses in China, which manifests multiple
symptoms including sleep problems. They also both link this adverse mental health to poor
patient outcomes.
The paper by Shi et al. (2017) focuses primarily on the link between workplace violence
and workplace stress, breeding issues like sleep deprivation. However, it neglects the
shortcomings of the Chinese Constitution and legal system in protecting nurses and alleviating
excessive workloads that arise from the nursing crisis. Ma et al., (2021) focuses primarily on
workplace violence but addresses the insufficient legal protection Chinese law proposes for
nurses in the country. Notably, most cases of such violence go unreported due to systemic
barriers and if reported, not much is done to hold perpetrators liable or protect the practitioners.
Thus, it breeds stress, which translates into sleep deprivation, in addition to excessive workloads
due to nursing staffing issues in China. While the latter’s view does not contrast with the
former’s they provide extensive information on an aspect the former had neglected.
Cultural Inquiry
The cultures being examined in this paper are China and United States culture in relation to
sleep deprivation among healthcare workers. Notably, the sleep deprivation directly affects the
wellbeing of practitioners while hindering their abilities to deliver quality care. However, it is
unclear whether culture factors in the prevalence or incidence of sleep deprivation among
healthcare workers, which is the basis for this discussion.
Nurses is in China are more susceptible to sleep deprivation than their US counterparts due to
a severe shortage of nurses arising from adverse culture. Notably, Chinese nurses are underpaid
and overworked due to the nursing shortage, which causes sleep problems. Additionally, the care
demands for Chinese patients are relatively higher than those in the US, with higher-income
patients getting priority.
A study by (Yang et al., 2017) examines the cultural issues of nurse maltreatment and social
expectations in Chinese society in relation to sleep disturbances because this adverse conduct
encourages attrition and job dissatisfaction, causing nursing shortages. Such shortages create a
cycle of attrition where the remaining practitioners are overworked, leading to more sleep
problems and attrition, restarting the cycle.
This study was conducted because it was shown that the rising shortage of nurses in China is
attributed to high turnover and an unwillingness of potential practitioners to join the healthcare
sector. Thus, the researchers assessed the factors linked to the worrying turnover rates, including
societal expectations for the genders in China, the stress arising from staffing shortages and big
workloads and poor perceptions of nursing practice that cause sleep deprivation and other
problems, leading to low job satisfaction and poor patient outcomes.
First, the authors argue that the social expectations for young people in China differs from
the rest of the world, with young people who work as practitioners having to juggle between
starting families and caring for their old parents, adding to the stress of work. That, in addition to
the nursing shortages due to China’s maltreatment of nurses and their underpayment makes it
impossible for practitioners to perform their duties appropriately. Notably, as a masculine
society, careers like nursing are undermined leading to maltreatment, and in some cases violence.
The authors also assert that mots Chinese people believe nursing doesn’t require technical skills
and, therefore should be paid low.
Xu et al. (2020) determined that healthcare workers in Chinese hospitals experience job
burnout from the psychological stress of handling patients, the social duties of different genders
and age groups, staff shortages and adverse perceptions of the career. This perspective is similar
to Yang et al. (2017).
The main issue this discussion neglected is the perception of male nursing practitioners in
Chinese culture since the career path is mainly associated with their female counterparts. In a
heavily masculine culture, Chinese men are expected to be competitive high-achievers
performing technical, conventionally-masculine career paths. Thus, being in the nursing
practitioners in the country adds to the load of stress and consequent sleep deprivation.
Xu et al. (2020) determined that the societal expectation for the genders contributes to the job
stress for male nursing practitioners. Notably, men in the sector tend to be undermined compared
to their female counterparts, who don’t have it easy either.
Drafting Your Abstract
Your Topic Area:
DRAFTING THE ABSTRACT – Draft the abstract of your final paper. Remember to meet the limits of
150-250 words in the final version of the abstract. You may handwrite or type your draft in the spaces
provided, or you may word process, and attach your abstract. This is a draft. You will revisit it when
you have completed your final paper, and revise it as needed, based on your final product.
Part 1 –
State the healthcare issue/topic & problem
This should be based on your problem statement, but revised for brevity:
Part 2 –
Explain the methods/procedures/approaches
Outline the perspectives of inquiry in your preferred order. If appropriate, discuss
the research process you used, and/or the key research sources you employed:
Part 3 –
Reveal your results and findings (understandings from inquiry papers)
Briefly describe the key take-aways or major/main points from each of the inquiry sections:
Part 4 –
Disclose/expose your concluding solution
Avoid the details, but divulge the solution you will propose in the concluding section:

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