INTERNATIONAL JOURNAL OF NURSING PRACTICE, cilt.31, sa.6, 2025 (SCI-Expanded, SSCI, Scopus)
Aim The aim of this study was to examine the effect of a nurse-led self-management program on psychomotor vigilance and sleep of nurses working on the night shift. Background Psychomotor performance and sleep quality of nurses working night shifts deteriorate due to disruption in the sleep-wake cycle. This situation negatively affects employee health and patient safety due to errors in medical practices. Methods This randomised controlled trial was conducted between October 2021 and April 2022. The study sample consisted of 52 nurses. Within the scope of the nurse-led self-management program, the nurses in the experimental group underwent an 8-week intervention that included health training, incentives, individual consultancy and reminders. Data were collected before the intervention, after the intervention and at the third month using the Descriptive Characteristics Form, Psychomotor Vigilance Test, Pittsburgh Sleep Quality Index (PSQI) and Epworth Sleepiness Scale (ESS). Results After an 8-week intervention, there was a statistically significant decrease in the mean number of lapses, PSQI total and subjective sleep quality, sleep duration, sleep latency, daytime dysfunction subscale scores and ESS total scores in the intervention group compared to the control group. Conclusions Nurse-led self-management program can improve the psychomotor performance and sleep of nurses working night shifts. Trial Registration The study protocol has been registered at ClinicalTrials.gov (Identifier Code: NCT05185466; January 2021).