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Volume 17
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10.3390/ijerph17239141
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Brief Report

A Hybrid Effectiveness-Implementation Study of a Multi-Component Lighting Intervention for Hospital Shift Workers

by
Elizabeth M. Harrison
1,2,3,*,
Emily A. Schmied
4,
Alexandra P. Easterling
1,2,3,
Abigail M. Yablonsky
3,5 and
Gena L. Glickman
1,6
1
Center for Circadian Biology, University of California San Diego, La Jolla, CA 92093, USA
2
Leidos, Inc., San Diego, CA 92121, USA
3
Health and Behavioral Sciences Department, Naval Health Research Center, San Diego, CA 92016, USA
4
School of Public Health, San Diego State University, San Diego, CA 92182, USA
5
Naval Medical Center, San Diego, CA 92134, USA
6
Departments of Psychiatry and Neuroscience, Uniformed Services University of the Health Sciences, Bethesda, MD 20814, USA
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(23), 9141; https://doi.org/10.3390/ijerph17239141
Submission received: 15 October 2020 / Revised: 12 November 2020 / Accepted: 25 November 2020 / Published: 7 December 2020
(This article belongs to the Special Issue Workplace Interventions)
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Abstract

Simple lighting solutions may mitigate the harmful effects of shiftwork. This hybrid effectiveness–implementation study evaluated a multi-component lighting intervention in hospital nurses that included 6500 K architectural lighting in the nurses’ station plus optional behavioral components (a lightbox, blueblocker glasses, eyemasks) with instruction about appropriately timed usage. Selective improvements from baseline were observed in on-shift performance, sleep quality, and caffeine consumption in day workers (all p < 0.05); off-shift sleepiness scores improved for night workers (p < 0.05). Further, self-reported measures of quality of life improved for both groups (p < 0.05). Preliminary implementation data from interviews and questionnaires suggest perceived benefits and high acceptability of the intervention.
Keywords: shiftwork; light; circadian; sleep; LAN; implementation shiftwork; light; circadian; sleep; LAN; implementation

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MDPI and ACS Style

Harrison, E.M.; Schmied, E.A.; Easterling, A.P.; Yablonsky, A.M.; Glickman, G.L. A Hybrid Effectiveness-Implementation Study of a Multi-Component Lighting Intervention for Hospital Shift Workers. Int. J. Environ. Res. Public Health 2020, 17, 9141. https://doi.org/10.3390/ijerph17239141

AMA Style

Harrison EM, Schmied EA, Easterling AP, Yablonsky AM, Glickman GL. A Hybrid Effectiveness-Implementation Study of a Multi-Component Lighting Intervention for Hospital Shift Workers. International Journal of Environmental Research and Public Health. 2020; 17(23):9141. https://doi.org/10.3390/ijerph17239141

Chicago/Turabian Style

Harrison, Elizabeth M., Emily A. Schmied, Alexandra P. Easterling, Abigail M. Yablonsky, and Gena L. Glickman. 2020. "A Hybrid Effectiveness-Implementation Study of a Multi-Component Lighting Intervention for Hospital Shift Workers" International Journal of Environmental Research and Public Health 17, no. 23: 9141. https://doi.org/10.3390/ijerph17239141

APA Style

Harrison, E. M., Schmied, E. A., Easterling, A. P., Yablonsky, A. M., & Glickman, G. L. (2020). A Hybrid Effectiveness-Implementation Study of a Multi-Component Lighting Intervention for Hospital Shift Workers. International Journal of Environmental Research and Public Health, 17(23), 9141. https://doi.org/10.3390/ijerph17239141

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