Evidence map›Paper›PMID 32761915›Full record

ArticleAmerican journal of industrial medicine2020

Should public safety shift workers be allowed to nap while on duty?

P Daniel Patterson, Matthew D Weaver, Francis X Guyette, Christian Martin-Gill

Open access · hybridAbstract read
In one paragraph

Article in American journal of industrial medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Protecting episodic memory after sleep loss: Similar benefits of exercise and naps via distinct neural contributions.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  4. The Effect of Sleep Environment on Sleep Quality and Behavior in Firefighters: A Cross-Sectional Study.International journal of environmental research and public health · 2026
    Article
  5. Article
  6. Article
  7. A preliminary framework for managing sleep inertia in occupational settings.Sleep advances : a journal of the Sleep Research Society · 2023
    Review
  8. Recovery from shift work.Frontiers in neurology · 2023
    Review
  9. Article
  10. Article
  11. Should public safety shift workers be allowed to nap while on duty?American journal of industrial medicine · 2020
    Article
  12. Physical and mental fatigue in shift work and mitigation strategies: an integrative review.Revista brasileira de medicina do trabalho : publicacao oficial da Associacao Nacional de Medicina do Trabalho-ANAMT
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

P Daniel PattersonDepartment of Emergency Medicine, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania.
Matthew D WeaverDivision of Sleep and Circadian Disorders, Brigham and Women's Hospital, Boston, Massachusetts.
Francis X GuyetteDepartment of Emergency Medicine, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania.
Christian Martin-GillDepartment of Emergency Medicine, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania.
University of Pittsburgh · USHarvard University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Fatigue and sleep deficiency among public safety personnel are threats to wellness, public and personal safety, and workforce retention. Napping strategies may reduce work-related fatigue, improve safety and health, yet in some public safety organizations it is discouraged or prohibited. Our aim with this commentary is to define intra-shift napping, summarize arguments for and against it, and to outline potential applications of this important fatigue mitigation strategy supported by evidence. We focus our discussion on emergency medical services (EMS); a key component of the public safety system, which is comprised of police, fire, and EMS. The personnel who work in EMS stand to benefit from intra-shift napping due to frequent use of extended duration shifts, a high prevalence of personnel working multiple jobs, and evidence showing that greater than half of EMS personnel report severe fatigue, poor sleep quality, inadequate inter-shift recovery, and excessive daytime sleepiness. The benefits of intra-shift napping include decreased sleepiness and fatigue, improved recovery between shifts, decreased anxiety, and reduced feelings of burnout. Intra-shift napping also mitigates alterations in clinician blood pressure associated with disturbed sleep and shift work. The negative consequences of napping include negative public perception, acute performance deficits stemming from sleep inertia, and the potential costs associated with reduced performance. While there are valid arguments against intra-shift napping, we believe that the available scientific evidence favors it as a key component of fatigue mitigation and workplace wellness. We further believe that these arguments extend beyond EMS to all sectors of public safety.

Indexed as

Emergency RespondersFatigueHumansOccupational DiseasesShift Work ScheduleSleepSleep Disorders, Circadian RhythmWork Schedule Tolerancehealthnappingsafetyshift work

Identifiers

PMID32761915
PMCPMC7540594
OpenAlexW3047959888

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.