Notice2022-12698
Agency Forms Undergoing Paperwork Reduction Act Review
Primary source
Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.
Published
June 13, 2022
Issuing agencies
Health and Human Services DepartmentCenters for Disease Control and Prevention
Full Text
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<title>Federal Register, Volume 87 Issue 113 (Monday, June 13, 2022)</title>
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[Federal Register Volume 87, Number 113 (Monday, June 13, 2022)]
[Notices]
[Pages 35780-35781]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2022-12698]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[30Day-22-21FC]
Agency Forms Undergoing Paperwork Reduction Act Review
In accordance with the Paperwork Reduction Act of 1995, the Centers
for Disease Control and Prevention (CDC) has submitted the information
collection request titled ``Nurse Fatigue-Mitigation Education: Does it
Change Nurse Sleep Behavior?'' to the Office of Management and Budget
(OMB) for review and approval. CDC previously published a ``Proposed
Data Collection Submitted for Public Comment and Recommendations''
notice on May 14, 2021 to obtain comments from the public and affected
agencies. CDC received four comments related to the previous notice.
This notice serves to allow an additional 30 days for public and
affected agency comments.
CDC will accept all comments for this proposed information
collection project. The Office of Management and Budget is particularly
interested in comments that:
(a) Evaluate whether the proposed collection of information is
necessary for the proper performance of the functions of the agency,
including whether the information will have practical utility;
(b) Evaluate the accuracy of the agencies estimate of the burden of
the proposed collection of information, including the validity of the
methodology and assumptions used;
(c) Enhance the quality, utility, and clarity of the information to
be collected;
(d) Minimize the burden of the collection of information on those
who are to respond, including, through the use of appropriate
automated, electronic, mechanical, or other technological collection
techniques or other forms of information technology, e.g., permitting
electronic submission of responses; and
(e) Assess information collection costs.
To request additional information on the proposed project or to
obtain a copy of the information collection plan and instruments, call
(404) 639-7570. Comments and recommendations for the proposed
information collection should be sent within 30 days of publication of
this notice to <a href="http://www.reginfo.gov/public/do/PRAMain">www.reginfo.gov/public/do/PRAMain</a>. Find this particular
information collection by selecting ``Currently under 30-day Review--
Open for Public Comments'' or by using the search function. Direct
written comments and/or suggestions regarding the items contained in
this notice to the Attention: CDC Desk Officer, Office of Management
and Budget, 725 17th Street NW, Washington, DC 20503 or by fax to (202)
395-5806. Provide written comments within 30 days of notice
publication.
Proposed Project
Nurse Fatigue-Mitigation Education: Does it Change Nurse Sleep
Behavior?--New--National Institute for Occupational Safety and Health
(NIOSH), Centers for Disease Control and Prevention (CDC).
Background and Brief Description
Many nurses in the United States work in around-the-clock
healthcare facilities, providing necessary care to patients and the
public. Providing these services requires nurses to work nonstandard
hours, including shift work (e.g. early mornings, over-nights, rotating
between days and nights) and long work hours. These work organizational
characteristics are primary factors contributing to sleep-related
fatigue, and decreased health and well-being for nurses. Studies have
found 36% of healthcare workers (including nurses) report sleeping less
than the recommended 7-9 hours of sleep/24 hours, with prevalence rates
climbing to a little over 50% for those working night shift. This is
concerning, as insufficient sleep not only increases the risk for a
patient care error to occur but can also jeopardize the health of
nurses.
In 2015, the National Institutes for Occupational Safety and Health
(NIOSH) published a free, publicly available, online resource to
address the risks associated with shift work and other nonstandard work
hours. This program, ``Training for Nurses on Shift Work and Long Work
Hours'' provides information to nurses, nurse managers and other
interested healthcare workers on the health and safety risks associated
with nonstandard work hours. In addition, the training provides
strategies for improving sleep and reducing fatigue-related risks when
working shift work in the healthcare setting.
Over five years have passed since the training was published
online. Since then, the nursing workforce has faced a changing
healthcare landscape. In response, the two studies in this project have
been designed to evaluate the effectiveness of the NIOSH Training for
Nurses at improving nurses' sleep and well-being, as well as assess the
reach of training dissemination. This evaluation project will help
NIOSH determine gaps in training distribution, identify needs to
enhance training content and ensure the training is meeting its
purpose.
This evaluation project consists of 2 studies.
Part 1: Part 1 goal is to provide a description of the registered
nurses (RNs) who have already completed the
[[Page 35781]]
NIOSH ``Training for Nurses on Shift Work and Long Work Hours.'' Part 1
will be a secondary analysis of pre-existing CDC data from individuals
who have received continuing professional licensing education credits
following the NIOSH nurse training completion. There are no associated
burden hours with Part 1 since data were previously collected by CDC.
Part 2: Part 2 goal is to evaluate the effectiveness of the NIOSH
nurse training on objective (i.e., sleep duration, efficiency, and
timing with actigraphy watches) and subjective (i.e., sleep quality,
daytime sleepiness) sleep health measures, and self-reported well-
being. Part 2 will be a field study requiring recruitment of 50 RNs to
volunteer to participate. Recruitment will take approximately three
months through online platforms and with assistance of the nursing and
health care connections through the NIOSH Health Care and Social
Assistance Program, and NIOSH subject matter experts.
During Part 2, NIOSH will collect data before and after RNs
complete the NIOSH Training for Nurses. RNs enrolled in the Part 2
study will be asked to complete online surveys and wear an actigraphy
watch during this study. Actigraphy watches are research grade sleep
activity data collection instruments, similar to a wristwatch.
Actigraphy watches will be supplied by NIOSH for participant use during
the study. As part of baseline measures, RNs will be asked to complete
an online survey with questions about demographics, workplace
characteristics (i.e., job tenure, shift length), sleep quality,
daytime sleepiness, and well-being. In addition, RNs will be asked to
wear an actigraphy watch and complete online daily sleep diaries for
seven days.
One month after baseline measures, participants will be asked to
take the NIOSH online nurse training. The training takes approximately
3.5 hours to complete and participants will have the opportunity to
receive continuing education credits for professional licensure upon
training completion. After the online nurse training, participants will
answer four immediate post-training online questions regarding
behavioral intention and feedback on the participant training
experience. The participant will then be scheduled for the one-month
post-training data collection period.
At each post-training follow-up period, participants will be asked
to follow the same sampling protocol they completed at baseline: online
survey (i.e., sleep quality, daytime sleepiness, wellbeing) and seven-
day actigraphy and sleep/wake diary. Participants will also be asked
three open-ended questions about adopted behavior strategies to improve
sleep, as well as facilitators and barriers to adoption.
Data collected during Part 2 will allow us to compare sleep and
well-being measures at baseline with 1-, 3-, and 6-months post-
training. We will also examine the relationship between nurse
characteristics (e.g., age, work tenure) and behavioral intention, and
the relationship between behavioral intention and sleep health post-
training at 1-month, 3-months, and 6-months.
CDC requests OMB approval for an estimated 341 annual burden hours.
There are no costs to respondents other than their time to participate.
Estimated Annualized Burden Hours
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Average
Number of Number of burden per
Type of respondents Form name respondents responses per response (in
respondent hours)
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Registered Nurses..................... Baseline Survey......... 50 1 23/60
Online Nurses Training.. 50 1 3.5
Immediate Post-Training 50 1 7/60
Survey.
Post-Training (1-, 3-, 50 3 16/60
and 6-month) Surveys.
Consensus Sleep Diary... 50 4 21/60
Actigraphy Watch 50 1 10/60
Training.
Actigraphy Watch Fitting 50 4 7/60
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Jeffrey M. Zirger,
Lead, Information Collection Review Office, Office of Scientific
Integrity, Office of Science, Centers for Disease Control and
Prevention.
[FR Doc. 2022-12698 Filed 6-10-22; 8:45 am]
BILLING CODE 4163-18-P
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