[Federal Register Volume 86, Number 92 (Friday, May 14, 2021)]
[Notices]
[Pages 26517-26518]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-10152]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60Day-21-21FC; Docket No. CDC-2021-0048]


Proposed Data Collection Submitted for Public Comment and 
Recommendations

AGENCY: Centers for Disease Control and Prevention (CDC), Department of 
Health and Human Services (HHS).

ACTION: Notice with comment period.

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SUMMARY: The Centers for Disease Control and Prevention (CDC), as part 
of its continuing effort to reduce public burden and maximize the 
utility of government information, invites the general public and other 
Federal agencies the opportunity to comment on a proposed and/or 
continuing information collection, as required by the Paperwork 
Reduction Act of 1995. This notice invites comment on a proposed 
information collection project titled, Nurse Fatigue-Mitigation 
Education: Does it Change Nurse Sleep Behavior? The purpose of this 
project is to evaluate the online NIOSH Training for Nurses on Shift 
Work and Long Work Hours for effectiveness at improving nurse sleep and 
well-being. Study 1 describes the nurses who have taken the training 
since first published on the NIOSH website in 2015. Study 2 assesses 
the effectiveness of the training on nurse sleep health and well-being 
over a six-month post-training period.

DATES: CDC must receive written comments on or before July 13, 2021.

ADDRESSES: You may submit comments, identified by Docket No. CDC-2021-
0048 by any of the following methods:
     Federal eRulemaking Portal: Regulations.gov. Follow the 
instructions for submitting comments.
     Mail: Jeffrey M. Zirger, Information Collection Review 
Office, Centers for Disease Control and Prevention, 1600 Clifton Road 
NE, MS-D74, Atlanta, Georgia 30329.
    Instructions: All submissions received must include the agency name 
and Docket Number. CDC will post, without change, all relevant comments 
to Regulations.gov.
    Please note: Submit all comments through the Federal eRulemaking 
portal (regulations.gov) or by U.S. mail to the address listed above.

FOR FURTHER INFORMATION CONTACT: To request more information on the 
proposed project or to obtain a copy of the information collection plan 
and instruments, contact Jeffrey M. Zirger, Information Collection 
Review Office, Centers for Disease Control and Prevention, 1600 Clifton 
Road NE, MS-D74, Atlanta, Georgia 30329; phone: 404-639-7118; Email: 
[email protected].

SUPPLEMENTARY INFORMATION: Under the Paperwork Reduction Act of 1995 
(PRA) (44 U.S.C. 3501-3520), Federal agencies must obtain approval from 
the Office of Management and Budget (OMB) for each collection of 
information they conduct or sponsor. In addition, the PRA also requires 
Federal agencies to provide a 60-day notice in the Federal Register 
concerning each proposed collection of information, including each new 
proposed collection, each proposed extension of existing collection of 
information, and each reinstatement of previously approved information 
collection before submitting the collection to the OMB for approval. To 
comply with this requirement, we are publishing this notice of a 
proposed data collection as described below.
    The OMB is particularly interested in comments that will help:
    1. 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;
    2. Evaluate the accuracy of the agency's estimate of the burden of 
the proposed collection of information, including the validity of the 
methodology and assumptions used;
    3. Enhance the quality, utility, and clarity of the information to 
be collected;
    4. 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 
submissions of responses; and
    5. Assess information collection costs.

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 
shifts. 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 an online resource to address the risks associated 
with shift work and other nonstandard work hours, titled ``Training for 
Nurses on Shift Work and Long Work Hours.'' This no-cost training is 
designed to educate nurses, nurse managers and other interested 
healthcare workers on the health and safety risks associated with 
nonstandard work hours. In addition to sleep and fatigue-related 
background information, the training provides strategies for improving 
nurse sleep and reducing fatigue-related risks when

[[Page 26518]]

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 whether the NIOSH Training for Nurses is 
effective at helping nurses improve their sleep and well-being, as well 
as assess the reach of training dissemination. This evaluation project 
will help NIOSH assess gaps in training distribution, as well as 
identify any needs to enhance training content, ensuring the training 
is providing the intended service.
    The goal of Study 1 is to provide a description of the registered 
nurses (RNs) who have already completed the NIOSH ``Training for Nurses 
on Shift Work and Long Work Hours.'' The goal of Study 2 is to evaluate 
the effectiveness of the training on objective (i.e., actigraphy 
watches) and subjective sleep health (composite and separate components 
[i.e., duration, efficiency, timing, quality, daytime sleepiness]) and 
well-being from baseline over one, three, and six months post-training. 
Study 2 explores the relationship between nurse characteristics and 
behavioral intention as well as the relationship between behavioral 
intention and sleep health post-training at one, three, and six months.
    Information gathered from this evaluation study will allow NIOSH to 
identify where future dissemination efforts for this training product 
should be targeted, as well as assess whether the training should be 
enhanced to meet the greater needs of the current nursing population.
    For Study 1, NIOSH will be using pre-existing data already 
collected by the CDC from individuals who have received continuing 
professional licensing education credits following training completion. 
For Study 2, NIOSH will be recruiting 50 RNs to volunteer to 
participate. Recruitment will take approximately three months through 
online platforms and with assistance of the NIOSH staff's nursing 
contacts across the country.
    During Study 2, NIOSH will collect data before and after RNs 
complete the NIOSH Training for Nurses. RNs enrolled in the study will 
be asked to take online surveys and wear an actigraphy watch during 
this study. Actigraphy watches are research grade sleep data collection 
instruments, similar to a wristwatch. Actigraphy watches will be 
supplied by NIOSH for participant use during the study. Baseline 
measures include an online survey with questions about demographics, 
workplace characteristics (i.e., job tenure, shift length), sleep 
quality, daytime sleepiness, well-being, complete online daily sleep 
diaries, and activate actigraphy watches for seven days prior to taking 
the online training. One month after baseline measures, participants 
will be asked to take the NIOSH online nurse training. It takes 
approximately 3.5 hours to complete, and participants will have the 
opportunity to receive Continuing Education (CD) credits upon 
completion. After completing 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 (seven day actigraphy and sleep/wake diary, 
online survey on sleep quality, daytime sleepiness, well-being, and 
behavioral intention towards sleep promoting behavior), as well as 
three open-ended questions to describe strategies adopted to improve 
sleep, and facilitators and barriers to adoption. The six-month follow-
up will exclude behavioral intention measures.
    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     Total burden
      Type of respondents           Form name       respondents   responses  per   response  (in    (in hours)
                                                                     respondent       hours)
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Registered Nurses.............  Baseline Survey.              50               1           23/60              19
                                Online Nurses                 50               1             3.5             175
                                 Training.
                                Immediate Post-               50               1            7/60               6
                                 Training Survey.
                                Post-Training                 50               3           16/60              40
                                 (1, 3, and 6-
                                 months) Survey.
                                Consensus Sleep               50               4           21/60              70
                                 Diary.
                                Actigraphy watch              50               1           10/60               8
                                 training.
                                Actigraphy watch              50               4            7/60              23
                                 fitting.
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    Total.....................  ................  ..............  ..............  ..............             341
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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. 2021-10152 Filed 5-13-21; 8:45 am]
BILLING CODE 4163-18-P