[Federal Register Volume 87, Number 113 (Monday, June 13, 2022)]
[Notices]
[Pages 35780-35781]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[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 www.reginfo.gov/public/do/PRAMain. 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
----------------------------------------------------------------------------------------------------------------
                                                                                                      Average
                                                                     Number of       Number of      burden per
          Type of respondents                   Form name           respondents    responses per   response (in
                                                                                    respondent        hours)
----------------------------------------------------------------------------------------------------------------
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