Exploring the impact of 12-hour shifts on nurse fatigue in intensive care units

Yu, Fiona; Somerville, Deborah J.; King, Anna

doi:10.1016/j.apnr.2019.151191

Cited by 29 publications

(23 citation statements)

References 26 publications

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“…However, this study’s findings indicated that occupational fatigue is a crucial mediator between work environments and CLU. We also found that Korean nurses showed higher OFER‐AF and OFER‐CF levels and poor OFER‐IR compared to those in the United States (Barker & Nussbaum, 2011) or New Zealand (Yu, Somerville, & King, 2019). Efforts to reduce nurses’ occupational fatigue may decrease CLU, which has been previously linked to favorable patient outcomes.…”

Section: Discussionsupporting

confidence: 51%

Effects of Work Environments and Occupational Fatigue on Care Left Undone in Rotating Shift Nurses

Min

Kim

Yoon

et al. 2020

J of Nursing Scholarship

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PurposeThis study aimed to examine the effects of work environments and occupational fatigue on care left undone in rotating shift nurses, and to identify the indirect (mediation) effect of work environments on care left undone through nurses’ occupational fatigue in South Korean acute care hospitals.DesignThis study employed a cross‐sectional design using an online survey to collect data from 488 rotating shift nurses of acute care hospitals in Korea between November and December 2018.MethodsA mobile schedule management application for shift nurses was used to advertise the study and to send a link to the online survey. The survey included questions on the nurses’ work environment characteristics, care left undone activities, and the Korean version of the Occupational Fatigue Exhaustion/Recovery scale. Poisson regression was used to explore the relationships among work environments, occupational fatigue, and care left undone. Hayes’ Model 4 and a bootstrapping analysis were used to identify the mediating effect of occupational fatigue on the relationship between work environments and care left undone.FindingsThe average number of tasks left undone was 3.45 (SD = 2.19). The higher the acute and chronic fatigue levels noted among nurses, the higher were the occurrences of care left undone. Conversely, the higher the intershift recovery level, the lower were the occurrences of care left undone. The results showed a positive relationship between care left undone and overtime hours and the number of patients per nurse. Moreover, nurses’ occupational fatigue mediated the relationship between work environments and care left undone. Night shifts per month and the number of consecutive days off had an indirect effect on care left undone through occupational fatigue.ConclusionsHigh levels of occupational fatigue and poor intershift recovery among nurses can lead to care left undone. Nurses’ occupational fatigue mediates the effect of work environment on care left undone.Clinical RelevanceIt is crucial for healthcare administrators and leaders to develop policies and mandatory regulations to facilitate better working conditions for nurses, consequently reducing their occupational fatigue and decreasing the occurrence of care left undone in acute care hospitals.

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Section: Discussionsupporting

confidence: 51%

Effects of Work Environments and Occupational Fatigue on Care Left Undone in Rotating Shift Nurses

Min

Kim

Yoon

et al. 2020

J of Nursing Scholarship

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“…Our findings are consistent with previous research indicating that competency could improve job satisfaction and nursing quality, and reduce work pressure (Wu et al., 2018). It has also been reported that mature and experienced nurses working together with younger and/or less experienced nurses could lower fatigue levels, ensure safer practice and ultimately improve nurse well‐being (Yu, Somerville, & King, 2019). Therefore, nursing managers should evaluate volunteer nurses’ competency and work ability before assigning them to the intensive care or mild isolation wards.…”

Section: Discussionmentioning

confidence: 99%

Nurses’ experiences regarding shift patterns in isolation wards during the COVID‐19 pandemic in China: A qualitative study

Gao

Jiang

et al. 2020

Journal of Clinical Nursing

112

167

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Aim and objective: To explore nurses' experiences regarding shift patterns while providing front-line care for COVID-19 patients in isolation wards of hospitals in Shanghai and Wuhan during the novel coronavirus pandemic. Our findings will help to optimise shift work scheduling, use the existing nursing workforce more efficiently and improve nursing quality. Background: Nurses are one of the main professionals fighting against COVID-19. Providing care for COVID-19 patients is challenging. In isolation wards, the workload has increased, and the workflow and shift patterns are completely different from the usual. More importantly, there is a shortage of nurses. Therefore, it is essential and urgent to arrange nurses' shifts correctly and use the existing workforce resources efficiently. Design: A qualitative descriptive study of 14 nurses in Chinese hospitals was conducted. Methods: Semi-structured interviews were used based on the phenomenological research method; data were analysed using Colaizzi's method of data analysis. This study aligns with the COREQ checklist. Results: Four themes were extracted: assess the competency of nurses to assign nursing work scientifically and reasonably, reorganise nursing workflow to optimise shift patterns, communicate between managers and front-line nurses to humanise shift patterns, and nurses' various feelings and views on shift patterns. Conclusion: It is necessary to arrange shift patterns scientifically and allocate workforce rationally to optimise nursing workforce allocation, reduce nurses' workload, improve nursing quality and promote physical and mental health among nurses during the COVID-19 pandemic. Relevance to clinical practice: This study emphasised nurses' experiences on shift patterns in isolation wards, providing useful information to manage shift patterns. Nursing managers should arrange shifts scientifically, allocate nursing workforce rationally, formulate emergency plans and establish emergency response rosters during the COVID-19 pandemic. | 4271 GAO et Al.

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“…From a theoretical point of view, workload may affect mental health because of potential direct impact of working hours on leisure or the time available for health production at home ( 37 ). Moreover, workload may affect mental health because of potential indirect impact of working burden on the job, such as physically strenuous work leading to exhaustion (physical fatigue), and psychologically demanding work leading to stress (mental fatigue) ( 38 , 39 ). During the peak of the COVID-19 pandemic in China, the job of healthcare workers were characterized by long working hours and great psychological stress ( 7 , 9 ).…”

Section: Discussionmentioning

confidence: 99%

The Mediating Role of Fatigue Between Mental Health and Its Associated Factors: Evidence From Chinese Healthcare Workers During the COVID-19 Pandemic

Peng

Zhou

et al. 2021

Front. Psychiatry

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The aim of this study was to explore the mediating role of fatigue between mental health and its associated factors, including workload, social support, and occupational protection, among healthcare workers during the COVID-19 pandemic in China. A national cross-sectional survey was performed to collect data from healthcare workers who have attended to patients with COVID-19. Structural equation modeling (SEM) was conducted to test the mediating effect of fatigue. The results indicated that fatigue was a significant mediator of mental health. The proportion of indirect effect with regards to the total effect of workload on mental health was 54.2%, significantly greater than other factors such as social support (19.7%) and occupational protection (23.4%). The findings confirmed that workload, social support, and occupational protection both had indirect and direct effects on mental health status through fatigue. To some extent, potential interventions designed to alleviate fatigue would reduce mental health problems among healthcare workers during the COVID-19 pandemic.

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Exploring the impact of 12-hour shifts on nurse fatigue in intensive care units

Cited by 29 publications

References 26 publications

Effects of Work Environments and Occupational Fatigue on Care Left Undone in Rotating Shift Nurses

Effects of Work Environments and Occupational Fatigue on Care Left Undone in Rotating Shift Nurses

Nurses’ experiences regarding shift patterns in isolation wards during the COVID‐19 pandemic in China: A qualitative study

The Mediating Role of Fatigue Between Mental Health and Its Associated Factors: Evidence From Chinese Healthcare Workers During the COVID-19 Pandemic

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