Fatigue and nurses’ work patterns: An online questionnaire survey

Gander, Philippa H.; O'Keeffe, Karyn; Santos–Fernández, Edgar; Huntington, Annette; Walker, Léonie; Willis, Jinny

doi:10.1016/j.ijnurstu.2019.06.011

Cited by 59 publications

(60 citation statements)

References 40 publications

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“…First, our study found that psychological fatigue and job satisfaction were all associated with chronic LBP, consistent with the findings of other studies37 38that showed that employees dissatisfied with their work were more prone to complain of back pain. High psychological fatigue could not only negatively affect one’s physical and mental work performance but also increase the possibility of medical errors and worker injuries 39–42. Second, our study found that occupational stressors, including high psychological job demand, low job control and low supervisor support, were independently associated with chronic LBP, consistent with the findings of other studies 43 44.…”

Section: Discussionsupporting

confidence: 89%

Low back pain in emergency ambulance workers in tertiary hospitals in China and its risk factors among ambulance nurses: a cross-sectional study

et al. 2019

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ObjectiveLow back pain (LBP) could cause serious consequences and has been shown to be prevalent among emergency ambulance workers. Studies on the prevalence of and risk factors for LBP among emergency ambulance workers are scarce in China. The study aimed to determine the prevalence of LBP among ambulance workers, including doctors, nurses and drivers, and to explore the risk factors for ambulance nurses’ chronic LBP (lasting for at least 3 months).DesignCross-sectional study.SettingEmergency ambulance systems from 38 tertiary hospitals in Shandong, China were selected by random cluster sampling.ParticipantsA total of 1560 ambulance workers completed the study.Outcome measuresA paper-based questionnaire that included the Nordic Musculoskeletal Questionnaire, which evaluated LBP, the Dutch Musculoskeletal Questionnaire, which assessed ergonomic factors, and the Job Content Questionnaire, which assessed stress, was used. Multivariate logistic regression analysis was conducted to quantify the association of potential risk factors with chronic LBP among ambulance nurses.ResultsThe 1 year prevalence of LBP lasting for at least 24 hours, 7 days and 3 months was 86.1%, 50.6% and 21.1%, respectively, among 498 ambulance nurses; 70.5%, 36.4% and 15.8% among 519 doctors; and 57.5%, 23.8% and 12.3% among 543 drivers. The factors contributing to chronic LBP among ambulance nurses were the frequent bending of the trunk, heavy or awkward lifting, shift work, low job satisfaction, high psychological fatigue, high psychological job demand, low job control, low supervisor support, older age, female sex and obesity.ConclusionsLBP was more prevalent among ambulance nurses than among ambulance doctors and drivers. Many factors, especially psychosocial and ergonomic factors, contributed to ambulance nurses’ chronic LBP. Comprehensive measures might be needed to control LBP.

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Section: Discussionsupporting

confidence: 89%

Low back pain in emergency ambulance workers in tertiary hospitals in China and its risk factors among ambulance nurses: a cross-sectional study

et al. 2019

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“…This finding is alerting under the rationale that sleep deprivation can lead to reduced concentration and productivity, and also in increased traffic and occupational accidents and injuries, as well as chronic diseases (cardiovascular and metabolic) and reduced quality of life [16,17,18,21,22]. Although no relevant data exists in the literature regarding Greece in order to be able to compare our findings, we are in good agreement with studies performed in nurses in New Zealand (that reported 33.75% of positive ESS) and Sweden (that reported 32.5% of positive ESS with a cut-off of 9 that was different from the one in our study that was 10) [30,31]. Our results were higher than a recent study performed in China that reported 16.1% positive ESS but the cut-off the authors used was 14, therefore these results are not directly comparable with the current study [32].…”

Section: Discussionsupporting

confidence: 89%

Risk Assessment for Self Reported Obstructive Sleep Apnea and Excessive Daytime Sleepiness in a Greek Nursing Staff Population

et al. 2019

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Background and objectives: The risk assessment of Obstructive Sleep Apnea (OSA) and Excessive Daytime Sleepiness (EDS) in specific occupational populations is important due to its association with morbidity. The aim of the present study was to identify the risk of OSA development and EDS in a Greek nursing staff population. Materials and Methods: In this cross-sectional study a total of 444 nurses, 56 males (age = 42.91 ± 5.76 years/BMI = 27.17 ± 4.32) and 388 females (age = 41.41 ± 5.92 years/BMI = 25.08 ± 4.43) working in a Greek secondary and tertiary hospital participated during the period from 18 January 2015 to 10 February 2015. The participants completed the Berlin Questionnaire (BQ), concerning the risk for OSA and the Epworth Sleepiness Scale (ESS), concerning the EDS. The work and lifestyle habits of the participants were correlated with the results of the questionnaires. Results: According to the BQ results 20.5% (n = 91) of the nursing staff was at high risk for OSA. Increased daytime sleepiness affected 27.7% (n = 123) of the nurses according to ESS results. Nurses at risk for Obstructive Sleep Apnea Syndrome (OSAS), positive for both BQ and ESS, were 7.66% (n = 34). Out of the nurses that participated 77% (n = 342) were working in shifts status and had significant meal instability (breakfast p < 0.0001, lunch p < 0.0001, dinner p = 0.0008). Conclusions: The population at high risk for OSA and EDS in the nursing staff was found to be 20% and 28% respectively. High risk for OSAS was detected in 7.66% of the participants. The high risk for OSA and EDS was the same irrespective of working in shift status. In specific, nursing population age was an independent predictor for high risk for OSA and skipping lunch an independent predictor of daytime sleepiness.

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“…[ 33 ] A New Zealand study of nurses also found that nurses were more likely to have chronic sleep problems and the long-term night shift pattern could lead to sleep disorders. [ 34 ] Therefore, long-term shift work, irregular daily schedule and high load of work pressure expose the nurses of the emergency department to overdraft condition, causing high fatigue. [ 35 ] The managers should enhance scientific duty shift, reduce the frequency of night shift scheduling and improve the shift and off duty system.…”

Section: Discussionmentioning

confidence: 99%

A correlation study of emergency department nurses’ fatigue, perceived stress, social support and self-efficacy in grade III A hospitals of Xi’an

Wu¹,

Ge²,

Xu³

et al. 2020

Medicine

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Fatigue is a universal and challenging problem in a nurse's career, particularly for those working in the emergency department. Through analyzing the current status of emergency department nurses’ fatigue, the purpose of this study is to provide guidance for occupational health promotion strategies making and fatigue relief. Cross-sectional study was conducted among nurses working in emergency department in 6 grade III A hospitals in Xi’an, China. Convenience sample of 346 nurses agreed to participate in this study. Data collection was based on the questionnaires. Descriptive statistics, hypothesis tests and correlation analysis were used to describe the samples’ characteristics and identify associations amongst participants’ characteristics. The fatigue score of those emergency nurses from grade III A hospitals in Xian was 8.71 ± 3.01, a high fatigue level. Moreover, there were significant differences in fatigue scores of different age groups, sleep qualities, work stress levels and physical states ( P < .01). Further, the dimension of physical fatigue in various age groups, job title, marital status, sleep qualities, work stress levels and physical states was significantly different ( P < .05) and the dimension of mental fatigue with different sleep qualities, work stress levels and physical states was significantly different ( P < .01). The results of correlation analysis showed that fatigue was positively correlated with perceived stress while negatively correlated with social support and self-efficacy ( P < .01). The multiple stepwise linear regression analysis indicated that the independent variables in the fatigue regression equation were perceived stress, physical condition and work stress in turn ( P < .01), and the independent variables in the the dimensions of physical fatigue regression equation were perceived stress, physical condition,work stress and job title in turn ( P < .05); the independent variables in the the dimensions of mental fatigue regression equation were perceived stress,subjective support and physical condition in turn ( P < .05). The current status of high fatigue level of emergency nurses should be taken seriously. It is imperative to take effective measures to help emergency nurses reduce stress, improve social support, promote the self-efficacy, and thus relieve fatigue.

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Fatigue and nurses’ work patterns: An online questionnaire survey

Cited by 59 publications

References 40 publications

Low back pain in emergency ambulance workers in tertiary hospitals in China and its risk factors among ambulance nurses: a cross-sectional study

Low back pain in emergency ambulance workers in tertiary hospitals in China and its risk factors among ambulance nurses: a cross-sectional study

Risk Assessment for Self Reported Obstructive Sleep Apnea and Excessive Daytime Sleepiness in a Greek Nursing Staff Population

A correlation study of emergency department nurses’ fatigue, perceived stress, social support and self-efficacy in grade III A hospitals of Xi’an

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