Investigation of the Level and Factors Influencing Emergency Department Nurses Fatigue: A Case Study of the Saudi Arabian Context

Alshammari, Bushra; AlEnazy, Albandry; Alshammari, Farhan; Madkhali, Norah Abdullah; Al-Masaeed, Mahmoud

doi:10.3390/healthcare10071294

Cited by 12 publications

(15 citation statements)

References 39 publications

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“…In literature, other studies have previously found that nurses working in the ED had higher levels of physical fatigue and psychological exhaustion compared with nurses in the nephrology department, the oncology department, and the intensive care unit (Alshammari, AlEnazy, Alshammari, Madkhali, & Al-Masaeed, 2022). In our study, ED nurses rated OF at moderate levels, opposite to the finding of Jathanna and D'Silva (2014), in which ED nurses had a high score of OF.…”

Section: Discussioncontrasting

confidence: 99%

Sleep Disturbance and Occupational Fatigue in Emergency Nurses of Public Hospitals in Greece

Kasimis,

Perdikaris,

Boutopoulou

et al. 2023

Advanced Emergency Nursing Journal

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The emergency department (ED) is a stressful workplace for nurses, due to heavy workload and work shifts, which affect sleep quality, causing occupational fatigue. As a result, nurses burn out and turn over and quality of care is impaired. The aim of this study was to investigate sleep disturbance (SD) and occupational fatigue (OF) in emergency nurses of public hospitals in Greece. This descriptive cross-sectional study was conducted in the ED of tertiary public hospitals in Greece from September 2019 to October 2021, after the approval from the scientific and ethical committee of hospitals and the full informed consent of participants. The Standard Shift work Index (SSI) questionnaire was used, which includes 12 question groups about sleep habits and OF evaluation for shift workers, as nurses. Two hundred and ten ED nurses were recruited for the purpose of the study. In this research their quality of life, sleep completeness, and fatigue levels were studied. A moderate level of SD (total score = 70.54) of nurses was found that was related to marital status, presence of children, and underlying diseases (p = 0.012, p = 0.024, and p = 0.002, respectively). OF was assessed at low levels (score = 27.34) and was mainly related to age, with younger nurses reporting less fatigue compared with older nurses. The effect of work shifts in SD and OF of ED nurses was well documented. ED nurses' OF was correlated with increased SD, age, and marital status. Further research is needed for a better assessment and understanding of the factors that influence SD and OF of ED nurses to plan a strategy to optimize sleep patterns of work shift ED nurses.

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Section: Discussioncontrasting

confidence: 99%

Sleep Disturbance and Occupational Fatigue in Emergency Nurses of Public Hospitals in Greece

Kasimis,

Perdikaris,

Boutopoulou

et al. 2023

Advanced Emergency Nursing Journal

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“…The result showed that CO 2 level at 1000 ppm was associated with a reduction in the decision-making performance. The reduction of decision-making performance was reported to be influenced by fatigue [23] and drowsiness [24]. These findings may suggest that the relationship between CO 2 exposure and drowsiness is biologically plausible.…”

Section: Discussionmentioning

confidence: 91%

The Association between Indoor Carbon Dioxide Reduction by Plants and Health Effects

et al. 2023

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Residents and workers exposure to high carbon dioxide (CO2) levels in buildings may cause headache, dyspnea, fatigue, or drowsiness. However, the effect of plants on in-building CO2 reduction and adverse effect relief is largely unknown. We recruited 36 healthy participants from an office room with plants and 32 healthy participants from another office room without plant in the same office building in Taipei. The participants in the office room with plants during 2020 would move to the office room without plant in 2021. The twelve repeated measurements per year of CO2, fine particles (PM2.5), total volatile organic compounds (TVOCs), blood pressure (BP), serum CO2 (TCO2), and four rating questions of headache, dyspnea, fatigue, and drowsiness were obtained for each participant. The statistical results showed that levels of drowsiness and systolic BP were significantly lower among participants in the office room with plants compared to those in the office room without plants by t -test and paired t -test. The associations between increased indoor CO2 and increased serum CO2 were observed in the office room with plants (1.32%) and without plant (4.52%) by mixed-effects models. Also, the associations between indoor CO2 and drowsiness were observed in office rooms (with plants: 14.57%; without plant: 3.82%). The conclusion of the present study is that plants in office environment can reduce CO2 levels and may lower CO2-related health effects.

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“…The issue of work-related fatigue is prevalent among nurses, as evidenced by a survey conducted in Saudi Arabia among emergency department nurses revealing a high degree of nursing fatigue [42]. Additionally, during the COVID-19 period, a survey of 1,794 nurses in Wuhan found that one-third of them experienced fatigue [ 43 ]. Hence, it is evident that fatigue is a common problem among medical workers worldwide and warrants attention.…”

Section: Discussionmentioning

confidence: 99%

An important issue of burnout among pre-hospital emergency medical personnel in Chengdu: a cross-sectional study

Liu,

Luo,

Dai

et al. 2024

BMC Emerg Med

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Objective This survey aims to comprehensively understand occupational burnout among pre-hospital emergency medical personnel and explore associated risk factors. Methods A cross-sectional online survey using a census method was conducted between 15 July, 2023, and ends on 14 August, 2023, in Chengdu, SiChuan province, China. The questionnaire included general demographic information, the Maslach Burnout Inventory-General Survey (MBI-GS) with 15 items, and the Fatigue Scale-14 (FS-14) with 14 items. Univariate analysis was conducted on all variables, followed by multivariate logistic regression models to examine the associations between occupational burnout and the risk factors. Results A total of 2,299 participants,99.57% completed the survey effectively The participants were from 166 medical institutions in Chengdu, comprising 1,420 nurses (61.50%) and 889 clinical doctors (38.50%). A total of 33.36% participants experienced burnout, predominantly mild (30.27%), followed by moderate (2.78%) and severe (0.3%). Physicians, higher fatigue scores, age, work experience appeared to be related to burnout. Logistic regression models revealed that individuals aged over 50 were less prone to experience burnout compared to medical staff aged 18–30 (OR: 0.269, 95% CI: 0.115–0.627, p = 0.002). Physicians were more prone to experience burnout compared to nursing staff (OR: 0.690, 95% CI: 0.531–0.898, p = 0.006). Those with 0–5 years of experience were more prone to experience burnout compared to those with 6–10 years or over 15 years of experience (OR: 0.734, 95% CI: 0.547–0.986, p = 0.040; OR: 0.559, 95% CI: 0.339–0.924, p = 0.023). Additionally, for each 1-point increase in the fatigue score, the likelihood of burnout in medical staff increased by 1.367 times (OR: 1.367, 95% CI: 1.323–1.412, p < 0.0001). Conclusion Pre-hospital emergency medical personnel demonstrate a notable prevalence of mild job burnout. These results provide a groundwork for future focus on the various stages of job burnout within pre-hospital emergency staff, alerting hospital and departmental managers to promptly address the mental well-being of their personnel and intervene as needed.

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Investigation of the Level and Factors Influencing Emergency Department Nurses Fatigue: A Case Study of the Saudi Arabian Context

Cited by 12 publications

References 39 publications

Sleep Disturbance and Occupational Fatigue in Emergency Nurses of Public Hospitals in Greece

Sleep Disturbance and Occupational Fatigue in Emergency Nurses of Public Hospitals in Greece

The Association between Indoor Carbon Dioxide Reduction by Plants and Health Effects

An important issue of burnout among pre-hospital emergency medical personnel in Chengdu: a cross-sectional study

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