The links among workload, sleep quality, and fatigue in nurses: a structural equation modeling approach

Ghasemi, Fakhradin; Samavat, Parnia; Soleimani, Fatemeh

doi:10.1080/21641846.2019.1652422

Cited by 20 publications

(18 citation statements)

References 37 publications

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“…The results of this study and numerous studies in Iran show that, the workload of Iranian nurses is high (Bakhshi et al, 2017;Ghasemi et al, 2019). A study by Carlesi et al (2017) in Chile using the TISS-28 tool showed a high workload of nurses (Carlesi et al, 2017), which is similar to the results of present study.…”

Section: Discussionsupporting

confidence: 90%

“…Nurses are among those who face high workloads in performing their duties, which are in uenced by factors such as nurse/patient ratio and hours of care per patient . Numerous studies indicate a high workload of nurses in Iran (Bakhshi et al, 2017;Ghasemi et al, 2019). Research shows that high workload increase patient mortality and medical errors (Fagerstrom et al, 2018), reduce patient care quality and job satisfaction, increase burnout (Asgari et al, 2016) and costs, and ultimately reduce effectiveness (Tubbs-Cooley et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

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Intention to immigration and its relationship with workload and healthy work environment in nurses

Salehinia

Salehi

Haghani

2020

Preprint

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Background The immigration of nurses in Iran is increasing day by day, and it seems work-related factors such as workload and healthy work environment are associated with the intention to immigration.Objectives this study was conducted to determine the intention to immigration in nurses and its relationship with workload and healthy work environment.Methods This cross-sectional, descriptive-correlational study was conducted in 2020 by simple random sampling method of 360 nurses working in hospitals in Iran. The study instruments were questionnaires of demographics, Intention to immigration (Lee, 2016), Workload (NASA-TLX) and healthy work environment (AACN, 2005). Data were analyzed by SPSS software and descriptive tests. p value < 0.05 was considered statistically significant.Results The score of intention to immigration was 65.59%, which indicated a high level of intention to immigration in nurses. There was a significant but weak correlation between intention to immigrate, with workload (r = 0.166, p = 0.002) and healthy work environment (r = 0.16, p = 0.002).Conclusion there was a weak but important relationship between the intention to immigration, workload and healthy work environment. More studies on factors related to the intention to immigration are required.

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Intention to immigration and its relationship with workload and healthy work environment in nurses

Salehinia

Salehi

Haghani

2020

Preprint

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“…The WHO estimated health care professional providers exposed to bloodborne pathogens globally were 5.9% for HBV, 2.6% for HCV and 0.5% for HIV (Nilsson, Campbell, & Andersson, 2008). This study's findings are also consistent with a previous study reporting a significant association between long working hours, chronic insomnia and needlestick injuries (Ghasemi, Samavat, & Soleimani, 2019).…”

Section: Being Exhaustedsupporting

confidence: 90%

“It is really so exhausting”: Exploring intensive care nurses’ perceptions of 24‐hour long shifts

Koy

Yunibhand

Turale

2020

Journal of Clinical Nursing

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Aim and objectives To explore the perceptions and experiences of Cambodian ICU registered nurses regarding their working 24‐hr shifts. Background In Europe and the USA, nurses are moving to a 12‐hr shift, and numerous studies have revealed the positive and negative effects of these. However, lesser known is the impact of 24‐hr nursing shifts on care quality, and health and safety. In Cambodia, 100% of nurses are rostered for these in their shift patterns, but until this study no research had been conducted on such shifts. Design A qualitative descriptive study. Method Three focus group discussions were conducted with 30 registered nurses in July 2019, ten in each group, from three intensive care units of three hospitals in Cambodia. Data saturation was obtained. Data were analysed using content analysis, and the COREQ was applied for reporting this study. Findings The ICU nurses’ perspectives revealed significant and unacceptable effects of working shifts of ~25‐hr length, taking into account staff handover. Two major themes arose: It is so exhausting and Compromised hospital care. Alarmingly, participants worked on average 72 hr per week, were exhausted, and nursed between 6 and 10 critically ill patients per shift. Conclusion To our knowledge this is the first study on nurses working 24‐hr shifts, revealing unacceptable, high risks for the health and safety of nurses and patients, with nursing activities left undone, and a lack of quality care. Relevance to clinical practice Improving nurse and patient health and safety, and quality of care requires hospital leaders to work with government and nursing organisations to develop better shift strategies. Resources need to be provided so that: nurses can work a maximum 12‐hr shifts; the ratio of nurses to patients is improved; and nurses can have decent break times. This has major implications, for not only practice, but also management, administration, budgets and education.

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“…This study showed that a higher workload causes poorer sleep quality. This finding is relevant to a study by Ghasemi et al (2019) about nurses which involved 200 participants. The study obtained a finding that there is a direct negative effect of workload on sleep quality, which means that when the workload increases then the sleep quality deteriorates.…”

Section: Discussionmentioning

confidence: 66%

The Role of Sleep Quality as Mediator of Relationship between Workload and Work Fatigue in Mining Workers

Hidayanti¹,

Sumaryono²

2021

jpsi

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The mining environment is a place to work with a high level of risk. One of the factors that cause work accidents in the mining area is work fatigue or work fatigue. The purpose of this study was to reveal the role of sleep quality as a mediator of the relationship between workload and work fatigue in mining workers in Indonesia. Research participants were mining workers who worked in the field with a 12-hour / day shift work system (n = 232). Measurements were made using 3 scales, namely Full Time Equivalent (FTE) for workload, Pittsburgh Sleep Quality Index (PSQI) for sleep quality, and Three-Dimensional Work Fatigue Inventory (3D-WFI) for work fatigue. The results of the analysis using bootstrapping 5000 showed that workload has a significant effect on the level of work fatigue which is mediated by sleep quality. High workload results in poor sleep quality and high levels of fatigue so that mining companies need to maintain the quality of sleep for field workers to minimize work accidents due to work fatigue.

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The links among workload, sleep quality, and fatigue in nurses: a structural equation modeling approach

Cited by 20 publications

References 37 publications

Intention to immigration and its relationship with workload and healthy work environment in nurses

Intention to immigration and its relationship with workload and healthy work environment in nurses

“It is really so exhausting”: Exploring intensive care nurses’ perceptions of 24‐hour long shifts

The Role of Sleep Quality as Mediator of Relationship between Workload and Work Fatigue in Mining Workers

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