Work- and Nonwork-Related Factors Associated With PACU Nurses' Fatigue

Hazzard, Beatrice; Johnson, Karen; Dordunoo, Dzifa; Klein, Trisha; Russell, Brittany; Walkowiak, Patricia

doi:10.1016/j.jopan.2012.06.010

Cited by 32 publications

(32 citation statements)

References 35 publications

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“…The mean sleep latency and night‐time waking duration values in our study were lower than those reported previously; for example, it was 26.8 min in Chien et al's () study and 18.6 min in Weaver et al's () study. The mean sleep duration was slightly shorter than that reported by Hazzard et al () who also used sleep diaries (6.21 vs 6.40). This discrepancy in sleep duration can perhaps be explained by the characteristics of the study sample, working conditions, and variation in sleep measurement (sleep questionnaires or sleep diary).…”

Section: Discussioncontrasting

confidence: 64%

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Sleep disturbances and related factors among nurses

Chaiard

Deeluea

Suksatit

et al. 2019

Nursing & Health Sciences

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The aim of this study was to describe patterns and potential risk factors for sleep disturbances, including that of sleep apnea, among Thai registered nurses. A descriptive, cross-sectional design was implemented. A sample of 233 registered nurses was recruited from 10 nursing departments from a tertiary hospital. Participants completed a one-time, self-report questionnaire and a 1 week-long sleep diary. Descriptive and logistic regression statistics were used for the analysis. Approximately 76% of nurses slept less than 7 h, 12.3% had difficulty initiating sleep, and 5% had difficulty maintaining sleep. Short sleep duration was prevalent, and night shift work schedules that exceeded 10 episodes/month were perceived as contributing to difficulties with initiating sleep. After excluding males from the analysis, the risk for depression related to short sleep duration becomes statistically significant. Organizational policies for registered nurses' shift work should include effective management of night shift assignments, as well as interventional strategies and policy directions, to promote sleep quality and mental health to ensure nurse well-being and patient safety. K E Y W O R D S nurse, shift schedule, short sleep, sleep apnea, sleep disturbances

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Section: Discussioncontrasting

confidence: 64%

“…Bjorvatn et al () reported the frequency of difficulty falling asleep as “mostly” or “always” among intensive care nurses. In other studies, nurses reported averaging 4.30–6.67 h of sleep per night, which is below the optimum value (Hazzard et al, ; Ramadan & Al‐Saleh, ; Weaver, Stutzman, Supnet, & Olson, ).…”

Section: Introductionmentioning

confidence: 79%

Sleep disturbances and related factors among nurses

Chaiard

Deeluea

Suksatit

et al. 2019

Nursing & Health Sciences

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“…Fatigue may well be inevitable in the workplace, given the irregular hours and increased use of overtime work hours (Barker & Nussbaum, ; Han, Trinkoff, & Geiger‐Brown, ). Excessive job demands, workplace characteristics and nonwork‐related factors all contribute to exacerbate nurse fatigue (Hazzard et al, ; Parhizi, Steege, & Pasupathy, ). Although there are an increasing number of empirical studies examining the antecedents of fatigue, most studies are cross‐sectional in nature.…”

Section: Introductionmentioning

confidence: 99%

The long‐term effects of psychological demands on chronic fatigue

LeGal¹,

Rhéaume

Mullen

2019

J Nurs Manag

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Aim Investigate the impact of psychological job demands and resources on chronic fatigue. Background Nurse fatigue is a serious problem with negative consequences on patient safety and nurse well‐being. Excessive job demands can exacerbate nurse fatigue, which may limit the ability of nurses to engage in professional practice. Methods This two‐wave study was carried out with a self‐report questionnaire administered to nurses in eastern Canada (n = 154). Cross‐lagged analysis using structural equation modelling was conducted to examine the interactions between psychological job demands, resources and chronic fatigue over time. Results Results showed that psychological job demands predicted chronic fatigue a year later. Nonetheless, job resources (decision latitude, social support) did not buffer the relationship between psychological job demands and chronic fatigue 1 year later. Conclusions Psychological demands have a long‐term effect on chronic fatigue, thus interventions to mitigate fatigue are needed. Implications for Nursing Management Nurse managers should be aware of the cumulative effects of chronic fatigue and implement strategies to create a better balance between job demands and resources in the workplace.

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“…Researchers have recommended work hour regulations within the hospital to minimize the effects of fatigue. [13] For instance, Hazzard et al [33] recommended limiting the workweek to no more than 3 consecutive 12-hour shifts. Competing initiatives pressure nurse leaders to work long hours to support organizational goals, sometimes at the expense of a healthy work environment.…”

Section: Resultsmentioning

confidence: 99%

Stress and cortisol as predictors of fatigue in medical/surgical nurses and nurse leaders: A biobehavioral approach

Cockerham¹,

Kang²,

Howe³

et al. 2017

JNEP

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Objective: High acuity and long work hours are significant contributors to nurses’ stress. Studies evaluating consecutive workdays with the use of biobehavioral methods are limited in the US. The aim of this study was to assess changes in and the relationship between stress, fatigue, and cortisol.Methods: In an observational within-subject design, we studied stress, fatigue and cortisol before and after 2 consecutive 12-hour day shifts in an acute care setting. Specifically, the study was designed to: (1) assess the effect of stress on fatigue; (2) examine the effect of stress on cortisol; (3) compare the levels of stress, fatigue, and cortisol; and (4) compare the responses of stress, fatigue, and cortisol between acute care, day shift staff nurses and nurse leaders.Results: Stress, fatigue, and cortisol increased significantly from baseline to Day 2 (p = .001, .004, and .010, respectively; paired t-test). In a comparison of nurses and nurse leaders, stress and fatigue at baseline were significantly higher in acute care nurses than in nurse leaders (p ≥ .00 and .05, respectively; independent t-test). At the end of 2 consecutive shifts, cortisol was significantly higher in staff nurses than in nurse leaders (p = .001).Conclusions: Competing initiatives pressure nurse leaders to work long hours to support organizational goals, sometimes at the expense of a healthy work environment. Nurses from direct care staff to executives should be educated in and demonstrate best practices in relation to endorsements from the American Nurses Association on fatigue and interventions to lessen the risks to patient safety.

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Work- and Nonwork-Related Factors Associated With PACU Nurses' Fatigue

Cited by 32 publications

References 35 publications

Sleep disturbances and related factors among nurses

Sleep disturbances and related factors among nurses

The long‐term effects of psychological demands on chronic fatigue

Stress and cortisol as predictors of fatigue in medical/surgical nurses and nurse leaders: A biobehavioral approach

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