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Dong W, Fang W, Qiu H, Bao H, Li Y. High-speed train drivers' human error under fatigue and stress: the role of situation awareness and individual differences. ERGONOMICS 2024:1-19. [PMID: 38950888 DOI: 10.1080/00140139.2024.2369207] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/11/2024] [Accepted: 06/11/2024] [Indexed: 07/03/2024]
Abstract
Fatigue and stress are critical variables that impair railway train drivers' safety performance, and individual differences may influence these effects. This study investigates how fatigue and stress affect high-speed train drivers' human error and the role of individual differences. We hypothesised that situation awareness (SA) mediates the effects of fatigue and stress on human error, and individual differences (age and work experience) moderate these effects. We surveyed 1,391 male drivers from eight Chinese railway bureaus and used PROCESS Macro for data analysis. The results revealed that fatigue and stress increased human error, directly and indirectly through SA. Age and work experience moderated the effect of fatigue and stress on SA, respectively. Older drivers had better SA under high fatigue, while more experienced drivers had better SA under high stress. These findings can inform more tailored safety management strategies to lower human error and enhance the safety of high-speed train operations.
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Affiliation(s)
- Wenli Dong
- School of Automation and Intelligence, Beijing Jiaotong University, Beijing, China
| | - Weining Fang
- School of Mechanical, Electronic and Control Engineering, Beijing Jiaotong University, Beijing, China
| | - HanZhao Qiu
- School of Mechanical, Electronic and Control Engineering, Beijing Jiaotong University, Beijing, China
| | - Haifeng Bao
- School of Mechanical, Electronic and Control Engineering, Beijing Jiaotong University, Beijing, China
| | - Yanjie Li
- School of Mechanical, Electronic and Control Engineering, Beijing Jiaotong University, Beijing, China
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Foxx F, Orpet H. The need for recovery: An investigation into short-term work-related fatigue in veterinary nurses. Vet Rec 2024; 194:e3898. [PMID: 38603590 DOI: 10.1002/vetr.3898] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2023] [Revised: 01/10/2024] [Accepted: 01/12/2024] [Indexed: 04/13/2024]
Abstract
BACKGROUND Veterinary nursing is physically and emotionally demanding, putting veterinary nurses at risk of acute work-related fatigue (AWRF). Despite the increased recognition of chronic occupational syndromes such as burnout and compassion fatigue in recent years, few studies have investigated how AWRF impacts individuals and the profession. METHODS An anonymous survey open to all UK-based registered veterinary nurses (RVNs) was distributed via email and social media. The survey investigated work patterns, hobbies, opinions about work and intentions to leave the veterinary profession. An English translation of the need for recovery (NFR) scale was used to quantify the AWRF. RESULTS The median NFR score from 387 responses was 81.8, indicating high levels of AWRF. Long shifts, sole-charge work and overtime were associated with higher scores, while having support at work and a better work-life balance were associated with lower scores. Higher scores were correlated with intentions to leave the profession. LIMITATIONS Although validated as a measure of AWRF, the unidimensional NFR scale oversimplifies the complexities of fatigue. A limited number of RVNs responded to the survey, reducing statistical power. CONCLUSION Although there is no single solution to staff turnover, the results from this survey suggest that addressing AWRF may improve retention of RVNs.
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Affiliation(s)
- Flora Foxx
- North Shore Veterinary Hospital, Artarmon, New South Wales, Australia
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Min A, Seo J, Kang M, Hong HC. Sleep Deprivation and Fatigue among Nurses Working Consecutive Night Shifts: A Prospective Observational Study. J Korean Acad Nurs 2024; 54:139-150. [PMID: 38863184 DOI: 10.4040/jkan.23164] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2023] [Revised: 02/13/2024] [Accepted: 03/14/2024] [Indexed: 06/13/2024]
Abstract
PURPOSE This study aimed to identify changes in sleep patterns and fatigue levels during consecutive night shifts among shift nurses and to determine the association between sleep parameters and increased fatigue levels during work. METHODS This prospective observational study employing ecological momentary assessments was conducted using data collected from 98 shift nurses working in Korean hospitals between June 2019 and February 2021. The sleep patterns were recorded using actigraphy. The participants reported their fatigue levels at the beginning and end of each night shift in real time via a mobile link. Linear mixed models were used for the analysis. RESULTS Nurses spent significantly less time in bed and had shorter sleep durations during consecutive night shifts than on off-duty days, whereas their wake times after sleep onset were much longer on off-duty days than on on-duty days. Fatigue levels were higher on the second and third night-shift days than on the first night-shift days. A shorter time spent in bed and asleep was associated with a greater increase in fatigue levels at the end of the shift than at the beginning. CONCLUSION Nurses experience significant sleep deprivation during consecutive night shifts compared with off-duty days, and this sleep shortage is associated with a considerable increase in fatigue levels at the end of shifts. Nurse managers and administrators must ensure sufficient intershift recovery time during consecutive night shifts to increase the time spent in bed and sleeping.
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Affiliation(s)
- Ari Min
- Red Cross College of Nursing, Chung-Ang University, Seoul, Korea
| | - Jisu Seo
- Department of Nursing, The Graduate School, Chung-Ang University, Seoul, Korea
| | | | - Hye Chong Hong
- Red Cross College of Nursing, Chung-Ang University, Seoul, Korea.
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Farag A, Gallagher J, Carr L. Examining the Relationship Between Nurse Fatigue, Alertness, and Medication Errors. West J Nurs Res 2024; 46:288-295. [PMID: 38454783 DOI: 10.1177/01939459241236631] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/09/2024]
Abstract
BACKGROUND Working for extended hours in a physically and mentally demanding profession has subjected nurses to occupational fatigue. Limited evidence exists about nurse fatigue and alertness changes throughout shift work and their relationship with medication errors and near misses. PURPOSE The purposes of this study were to: (1) assess the relationship between nurses' fatigue and alertness, (2) evaluate nurses' fatigue and alertness changes throughout their shift, and (3) examine the relationship between nurses' fatigue, alertness, and medication errors and near misses. METHODS This prospective study is part of a larger mixed-method study. Fatigue and alertness data from 14 work and non-workdays were collected from a convenience sample of 90 nurses. A wearable actigraph (ReadibandTM) was used to measure alertness, while ecological momentary assessment (EMA) using text messaging was used to measure nurses' fatigue. RESULTS A 1-unit increase in fatigue was associated with a 1.06-unit reduction in nurses' alertness score (β = -1.06, 95% CI: [-1.33, -0.78], p < .01). Night-shift nurses experienced a 31-point reduction in alertness from the start to the end of the work shift. Nurses' fatigue, but not alertness, was associated with medication errors and near misses (OR = 1.26, 95% CI [1.07, 1.48], p = .01). CONCLUSION Initiating fatigue mitigation measures during mid-shift, especially for night-shift nurses, may be a viable option to mitigate fatigue and alertness deterioration among nurses and to maintain patient safety. The multifaceted nature of fatigue, as captured by EMA, is a stronger predictor of medication errors and near misses than device-measured alertness.
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Affiliation(s)
- Amany Farag
- College of Nursing, The University of Iowa, Iowa City, IA, USA
| | - Jacob Gallagher
- Department of Health and Human Physiology, The University of Iowa, Iowa City, IA, USA
| | - Lucas Carr
- Department of Health and Human Physiology, The University of Iowa, Iowa City, IA, USA
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Easton DF, Gupta CC, Vincent GE, Ferguson SA. Move the night way: how can physical activity facilitate adaptation to shift work? Commun Biol 2024; 7:259. [PMID: 38431743 PMCID: PMC10908783 DOI: 10.1038/s42003-024-05962-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2023] [Accepted: 02/22/2024] [Indexed: 03/05/2024] Open
Abstract
Shift work, involving night work, leads to impaired sleep, cognition, health and wellbeing, and an increased risk of occupational incidents. Current countermeasures include circadian adaptation to phase shift circadian biomarkers. However, evidence of real-world circadian adaptation is found primarily in occupations where light exposure is readily controlled. Despite this, non-photic adaptation to shift work remains under researched. Other markers of shift work adaptation exist (e.g., improvements in cognition and wellbeing outcomes) but are relatively unexplored. Timeframes for shift work adaptation involve changes which occur over a block of shifts, or over a shift working career. We propose an additional shift work adaptation timeframe exists which encompasses acute within shift changes in markers of adaptation. We also propose that physical activity might be an accessible and cost-effective countermeasure that could influence multiple markers of adaptation across three timeframes (Within Shift, Within Block, Within Work-span). Finally, practical considerations for shift workers, shift work industries and future research are identified.
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Affiliation(s)
- Dayna F Easton
- Appleton Institute, School of Health, Medical and Applied Sciences, Central Queensland University, Wayville, SA, Australia.
| | - Charlotte C Gupta
- Appleton Institute, School of Health, Medical and Applied Sciences, Central Queensland University, Wayville, SA, Australia
| | - Grace E Vincent
- Appleton Institute, School of Health, Medical and Applied Sciences, Central Queensland University, Wayville, SA, Australia
| | - Sally A Ferguson
- Appleton Institute, Central Queensland University, Wayville, SA, Australia
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Jalali M, Esmaeili R, Habibi E, Alizadeh M, Karimi A. Mental workload profile and its relationship with presenteeism, absenteeism and job performance among surgeons: The mediating role of occupational fatigue. Heliyon 2023; 9:e19258. [PMID: 37662723 PMCID: PMC10474409 DOI: 10.1016/j.heliyon.2023.e19258] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2022] [Revised: 06/22/2023] [Accepted: 08/16/2023] [Indexed: 09/05/2023] Open
Abstract
Introduction Surgeons are one of the most significant jobs in the health care system that plays an important role in the patients' health promotion and their treatment. In the current study, the effect of mental workload on the work performance of surgeons was tested by considering the mediating effect of fatigue on this relationship. Method This study was done analytically on 165 surgeons working in the operating rooms of hospitals in Iran. To determine of mental workload, the SURG-TLX method was used. The job performance was measured using the short version of the job performance questionnaire provided by the World Health Organization (WHO-HPQ), and accordingly relative presenteeism, relative absenteeism and job performance variables were calculated. The Swedish Occupational Fatigue Inventory (SOFI) questionnaire was used to determine occupational fatigue. A conceptual model was built to determine the direct and indirect relationship between mental workload and job performance, and the mediating effect of occupational fatigue on the relationship between mental workload and job performance was tested using structural equation modeling (SEM). Results Out of 165 distributed questionnaires, 140 questionnaires were completed and delivered to the researchers (85% response rate). The mean ± standard deviations of mental workload, fatigue, and work performance were 16.57 ± 5.83, 6.32 ± 2.86, and 0.65 ± 0.28, respectively. The results of model fit indexes revealed that all indexes are within the acceptable range. Regarding this model, the direct effect of mental workload on job performance was not significant (β = -0.21; p = 0.072). A significant positive relationship was observed between mental workload and fatigue (β = 0.36; p < 0.001). The direct effect of fatigue on job performance was also the opposite and statistically significant (β = -0.39; p < 0.001). Finally, results indicated that the effect of mental workload on work performance mediated by occupational fatigue. Conclusion Surgeons suffer a high level of mental workload during their work, and this factor can have a negative effect on surgeons' job performance. The effect of mental workload on job performance in surgeons can be detected, directly and indirectly, through the mediating effect of occupational fatigue. Improving the mental and physical conditions of the work environment can reduce occupational fatigue and improve surgeons' job performance.
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Affiliation(s)
- Mahdi Jalali
- Department of Occupational Health Engineering, School of Health, Neyshabur University of Medical Sciences, Neyshabur, Iran
- Department of Occupational Health and Safety Engineering, Faculty of Health, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Reza Esmaeili
- Department of Occupational Health and Safety Engineering, Faculty of Health, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Ehsanollah Habibi
- Department of Occupational Health and Safety Engineering, Faculty of Health, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Mohammad Alizadeh
- Department of Health, Safety and Environment (HSE), Faculty of Health, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Azim Karimi
- Department of Occupational Health and Safety Engineering, Faculty of Health, Isfahan University of Medical Sciences, Isfahan, Iran
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Nishimura Y, Ikeda H, Matsumoto S, Izawa S, Kawakami S, Tamaki M, Masuda S, Kubo T. Impaired self-monitoring ability on reaction times of psychomotor vigilance task of nurses after a night shift. Chronobiol Int 2023:1-9. [DOI: 10.1080/07420528.2023.2193270] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/29/2023]
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Li Z, Zhang X, Zheng J, Zhang Z, Wan P. Challenge or Hindrance? The Dual Path Effect of Perceived Task Demand on In-Role Performance and Work Fatigue. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:15561. [PMID: 36497636 PMCID: PMC9737550 DOI: 10.3390/ijerph192315561] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/27/2022] [Revised: 11/18/2022] [Accepted: 11/21/2022] [Indexed: 06/17/2023]
Abstract
The evidence for the existence of perceived task demand is paradoxical. The purpose of the present study is to explore whether perceived task demand is a challenge or a hindrance stressor. To achieve this research purpose, based on conservation of resources theory, a conceptual model is developed that utilizes both a resource acquisition path and a resource depletion path. Using the experience-sampling method, over five consecutive days, 370 matched data were collected via mobile phone from 74 full-time employees in mainland China. The results show that perceived task demand has the characteristics of both challenge and hindrance stressors. On the one hand, perceived task demand enhances employees' cognitive engagement, thereby facilitating task performance (resource acquisition path). On the other hand, perceived task demand boosts employees' cognitive strain, thereby increasing work fatigue and decreasing in-role performance (resource depletion path). This research offers a comprehensive understanding of perceived task demand and provides strategies for task demand management.
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Affiliation(s)
- Zhigang Li
- School of Economics and Management, Beijing Polytechnic, Beijing 100176, China
| | - Xin Zhang
- Graduate School of Education, Dalian University of Technology, Dalian 116024, China
| | - Junwei Zheng
- Faculty of Civil Engineering and Mechanics, Kunming University of Science and Technology, Kunming 650500, China
| | - Zhenduo Zhang
- School of Economics and Management, Dalian University of Technology, Dalian 116024, China
| | - Pengyu Wan
- School of Economics and Management, Chongqing Normal University, Chongqing 401331, China
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Salivary Biomarker Profiles and Chronic Fatigue among Nurses Working Rotation Shifts: An Exploratory Pilot Study. Healthcare (Basel) 2022; 10:healthcare10081416. [PMID: 36011073 PMCID: PMC9407778 DOI: 10.3390/healthcare10081416] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2022] [Revised: 07/25/2022] [Accepted: 07/26/2022] [Indexed: 11/17/2022] Open
Abstract
Although nurses’ fatigue affects their well-being and patient safety, no effective objective measurements exist. We explored the profiles of salivary biomarkers associated with nurses’ chronic fatigue across several shifts. This longitudinal study involved 45 shiftwork nurses and collected their saliva samples before two night and two day shifts for a month. Chronic fatigue was measured using the Cumulative Fatigue Symptom Index before the first night shift. Biomarker profiles were analyzed using hierarchical cluster analysis, and chronic fatigue levels were compared between the profiles. Cortisol profiles were classified into high- and low-level groups across two day shifts; the low-level group presented significantly higher irritability and unwillingness to work. Secretory immunoglobulin A (s-IgA) profiles across the four shifts were classified into high- and low-level groups; the high-level group had significantly higher depressive feelings, decreased vitality, irritability, and unwillingness to work. Cortisol (two day shifts) and s-IgA (four shifts) profiles were combined, and (i) cortisol low-level and s-IgA high-level and (ii) cortisol high-level and s-IgA low-level groups were identified. The former group had significantly higher chronic fatigue sign and irritability than the latter group. The profiles of salivary cortisol and s-IgA across several shifts were associated with nurses’ chronic fatigue.
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Alshammari B, AlEnazy A, Alshammari F, Madkhali N, Al-Masaeed M. Investigation of the Level and Factors Influencing Emergency Department Nurses Fatigue: A Case Study of the Saudi Arabian Context. Healthcare (Basel) 2022; 10:healthcare10071294. [PMID: 35885820 PMCID: PMC9318690 DOI: 10.3390/healthcare10071294] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2022] [Revised: 07/06/2022] [Accepted: 07/08/2022] [Indexed: 11/16/2022] Open
Abstract
Background: Work-related fatigue is a common health problem among nurses which can affect their performance and decision making. Significance and Aim: The study explores the levels of fatigue and its associated factors among emergency department (ED) nurses in Saudi Arabia. Methods: The study was developed through a cross-sectional quantitative study design. This included the collection of primary quantitative data with a questionnaire prepared and published on REDCap. The study questionnaire was adapted from two tools, namely the OFER 15 and the Copenhagen II tools, respectively. Results: The study established that the Saudi Arabian ED nurses have high acute fatigue (OFER 15 score = 81.11), moderate-high chronic fatigue (OFER 15 score = 74.17), and a high inter-shift recovery index (OFER 15 score = 78.01). In terms of the predictor factors, the study established that for the demographic factors, gender has an impact on chronic and acute fatigue, while work experience impacted acute fatigue and the number of dependents impacted on inter-shift recovery index. On the psycho-social factors, chronic fatigue is influenced by emotional demand (which is a variable used to evaluate the levels to which the nurse is invested, gaining education/skills thus increases job satisfaction) (−0.289), influence at work (−0.310), commitment at the workplace (0.376), rewards (−0.187), stress (0.420), and burnout (0.293), respectively. Acute fatigue is influenced by the emotional demands (0.336), role clarity (−0.128), and the nurses’ well-being and health (−0.034). Finally, the inter-shift recovery index is influenced by the ED nurses’ burnout levels (−0.877). Conclusions: The study indicates a high level of nursing fatigue among the Saudi Arabian ED nurses.
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Affiliation(s)
- Bushra Alshammari
- Medical Surgical Nursing Department, College of Nursing, University of Hail, Hail 2440, Saudi Arabia
- Correspondence: (B.A.); (A.A.)
| | - Albandry AlEnazy
- Buraidah Central Hospital, Al-Qassim 52361, Saudi Arabia
- Correspondence: (B.A.); (A.A.)
| | - Farhan Alshammari
- Department of Pharmaceutics, College of Pharmacy, University of Hail, Hail 2440, Saudi Arabia;
| | - Norah Madkhali
- Department of Nursing, College of Nursing, Jazan University, Jazan 45142, Saudi Arabia;
| | - Mahmoud Al-Masaeed
- Faculty of Health and Medicine, University of Newcastle, Callaghan 2308, Australia;
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Qiu D, He J, Li Y, Li R, Ouyang F, Li L, Luo D, Xiao S. Stressful Life Events and Chronic Fatigue Among Chinese Government Employees: A Population-Based Cohort Study. Front Public Health 2022; 10:890604. [PMID: 35875038 PMCID: PMC9300904 DOI: 10.3389/fpubh.2022.890604] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2022] [Accepted: 06/07/2022] [Indexed: 12/03/2022] Open
Abstract
Background Currently, evidence on the role of stressful life events in fatigue among the Chinese working adults is lacking. This study aimed at exploring the prospective associations between stressful life events and chronic fatigue among Chinese government employees. Methods From January 2018 to December 2019, a total of 16206 government employees were included at baseline and they were followed-up until May 2021. A digital self-reported questionnaire platform was established to collect information on participants' health and covariates. Life events were assessed by the Life Events Scale (LES), fatigue was assessed by using a single item, measuring the frequency of its occurrence. Binary logistic regression analysis was used for the data analysis. Results Of the included 16206 Chinese government employees at baseline, 60.45% reported that they experienced negative stressful life events and 43.87% reported that they experienced positive stressful life events over the past year. Fatigue was reported by 7.74% of the sample at baseline and 8.19% at follow-up. Cumulative number of life events at baseline, and cumulative life events severity score at baseline were positively associated with self-reported fatigue at follow up, respectively. After adjusting sociodemographic factors, occupational factors and health behavior related factors, negative life events at baseline (OR: 2.06, 95% CI: 1.69–2.51) were significantly associated with self-reported fatigue at follow-up. Some specific life events including events related to work and events related to economic problems were significantly associated with self-reported fatigue. Specifically, work stress (OR = 1.76, 95%CI: 1.45–2.13), as well as not satisfied with the current job (OR = 1.95, 95%CI: 1.58–2.40), in debt (OR = 1.75, 95%CI: 1.40–2.17) were significantly associated with self-reported fatigue. The economic situation has improved significantly (OR = 0.62, 95%CI: 0.46–0.85) at baseline was significantly associated with lower incidence of self-reported fatigue. Conclusion Negative stressful life events were associated with fatigue among Chinese government employees. Effective interventions should be provided to employees who have experienced negative stressful life events.
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Affiliation(s)
- Dan Qiu
- Department of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, Changsha, China
| | - Jun He
- Department of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, Changsha, China
| | - Yilu Li
- Department of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, Changsha, China
| | - Ruiqi Li
- Lixia Center for Disease Control and Prevention of Jinan, Jinan, China
| | - Feiyun Ouyang
- Department of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, Changsha, China
| | - Ling Li
- Department of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, Changsha, China
| | - Dan Luo
- Department of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, Changsha, China
| | - Shuiyuan Xiao
- Department of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, Changsha, China
- Mental Health Institute, Second Xiangya Hospital, Central South University, Changsha, China
- *Correspondence: Shuiyuan Xiao
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Chu X, Zhang L, Li M. Humble leadership and work fatigue: The roles of self-efficacy and perceived team autonomy-support. JOURNAL OF PSYCHOLOGY IN AFRICA 2022. [DOI: 10.1080/14330237.2022.2031623] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
Affiliation(s)
- Xixi Chu
- Department of Human Resource Management and Public Administration, Beijing Institute of Petrochemical Technology, Beijing, China
| | - Lihua Zhang
- School of Labor and Human Resources, Renmin University of China, Beijing, China
| | - Mengyi Li
- School of Labor and Human Resources, Renmin University of China, Beijing, China
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Post-Work Recovery from Fatigue and Sleep Episodes among Nurses Who Are Engaged in 16-Hour Night Shifts: A Prospective Observational Study. Healthcare (Basel) 2022; 10:healthcare10061089. [PMID: 35742140 PMCID: PMC9222225 DOI: 10.3390/healthcare10061089] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2022] [Revised: 06/08/2022] [Accepted: 06/08/2022] [Indexed: 01/04/2023] Open
Abstract
Poor recovery from fatigue among shift-working nurses can cause a transition from acute to chronic fatigue. We aimed to clarify the relationship between nurses' recovery from fatigue and sleep episodes after 16 h night shifts while considering age. This prospective study included 62 nurses who worked 16 h night shifts. Fatigue was assessed by a questionnaire before, during, and after the night shift, and the morning following the night shift. Sleep episodes were continuously measured using a wearable device. We performed a hierarchical cluster analysis of multivariate sleep parameters in first and main sleep episodes after night shifts. A linear mixed model was used to estimate the difference between clusters in recovery from fatigue after the night shift, considering age. The participants were classified into a high sleep quality group (HSQG) and low sleep quality group (LSQG) in sleep episodes after the night shift. There was a significant main effect of clusters, and HSQG was significantly more effective than LSQG in recovering from fatigue. However, no main effects of age or interaction were observed. The quality of first and main sleep episodes at home was associated with recovery from the night shift to the next day, regardless of age.
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Brooks SK, Greenberg N. Mental health and psychological wellbeing of maritime personnel: a systematic review. BMC Psychol 2022; 10:139. [PMID: 35637491 PMCID: PMC9150387 DOI: 10.1186/s40359-022-00850-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2021] [Accepted: 05/23/2022] [Indexed: 01/09/2023] Open
Abstract
Background Seafaring has frequently been reported to be a ‘risky occupation’ in terms of both physical and mental health. Individuals working in seafaring professions are exposed to various stressors in the workplace, including social isolation, exposure to poor physical conditions and long work hours. This systematic review aimed to update previous reviews by collating recent literature (published between 2012 and 2021) on the factors associated with mental health and wellbeing in seafaring personnel. Methods Four electronic databases were searched in April 2021 for primary peer-reviewed studies on factors associated with the mental health and psychological wellbeing of seafarers or interventions to improve the wellbeing of seafarers, published in English in or after the year 2012. Thematic analysis was used to synthesise the data and standardised measures of quality appraisal were used to assess risk of bias. Results Sixty-three studies were reviewed. Risk factors for poor mental health among seafarers appear to be younger age; being single; poor physical health; exposure to noise/vibration; feeling unsafe; high job demands; long working hours; night/irregular shifts; poor sleep; poor team cohesion; poor perception of management; poor social support; lack of autonomy; scheduling uncertainties; long duration at sea; and over-commitment. Conclusions There are numerous steps that maritime managers could take to improve the wellbeing of their personnel, including increased monitoring of the potential for poor mental health in their staff, increasing crew numbers and provision of education and support.
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Yamaguchi S, Sato M, Sumi N, Ito YM, Winwood PC, Yano R. Psychometric properties of the Japanese version of the Occupational Fatigue Exhaustion Recovery Scale among shift-work nurses. J Occup Health 2022; 64:e12325. [PMID: 35502532 PMCID: PMC9176737 DOI: 10.1002/1348-9585.12325] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2021] [Revised: 02/25/2022] [Accepted: 03/16/2022] [Indexed: 11/09/2022] Open
Abstract
Objectives Shift‐work nurses are at a higher risk of inadequate recovery from fatigue and developing maladaptive fatigue with significant health consequences. Therefore, it is necessary to monitor fatigue and recovery levels with a reliable scale. We investigated psychometric properties of the Japanese version of the Occupational Fatigue Exhaustion Recovery scale (OFER‐J) for shift‐work nurses. Methods Japanese shift‐work nurses responded to self‐administered questionnaires at baseline (n = 942) and one month later (n = 334). The confirmatory factor analysis (CFA) and exploratory factor analysis (EFA) were conducted to verify the structural validity and the correlation analysis and one‐way analysis of variance were conducted to test the construct and discriminative validity. Cronbach's alpha coefficient, intra‐class correlation coefficient (ICC), and smallest detectable change (SDC) were calculated to assess reliability. Results The CFA showed high correlations between the factors and whilst the goodness‐of‐fit of the three‐factor model was suboptimal, it was in an acceptable range. Most modifications included the error covariance of the Acute Fatigue (AF) and Intershift Recovery (IR) items. The EFA showed that Chronic Fatigue (CF) and AF were not clearly separated, indicating that the two AF items dropped out. Construct and discriminative validity were also well indicated. Cronbach's alpha coefficients were 0.75–0.85. Only CF showed sufficient reproductivity (ICC = 0.74). The SDC for CF, AF, and IR was 14.0, 17.1, and 18.7, respectively. Conclusions The validity and reliability of the OFER‐J were verified as acceptable for shift‐work nurses. The OFER‐J could contribute to a data‐based approach to fatigue management in nursing management practice.
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Affiliation(s)
- Shinya Yamaguchi
- Graduate School of Health Sciences, Hokkaido University, Hokkaido, Japan
| | - Miho Sato
- Faculty of Health Sciences, Hokkaido University, Hokkaido, Japan
| | - Naomi Sumi
- Faculty of Health Sciences, Hokkaido University, Hokkaido, Japan
| | - Yoichi M Ito
- Data Science Center, Promotion Unit, Institute of Health Science Innovation for Medical Care, Hokkaido University Hospital, Hokkaido, Japan
| | - Peter C Winwood
- School of Psychology, Social Work, and Social Policy, University of South Australia, Adelaide, South Australia, Australia
| | - Rika Yano
- Faculty of Health Sciences, Hokkaido University, Hokkaido, Japan
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16
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Kemp K, Duncan J, Mason I, Younge L, Dibley L. Scoping review with textual narrative synthesis of the literature reporting stress and burn-out in specialist nurses: making the case for inflammatory bowel disease nurse specialists. BMJ Open Gastroenterol 2022; 9:bmjgast-2021-000852. [PMID: 35428670 PMCID: PMC9013983 DOI: 10.1136/bmjgast-2021-000852] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/03/2021] [Accepted: 01/31/2022] [Indexed: 12/02/2022] Open
Abstract
Objective Inflammatory bowel disease clinical nurse specialists (IBD-CNSs) face increasing pressures due to rising clinical and patient demands, advanced complexity of work role, and minimal specialist management training and support. Stress and burn-out could undermine the stability of this workforce, disrupting clinical provision. We reviewed the literature on stress and burn-out to demonstrate the lack of evidence pertinent to IBD-CNSs and make the case for further research. Design Following Levac et al’s scoping review framework, relevant databases were searched for publications reporting work-related stress and burn-out among specialist nurses. Following screening and consensus on selection of the final articles for review, all authors contributed to data charting. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses Scoping Review extension guided reporting of the review. Results Of 194 retrieved articles, eight were eligible for review. None focused on IBD-CNSs, were qualitative, or UK-based. Three core themes were identified: Rates of Burn-out, Mitigating and Alleviating Factors, and Preventing and Resolving Burn-out. Risk of burn-out is greatest in novice and mid-career CNSs. Age and duration in role appear protective. Personal achievement is also protective and can mitigate earlier episodes of burn-out; opportunities for career progression are limited. Promoting personal well-being is beneficial. Senior managers have poor understanding of the role and provide inadequate support. Commitment to patients remains high. Conclusion Burn-out arises in CNSs across clinical specialisms in the international literature and has a significant negative effect on the workforce. Further research is needed to address the dearth of evidence on burn-out in IBD-CNSs in the UK.
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Affiliation(s)
- Karen Kemp
- Department of Gastroenterology, Manchester Royal Infirmary, Manchester, UK
| | - Julie Duncan
- Clinical Nurse Education, Takeda UK Limited, London, UK
| | - Isobel Mason
- Centre for Gastroenterology, Royal Free Hospital, London, UK
| | - Lisa Younge
- IBD Unit, St Mark's Hospital and Academic Institute, Harrow, UK
| | - Lesley Dibley
- Institute for Lifecourse Development, University of Greenwich, London, UK
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17
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Farag A, Scott LD, Perkhounkova Y, Saeidzadeh S, Hein M. A human factors approach to evaluate predicators of acute care nurse occupational fatigue. APPLIED ERGONOMICS 2022; 100:103647. [PMID: 34837749 DOI: 10.1016/j.apergo.2021.103647] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/09/2021] [Revised: 10/13/2021] [Accepted: 11/12/2021] [Indexed: 06/13/2023]
Abstract
Nurses function at the point of care and assume a significant role in intercepting errors. They work in a mentally and physically demanding profession that is comprised of shift-work, subjecting nurses to considerable fatigue. Yet, few studies constructed a comprehensive model that integrates personal and occupational factors to explore their relationship with various types of fatigue (acute, chronic, physical, mental, and total). Here, we examine this type of comprehensive fatigue-model, in a report that represents one aim of a larger, mixed-methods study. The study sample comprised of 1137 registered nurses working in eight hospitals in a Midwestern state. Nurses reported higher levels of acute and total fatigue than chronic and physical fatigue. Staffing and resource adequacy, exercise, and sleep were among the strongest predictors. Since fatigue is a multi-faceted construct, a comprehensive fatigue-management strategy that targets both day and night-shift nurses is the optimal way to manage nurse fatigue.
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Affiliation(s)
- Amany Farag
- University of Iowa, College of Nursing, Iowa City, IA, USA.
| | - L D Scott
- University of Wisconsin Madison, School of Nursing, Wisconsin, Madison, USA
| | - Y Perkhounkova
- University of Iowa, College of Nursing, Iowa City, IA, USA
| | - S Saeidzadeh
- University of Wisconsin Madison, School of Nursing, Wisconsin, Madison, USA
| | - M Hein
- University of Iowa, College of Nursing, Iowa City, IA, USA
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18
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Alsayed SA, Abou Hashish EA, Alshammari F. Occupational Fatigue and Associated Factors among Saudi Nurses Working 8-Hour Shifts at Public Hospitals. SAGE Open Nurs 2022; 8:23779608221078158. [PMID: 35284633 PMCID: PMC8905055 DOI: 10.1177/23779608221078158] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2021] [Revised: 01/09/2022] [Accepted: 01/17/2022] [Indexed: 12/03/2022] Open
Abstract
Introduction Shift work and demanding work schedules contribute to occupational fatigue, negatively affecting patient safety and nurses’ well-being, consequently placing nurses and patients at risk for injury and adverse health outcomes. For preventing fatigue and minimizing its negative consequences, information about its characteristics and associated factors is required. Objectives This study aimed to assess occupational fatigue “acute fatigue, chronic fatigue, and inter-shift recovery” among Saudi nurses working 8-h shifts. Further, we explored factors associated with fatigue from nurses’ perspectives. Methods We conducted a mixed-method study with a convenience sample of Saudi nurses (N = 282) working in four public hospitals in Saudi Arabia. Data were collected using the nurses’ profile form; the occupational fatigue exhaustion recovery (OFER) scale, for relevant quantitative data; and open-ended questions for qualitative data. We used descriptive and inferential statistics for analysing the quantitative data and content analysis of the qualitative data. Results The results showed that Saudi nurses rated themselves moderately fatigued with working 8-h shifts. The inter-shift recovery subscale showed a negative correlation with chronic fatigue and acute fatigue (r = −0.518, r = −0.356, P < 0.001). Sleeping problems, meals per day, and frequency of exercise showed significant relations with chronic fatigue among nurses (p < 0.05). In addition, three categories were derived from the qualitative content analysis. Saudi nurses reported work-related, psychosocial, and individual factors as major contributors to fatigue and recovery. Conclusion Occupational fatigue is a multidimensional issue, and nurses and nurse managers are challenged with reducing its prevalence and negative impact on nurses and patients. Our quantitative and qualitative findings suggest the need for a comprehensive approach to fatigue management and mitigation, including organizational support, creative workforce planning, flexible work schedules, and psychosocial support. Fatigue reduction and prevention policies and educational programs are vital strategies to improve nurses’ well-being and inter-shift recovery.
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Affiliation(s)
| | - Ebtsam Aly Abou Hashish
- College of Nursing - Jeddah, King Saud bin Abdul-Aziz University for Health Sciences, Saudi Arabia
- Faculty of Nursing, Alexandria University, Egypt
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Occupational fatigue and sleep quality among the physicians employed in the emergency service of a COVID-19 pandemic hospital. JOURNAL OF SURGERY AND MEDICINE 2022. [DOI: 10.28982/josam.871527] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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20
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Shiri R, Karhula K, Turunen J, Koskinen A, Ropponen A, Ervasti J, Kivimäki M, Härmä M. The Effect of Using Participatory Working Time Scheduling Software on Employee Well-Being and Workability: A Cohort Study Analysed as a Pseudo-Experiment. Healthcare (Basel) 2021; 9:healthcare9101385. [PMID: 34683065 PMCID: PMC8544422 DOI: 10.3390/healthcare9101385] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2021] [Revised: 10/05/2021] [Accepted: 10/12/2021] [Indexed: 11/16/2022] Open
Abstract
Shift workers are at increased risk of health problems. Effective preventive measures are needed to reduce the unfavourable effects of shift work. In this study we explored whether use of digital participatory working time scheduling software improves employee well-being and perceived workability by analysing an observational cohort study as a pseudo-experiment. Participants of the Finnish Public Sector cohort study with payroll records available between 2015 and 2019 were included (N = 2427). After estimating the propensity score of using the participatory working time scheduling software on the baseline characteristics using multilevel mixed-effects logistic regression and assigning inverse probability of treatment weights for each participant, we used generalised linear model to estimate the effect of using the participatory working time scheduling software on employees’ control over scheduling of shifts, perceived workability, self-rated health, work-life conflict, psychological distress and short sleep (≤ 6 h). During a 2-year follow-up, using the participatory working time scheduling software reduced the risk of employees’ low control over scheduling of shifts (risk ratio [RR] 0.34; 95% CI 0.25–0.46), short sleep (RR 0.70; 95% CI 0.52–0.95) and poor workability (RR 0.74; 95% CI 0.55–0.99). The use of the software was not associated with changes in psychological distress, self-rated health and work-life conflict. In this observational study, we analysed as a pseudo-experiment, the use of participatory working time scheduling software was associated with increased employees’ perceived control over scheduling of shifts and improved sleep and self-rated workability.
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Affiliation(s)
- Rahman Shiri
- Finnish Institute of Occupational Health, 00250 Helsinki, Finland; (K.K.); (J.T.); (A.K.); (A.R.); (J.E.); (M.K.); (M.H.)
- Correspondence:
| | - Kati Karhula
- Finnish Institute of Occupational Health, 00250 Helsinki, Finland; (K.K.); (J.T.); (A.K.); (A.R.); (J.E.); (M.K.); (M.H.)
| | - Jarno Turunen
- Finnish Institute of Occupational Health, 00250 Helsinki, Finland; (K.K.); (J.T.); (A.K.); (A.R.); (J.E.); (M.K.); (M.H.)
| | - Aki Koskinen
- Finnish Institute of Occupational Health, 00250 Helsinki, Finland; (K.K.); (J.T.); (A.K.); (A.R.); (J.E.); (M.K.); (M.H.)
| | - Annina Ropponen
- Finnish Institute of Occupational Health, 00250 Helsinki, Finland; (K.K.); (J.T.); (A.K.); (A.R.); (J.E.); (M.K.); (M.H.)
- Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institute, 171 77 Stockholm, Sweden
| | - Jenni Ervasti
- Finnish Institute of Occupational Health, 00250 Helsinki, Finland; (K.K.); (J.T.); (A.K.); (A.R.); (J.E.); (M.K.); (M.H.)
| | - Mika Kivimäki
- Finnish Institute of Occupational Health, 00250 Helsinki, Finland; (K.K.); (J.T.); (A.K.); (A.R.); (J.E.); (M.K.); (M.H.)
- Department of Public Health, University of Helsinki, 00014 Helsinki, Finland
| | - Mikko Härmä
- Finnish Institute of Occupational Health, 00250 Helsinki, Finland; (K.K.); (J.T.); (A.K.); (A.R.); (J.E.); (M.K.); (M.H.)
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21
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ERASLAN P, İLHAN A. Factors affecting occupational burnout in nurses working in a medical oncology clinic. JOURNAL OF HEALTH SCIENCES AND MEDICINE 2021. [DOI: 10.32322/jhsm.944258] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
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22
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Work Fatigue in a Hospital Setting: The Experience at Cheng Hsin General Hospital. Healthcare (Basel) 2021; 9:healthcare9060776. [PMID: 34205636 PMCID: PMC8234159 DOI: 10.3390/healthcare9060776] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2021] [Revised: 06/09/2021] [Accepted: 06/17/2021] [Indexed: 11/17/2022] Open
Abstract
We aimed to investigate fatigue and its related factors in a medical professional population aged ≥30 years, as appraised by the implementation of an employee health screening program at Cheng Hsin General Hospital in Taipei, Taiwan. The study participants included a total of 2132 (400 males and 1732 females) healthy medical professionals enrolled in a teaching hospital who underwent physical verification in 2019. Demographic characteristics and fatigue information were collected. The overall prevalence of personal- and work-related fatigue in this study population was 41.4% and 39.1%, respectively. The prevalence of a high risk of work- or personal-related fatigue proved to be substantially greater (p-value for chi-square test <0.0001) than it was for a low or moderate risk of personal-related fatigue. Using multinominal logistic regression analysis, seniority and position were statistically significant in relation to a high risk of personal- and work-related fatigue. Personal- and work-related fatigue were found to be prevalent in physicians and nurses. Lower seniority was also related to severe personal- or work-related fatigue. Providing this population with controlled working environments and health improvements is important.
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23
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Influence of Demographic Characteristics and Muscle Strength on the Occupational Fatigue Exhaustion Recovery Scale in Career Firefighters. J Occup Environ Med 2021; 62:223-226. [PMID: 31895733 DOI: 10.1097/jom.0000000000001806] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
OBJECTIVE Little is known regarding how individual characteristics and changes in muscle strength across a shift cycle are associated with the Occupational Fatigue Exhaustion Recovery scale in career firefighters. METHODS Thirty-two career firefighters completed lower body maximal strength testing prior to and following three 24-hour on-off shifts. Demographic data were collected prior to the first shift and the OFER15 questionnaire was completed following the last shift. RESULTS Increased age was associated with greater acute and chronic fatigue and poorer recovery. A positive percent change in strength following a shift cycle was related to better recovery. Age was the only significant predictor of acute and chronic fatigue, while age and the change in strength were significant predictors of inter-shift recovery. CONCLUSIONS Increased age influences all dimensions of work-related fatigue, with changes in muscle strength influencing inter-shift recovery in career firefighters.
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24
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Brzozowski SL, Cho H, Arsenault Knudsen ÉN, Steege LM. Predicting nurse fatigue from measures of work demands. APPLIED ERGONOMICS 2021; 92:103337. [PMID: 33264675 DOI: 10.1016/j.apergo.2020.103337] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/11/2020] [Revised: 11/08/2020] [Accepted: 11/23/2020] [Indexed: 06/12/2023]
Abstract
Fatigue arising from excessive work demands is a known safety challenge in hospital nurses. This study aimed to determine which measures of work demands during nursing work are most predictive of hospital nurse fatigue levels at the end of the work shift. Measures of work demands of registered nurses from two hospital units in the United States were collected from organizational data sources, wearable sensors, and questionnaires. Fatigue levels were measured at the start and end of each shift using the Brief Fatigue Inventory. Multilevel linear regression analysis was used to predict end of shift fatigue based on work demand variables. The best fit model included multiple variables from organizational data sources and a physical activity variable measured by a wearable sensor. Organizational data can be used to create dynamic measures of work demands as they occur and predict end of shift fatigue levels in hospital nurses.
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Affiliation(s)
- Sarah L Brzozowski
- School of Nursing, University of Wisconsin - Madison, 701 Highland Avenue, Madison, WI, 53705, USA.
| | - Hyeonmi Cho
- School of Nursing, University of Wisconsin - Madison, 701 Highland Avenue, Madison, WI, 53705, USA.
| | | | - Linsey M Steege
- School of Nursing, University of Wisconsin - Madison, 701 Highland Avenue, Madison, WI, 53705, USA.
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25
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Thompson BJ. Fatigue and the Female Nurse: A Narrative Review of the Current State of Research and Future Directions. WOMEN'S HEALTH REPORTS (NEW ROCHELLE, N.Y.) 2021; 2:53-61. [PMID: 33786531 PMCID: PMC8006794 DOI: 10.1089/whr.2020.0107] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Accepted: 02/09/2021] [Indexed: 11/29/2022]
Abstract
Background: The female nurse exhibits a multitude of personal and environmental characteristics that renders this population especially prone to fatigue. The consequences of fatigue in nurses are widespread and impactful at the personal, organizational, and societal levels. These include high injury rates and burnout in the nurse and poor patient and organizational outcomes. Objective: This article discusses the implications of fatigue in female nurses, including the impacts of fatigue across multiple entities (e.g., worker, patient, organization). It also reviews the current state of the research, including recent work on nurse fatigue and work schedule characteristics, and key areas for future work that would help empirically establish approaches to counter the detrimental and widespread effects of fatigue. Method: A narrative literature review was conducted resulting from an analysis of the literature limited to peer-reviewed studies. Results: A confluence of factors combines to elevate the prevalence and risk of fatigue in the female nurse. Numerous measures have established that performance-based fatigue results from nursing work schedules in nurses. Data also demonstrate that fatigue accumulates across successive shifts. Recent evidence supports the use of objective fatigue measures, including psychomotor reaction time and muscle function-related variables. Current gaps in the literature are delineated in the text. Conclusions: Strategic and well-designed research studies, as well as recent technological advances in fatigue tracking tools have the potential to help workers, administrators, and organizations develop fatigue management programs that could reduce the heavy burdens of fatigue on a multitude of health, safety, and economical outcomes.
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Affiliation(s)
- Brennan J Thompson
- Kinesiology and Health Science Department, Utah State University, Logan, Utah, USA
- Movement Research Clinic, Sorenson Legacy Foundation Center for Clinical Excellence, Utah State University, Logan, Utah, USA
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Noguchi-Watanabe M, Yamamoto-Mitani N, Nagami Y, Eltaybani S, Inagaki A, Taniguchi Y. Homecare nurses' length of conversation and intention to remain at the workplace: A multilevel analysis. J Nurs Manag 2020; 29:721-730. [PMID: 33179317 DOI: 10.1111/jonm.13212] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2020] [Revised: 10/20/2020] [Accepted: 11/03/2020] [Indexed: 01/03/2023]
Abstract
AIMS To examine the relationship between homecare nurses' length of conversation with nurse managers and colleagues and intention to remain at the workplace. BACKGROUND Nurse turnover is an important issue. Previous studies focused on the perceived function of communication. However, we do not know the contribution of homecare nurses' actual conversations to nurse turnover prevention. METHODS We conducted a cross-sectional study in 330 homecare nurse organisations in Japan. We recruited 2,315 homecare nurses and analysed the data of 608 nurses. We used a questionnaire to investigate participants' intention to remain. RESULTS Nearly 68% had the intention to remain. The mean length of conversation was 34 min/day with the manager and 68 min/day with colleagues. Multilevel logistic regression analysis showed that long conversations with the nurse manager (20 min and more) and colleagues (40 min and more) were significantly related to the intention to remain. CONCLUSIONS Ensuring the time of conversation with a manager and colleagues may contribute to preventing potentially avoidable nurse turnover. IMPLICATIONS FOR NURSING MANAGEMENT Nurse managers should encourage homecare nurses to have daily conversations of 20 min or more with the nurse manager and 40 min or more with colleagues to continue working at their current workplace.
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Affiliation(s)
- Maiko Noguchi-Watanabe
- Department of Gerontological Home Care and Long-Term Care Nursing, Graduate School of Medicine, The University of Tokyo, Bunkyo-ku, Japan
| | - Noriko Yamamoto-Mitani
- Department of Gerontological Home Care and Long-Term Care Nursing, Graduate School of Medicine, The University of Tokyo, Bunkyo-ku, Japan
| | - Yukari Nagami
- Department of Community Health Nursing, Graduate School of Medicine, The University of Tokyo, Bunkyo-ku, Japan
| | - Sameh Eltaybani
- Department of Gerontological Home Care and Long-Term Care Nursing, Graduate School of Medicine, The University of Tokyo, Bunkyo-ku, Japan.,Department of Critical Care and Emergency Nursing, Faculty of Nursing, Alexandria University, Alexandria, Egypt
| | - Asa Inagaki
- Department of Gerontological Home Care and Long-Term Care Nursing, Graduate School of Medicine, The University of Tokyo, Bunkyo-ku, Japan
| | - Yukiko Taniguchi
- School of Nursing, College of Nursing and Nutrition, Shukutoku University, Chiba, Japan
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Gifkins J, Johnston A, Loudoun R, Troth A. Fatigue and recovery in shiftworking nurses: A scoping literature review. Int J Nurs Stud 2020; 112:103710. [DOI: 10.1016/j.ijnurstu.2020.103710] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2020] [Revised: 06/26/2020] [Accepted: 06/30/2020] [Indexed: 12/11/2022]
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Cottey L, Roberts T, Graham B, Horner D, Stevens KN, Enki D, Lyttle MD, Latour J. Need for recovery amongst emergency physicians in the UK and Ireland: a cross-sectional survey. BMJ Open 2020; 10:e041485. [PMID: 33139301 PMCID: PMC7607596 DOI: 10.1136/bmjopen-2020-041485] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
OBJECTIVES To determine the need for recovery (NFR) among emergency physicians and to identify demographic and occupational characteristics associated with higher NFR scores. DESIGN Cross-sectional electronic survey. SETTING Emergency departments (EDs) (n=112) in the UK and Ireland. PARTICIPANTS Emergency physicians, defined as any registered physician working principally within the ED, responding between June and July 2019. MAIN OUTCOME MEASURE NFR Scale, an 11-item self-administered questionnaire that assesses how work demands affect intershift recovery. RESULTS The median NFR Score for all 4247 eligible, consented participants with a valid NFR Score was 70.0 (95% CI: 65.5 to 74.5), with an IQR of 45.5-90.0. A linear regression model indicated statistically significant associations between gender, health conditions, type of ED, clinical grade, access to annual and study leave, and time spent working out-of-hours. Groups including male physicians, consultants, general practitioners (GPs) within the ED, those working in paediatric EDs and those with no long-term health condition or disability had a lower NFR Score. After adjusting for these characteristics, the NFR Score increased by 3.7 (95% CI: 0.3 to 7.1) and 6.43 (95% CI: 2.0 to 10.8) for those with difficulty accessing annual and study leave, respectively. Increased percentage of out-of-hours work increased NFR Score almost linearly: 26%-50% out-of-hours work=5.7 (95% CI: 3.1 to 8.4); 51%-75% out-of-hours work=10.3 (95% CI: 7.6 to 13.0); 76%-100% out-of-hours work=14.5 (95% CI: 11.0 to 17.9). CONCLUSION Higher NFR scores were observed among emergency physicians than reported in any other profession or population to date. While out-of-hours working is unavoidable, the linear relationship observed suggests that any reduction may result in NFR improvement. Evidence-based strategies to improve well-being such as proportional out-of-hours working and improved access to annual and study leave should be carefully considered and implemented where feasible.
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Affiliation(s)
- Laura Cottey
- Emergency Department, University Hospitals Plymouth NHS Trust, Plymouth, UK
- Academic Department of Military Emergency Medicine, Royal Centre for Defence Medicine, Birmingham, UK
| | - Tom Roberts
- The Royal College of Emergency Medicine, London, UK
| | - Blair Graham
- Emergency Department, University Hospitals Plymouth NHS Trust, Plymouth, UK
- Faculty of Health, University of Plymouth, Plymouth, UK
| | - Daniel Horner
- The Royal College of Emergency Medicine, London, UK
- Emergency Department, Salford Royal Hospitals NHS Trust, Salford, UK
- Division of Infection, Immunity and Respiratory Medicine, University of Manchester, Manchester, UK
| | - Kara Nicola Stevens
- Medical Statistics Group, Faculty of Medicine and Dentistry, University of Plymouth, Plymouth, UK
| | - Doyo Enki
- Research Design Service East Midlands, University of Nottingham, Nottingham, UK
| | - Mark David Lyttle
- Emergency Department, Bristol Royal Hospital for Children, Bristol, UK
- Faculty of Health and Applied Science, University of the West of England, Bristol, UK
| | - Jos Latour
- Faculty of Health, University of Plymouth, Plymouth, UK
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An Y, Yang Y, Wang A, Li Y, Zhang Q, Cheung T, Ungvari GS, Qin MZ, An FR, Xiang YT. Prevalence of depression and its impact on quality of life among frontline nurses in emergency departments during the COVID-19 outbreak. J Affect Disord 2020; 276:312-315. [PMID: 32871661 PMCID: PMC7361044 DOI: 10.1016/j.jad.2020.06.047] [Citation(s) in RCA: 160] [Impact Index Per Article: 40.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/08/2020] [Revised: 06/25/2020] [Accepted: 06/30/2020] [Indexed: 12/15/2022]
Abstract
BACKGROUND Frontline medical staff exposed to the novel coronavirus disease (COVID-19) could be psychologically and mentally exhausted. This study examined the prevalence of depressive symptoms (depression hereafter) and their correlates and the association between depression and quality of life (QOL) in Emergency Department (ED) nurses during the COVID-19 pandemic in China. METHODS This national, cross-sectional online survey was conducted between March 15 and March 20, 2020 in China. Depression and QOL were measured using the 9-item Patient Health Questionnaire, and the World Health Organization Quality of Life Questionnaire-Brief Version, respectively. RESULTS The overall prevalence of depression in 1103 ED nurses was 43.61% (95% CI=40.68-46.54%). Multiple logistic regression analysis revealed that working in tertiary hospitals (OR=1.647, P=0.009), direct patient care of COVID-19 patients (OR=1.421, P=0.018), and current smokers (OR=3.843, P<0.001) were significantly associated with depression. After controlling for covariates, nurses with depression had an overall lower QOL compared to those without (F(1,1103)=423.83, P<0.001). CONCLUSION Depression was common among ED nurses during the COVID-19 pandemic. Considering the negative impact of depression on quality of patient care and nurses' QOL, a heightened awareness of, and early treatment for depression for frontline ED nurses should be provided.
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Affiliation(s)
- Ying An
- Department of Emergency, Beijing Tongren Hospital, Capital Medical University, Beijing, China
| | - Yuan Yang
- Unit of Psychiatry, Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Avenida da Universidade, Taipa, Macao SAR, China,Center for Cognition and Brain Sciences, University of Macau, Macao SAR, China,Institute of Advanced Studies in Humanities and Social Sciences, University of Macau, Macao SAR, China,Department of Psychiatry, Southern Medical University Nanfang Hospital, Guangdong, China
| | - Aiping Wang
- Department of Emergency, Beijing Tongren Hospital, Capital Medical University, Beijing, China
| | - Yue Li
- Department of Emergency, Beijing Tongren Hospital, Capital Medical University, Beijing, China
| | - Qinge Zhang
- The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders Beijing Anding Hospital & the Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, China
| | - Teris Cheung
- School of Nursing, Hong Kong Polytechnic University, Hong Kong SAR, China
| | - Gabor S. Ungvari
- Division of Psychiatry, School of Medicine, University of Western Australia, Perth, Australia,University of Notre Dame Australia, Fremantle, Australia
| | - Ming-Zhao Qin
- Department of Geriatric Medicine, Beijing Tongren Hospital, Capital Medical University, Beijing, China
| | - Feng-Rong An
- The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders Beijing Anding Hospital & the Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, China.
| | - Yu-Tao Xiang
- Unit of Psychiatry, Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Avenida da Universidade, Taipa, Macao SAR, China; Center for Cognition and Brain Sciences, University of Macau, Macao SAR, China; Institute of Advanced Studies in Humanities and Social Sciences, University of Macau, Macao SAR, China.
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Farid M, Purdy N, Neumann WP. Using system dynamics modelling to show the effect of nurse workload on nurses' health and quality of care. ERGONOMICS 2020; 63:952-964. [PMID: 31696791 DOI: 10.1080/00140139.2019.1690674] [Citation(s) in RCA: 20] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/01/2019] [Accepted: 10/26/2019] [Indexed: 06/10/2023]
Abstract
The objective of the current study is to explore System Dynamics modelling to quantify and understand the effects of nursing workload on nurse burnout, absenteeism, and quality of patient care. A literature search was performed to identify the causal relationships between factors related to the problem and build a conceptual causal loop diagram. Each of these factors was then operationalised and a simulation model was built using quantitative empirical data from the literature, supplemented with expert input. The model results showed that long nurse shifts and work weeks double nurse fatigue levels, while increasing burnout by up to 6 times, absenteeism by up to 5 times, and medical errors for the patients increasing by up to 150%. The study demonstrates a novel application of System Dynamics in healthcare to examine the impact of management strategies and healthcare system design on nurses' wellbeing and on care quality. Practitioner summary: System Dynamics Modelling allows for the integration of available scientific evidence and expertise to reveal the relationship between nurse workload, burnout and care quality in terms of medical errors. Such models can reveal possible responses from proposed policy or system design changes that could not be quantified with conventional approaches. Abbreviations: HF: human factors; SD: system dynamics; CLD: causal loop diagram; OFAT: one factor at a time.
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Affiliation(s)
- Mashal Farid
- Department of Mechanical and Industrial Engineering, Ryerson University, Toronto, ON, Canada
| | - Nancy Purdy
- Daphne Cockwell School of Nursing, Ryerson University, Toronto, ON, Canada
| | - W Patrick Neumann
- Department of Mechanical and Industrial Engineering, Ryerson University, Toronto, ON, Canada
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Johnston DW, Allan JL, Powell DJH, Jones MC, Farquharson B, Bell C, Johnston M. Why does work cause fatigue? A real-time investigation of fatigue, and determinants of fatigue in nurses working 12-hour shifts. Ann Behav Med 2020; 53:551-562. [PMID: 30124742 DOI: 10.1093/abm/kay065] [Citation(s) in RCA: 24] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
BACKGROUND One of the striking regularities of human behavior is that a prolonged physical, cognitive, or emotional activity leads to feelings of fatigue. Fatigue could be due to (1) depletion of a finite resource of physical and/or psychological energy or (2) changes in motivation, attention, and goal-directed effort (e.g. motivational control theory). PURPOSE To contrast predictions from these two views in a real-time study of subjective fatigue in nurses while working. METHODS One hundred nurses provided 1,453 assessments over two 12-hr shifts. Nurses rated fatigue, demand, control, and reward every 90 min. Physical energy expenditure was measured objectively using Actiheart. Hypotheses were tested using multilevel models to predict fatigue from (a) the accumulated values of physical energy expended, demand, control, and reward over the shift and (b) from distributed lag models of the same variables over the previous 90 min. RESULTS Virtually all participants showed increasing fatigue over the work period. This increase was slightly greater when working overnight. Fatigue was not dependent on physical energy expended nor perceived work demands. However, it was related to perceived control over work and perceived reward associated with work. CONCLUSIONS Findings provide little support for a resource depletion model; however, the finding that control and reward both predicted fatigue is consistent with a motivational account of fatigue.
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Fletcher L, Buffington B, Overcash J. Chronic and acute fatigue and intershift recovery in undergraduate nursing students working 12 or 6-hour faculty-supervised clinical shifts. Nurs Forum 2020; 55:491-496. [PMID: 32348557 DOI: 10.1111/nuf.12454] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
BACKGROUND Nursing student fatigue and recovery time are important considerations. PURPOSE This descriptive research compared chronic/acute fatigue and recovery time between one 12-hour shift or two 6-hour faculty-supervised clinical shifts per week. METHODS The Occupational Fatigue and Exhaustion Recovery (OFER) scale was completed by undergraduate students in pediatric and obstetrical courses. RESULTS The student (N = 106) mean score on OFER was 37.57 for chronic fatigue, 56.57 for acute fatigue, and intershift recovery was 56.57. No differences in chronic fatigue (P = .40), acute fatigue (P = .14), or intershift recovery (P = .35) were found between groups. Nursing students (79%) preferred 12-hour clinical shifts as compared to 21% who chose two 6-hour clinical. CONCLUSIONS No differences in chronic/acute fatigue or intershift recovery between a 12-hour clinical shift or two 6-hour clinical shifts were found. Nursing students preferred the one 12-hour clinical shift.
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Affiliation(s)
- Linnea Fletcher
- The College of Nursing, The Ohio State University, Columbus, Ohio
| | | | - Janine Overcash
- The College of Nursing, The Ohio State University, Columbus, Ohio
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Exploring the impact of 12-hour shifts on nurse fatigue in intensive care units. Appl Nurs Res 2019; 50:151191. [PMID: 31515156 DOI: 10.1016/j.apnr.2019.151191] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2019] [Revised: 05/29/2019] [Accepted: 09/02/2019] [Indexed: 01/03/2023]
Abstract
AIM To assess 12-h shift Intensive Care Unit (ICU) nurses' fatigue and identify the associated demographic factors. BACKGROUND Literature reveals inconsistencies as to whether 12-h shifts decrease or increase nurse fatigue levels. METHODS A cross-sectional survey of 67 ICU nurses working 12-h shifts was undertaken to determine their fatigue levels in two hospitals. The Occupational Fatigue Exhaustion/Recovery Scale (OFER), Spearman's correlation, ANOVA, t-tests, and Chi-Square were used for analyses. RESULTS 57 out of 67 participants experienced low to moderate chronic fatigue; 36 of those exhibited low to moderate acute fatigue levels; 46 reported low to moderate inter-shift fatigue. Age (ρ = 0.03, r2 = -0.28), number of family dependents (ρ = 0.03, r2 = -0.27), and years of nursing experience (ρ = 0.03, r2 = -0.27) were moderately negatively correlated with acute fatigue, while frequency of exercise per week (ρ = 0.01, r2 = -0.31) was moderately negatively correlated with chronic fatigue. Hospital A had higher chronic fatigue levels than Hospital B. Age (ρ < 0.01), age group (ρ = 0.03), shift schedule (ρ = 0.02), and nursing experience (ρ = 0.03) were significantly related to the difference in chronic fatigue levels between the two hospitals. CONCLUSIONS More than half of the 12-h shift ICU nurses studied in both hospitals had low to moderate fatigue levels. Age, number of family dependents, years of nursing experience, and frequency of exercise per week were identified as key factors associated with fatigue. The difference in chronic fatigue levels between hospitals suggests that implementing more support for younger and/or less experienced nurses, better strategies for retaining more experienced nurses, and fewer rotating shifts could help reduce fatigue.
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Vanttola P, Puttonen S, Karhula K, Oksanen T, Härmä M. Prevalence of shift work disorder among hospital personnel: A cross-sectional study using objective working hour data. J Sleep Res 2019; 29:e12906. [PMID: 31410909 DOI: 10.1111/jsr.12906] [Citation(s) in RCA: 20] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2018] [Revised: 06/24/2019] [Accepted: 07/18/2019] [Indexed: 12/23/2022]
Abstract
The prevalence of shift work disorder (SWD) has been studied using self-reported data and the International Classification of Sleep Disorders, Second Edition (ICSD-2) criteria. We examined the prevalence in relation to ICSD-2 and ICSD-3 criteria, work schedules and the number of non-day shifts (work outside 06:00-18:00 hours) using objective working-hours data. Secondly, we explored a minimum cut-off for the occurrence of SWD symptoms. Hospital shift workers without (n = 1,813) and with night shifts (n = 2,917) and permanent night workers (n = 84) answered a survey (response rate 69%) on SWD and fatigue on days off. The prevalence of SWD was calculated for groups with ≥1, ≥3, ≥5 and ≥7 monthly non-day shifts utilizing the working hours registry. ICSD-3-based SWD prevalence was 2.5%-3.7% (shift workers without nights), 2.6%-9.5% (shift workers with nights) and 6.0% (permanent night workers), depending on the cut-off of non-day shifts (≥7-1/month, respectively). The ICSD-2-based prevalence was higher: 7.1%-9.2%, 5.6%-33.5% and 16.7%, respectively. The prevalence was significantly higher among shift workers with than those without nights (p-values <.001) when using the cut-offs of ≥1-3 non-day shifts. Shift workers with nights who had ≥3 days with ICSD-3-based SWD symptoms/month more commonly had fatigue on days off (49.3%) than those below the cut-off (35.8%, p < .05). The ICSD-3 criteria provided lower estimates for SWD prevalence than ISCD-2 criteria, similarly to exclusion of employees with the fewest non-day shifts. The results suggest that a plausible cut-off for days with ICSD-3-based SWD symptoms is ≥3/month, resulting in 3%-6% prevalence of SWD.
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Affiliation(s)
- Päivi Vanttola
- Finnish Institute of Occupational Health, Helsinki, Finland.,Faculty of Medicine, University of Helsinki, Helsinki, Finland
| | | | - Kati Karhula
- Finnish Institute of Occupational Health, Helsinki, Finland
| | - Tuula Oksanen
- Finnish Institute of Occupational Health, Helsinki, Finland
| | - Mikko Härmä
- Finnish Institute of Occupational Health, Helsinki, Finland
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Does evidence support “banking/extending sleep” by shift workers to mitigate fatigue, and/or to improve health, safety, or performance? A systematic review. Sleep Health 2019; 5:359-369. [DOI: 10.1016/j.sleh.2019.03.001] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2018] [Revised: 02/21/2019] [Accepted: 03/01/2019] [Indexed: 11/17/2022]
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Well-Being: Its Relationship with Work-to-Family Conflict and Burnout among Males and Females. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16132291. [PMID: 31261635 PMCID: PMC6651233 DOI: 10.3390/ijerph16132291] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/09/2019] [Revised: 06/20/2019] [Accepted: 06/25/2019] [Indexed: 11/17/2022]
Abstract
The present study aims to apply gender-specific analyses to examine how work-to-family conflict (WFC) and burnout are related to well-being among the workers in Taiwan. A cross-sectional research design was adopted. A questionnaire was distributed to obtain information pertaining to demographic characteristics, WFC, burnout, and well-being. In total, 4259 full-time workers in the manufacturing industry were recruited. Gender-specific statistical analyses were used. The results showed that no significant gender difference occurred on WFC; however, females had higher scores on burnout compared to males. In the correlation analyses, WFC as well as burnout were negatively associated with well-being in both genders. In the regression analyses when demographic factors were controlled, burnout explained larger variances of well-being in both genders compared with WFC. WFC made a smaller contribution to the models predicting well-being in males in contrast to females. Moreover, the significant association between WFC and well-being for males disappeared when burnout was taken into account. The conclusion reached was that to improve workers’ well-being, organizations should develop relevant policies to decrease the extent of burnout for different genders. The policies that the organization adopted should consider females’ needs beyond work-related burden. Moreover, merely decreasing the extent of WFC is insufficient to enhance males’ well-being.
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Yestiana Y, Kurniati T, Hidayat AAA. Predictors of burnout in nurses working in inpatient rooms at a public hospital in Indonesia. Pan Afr Med J 2019; 33:148. [PMID: 31558945 PMCID: PMC6754846 DOI: 10.11604/pamj.2019.33.148.18872] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2019] [Accepted: 06/18/2019] [Indexed: 12/03/2022] Open
Abstract
Introduction This study aimed to determine the factors that predict the incidence of burnout in nurses who work at the Public Hospital of Tangerang Regency in Banten, Indonesia. Methods A cross-sectional design was used in this study. Participants were selected from eight inpatient wards at the Public Hospital of Tangerang Regency (hereinafter termed the hospital) by using a proportionate stratified random sampling method. A total of 133 nurses working in the inpatient wards were recruited. Data were collected using a questionnaire on nursing work schedule setting policy, daily log questionnaire for workload, competency scale and the Maslach Burnout Inventory scale for nurse burnout. Stepwise multiple linear regression was used to analyze the data. Results For most respondents (54.1%), the nursing work scheduling policy was appropriate, whereas the average score of nurse workload was 80.42 with SD ± 0.49, and the competency of most nurses was appropriate (64.7%). The average score of nurse burnout was 17.48 with an SD ± 0.50. Work schedule policy and workload were significant burnout predictors, accounting for 87.2% of the variance (Adjusted R2=0.872) in burnout among nurses who worked in the hospital's inpatient wards. Conclusion Nursing work schedule setting policy and workload were the main factors that led to burnout in nurses working in the inpatient wards. This issue can be overcome by regulating the workload in a balanced manner and applying appropriate policy in the nurse work schedule.
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Affiliation(s)
- Yumi Yestiana
- Department of Nursing, Rumah Sakit Jantung dan Pembuluh Darah Jantung Harapan Kita Jakarta, Jakarta, Indonesia
| | - Tri Kurniati
- Department of Nursing, University of Muhammadiyah Jakarta, Jakarta, Indonesia
| | - Abdul Aziz Alimul Hidayat
- Department of Nursing, Faculty of Health Sciences, University of Muhammadiyah Surabaya, Jl Sutorejo No. 59 Surabaya, Indonesia
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Clinton ME, Younan LS, Fares S. Multidimensional Rasch Analysis of the Arabic Occupational Fatigue Exhaustion Recovery Subscales. J Nurs Meas 2019; 27:64-76. [DOI: 10.1891/1061-3749.27.1.64] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Background and PurposeInvestigation of the psychometric properties of the Arabic version of the Occupational Fatigue Exhaustion Recovery (A-OFER) subscales.MethodsPartial credit model (PCM) analyses of 2037 Lebanese nurses' responses to the chronic fatigue (CF), acute fatigue (AF), and intershift recovery (IR) subscales.ResultsThe data were a better fit to the three-dimensional Rasch PCM; difference, χ2 = 2199.3, df = 5, p = .01; unidimensional Akaike information criterion (AIC) = 107355; multidimensional AIC = 105166. Rating categories were disordered and there was item dependence among negatively-keyed items. All items were free of subgroup bias. Inter-subscale correlations were contrary to expectations.ConclusionThe CF subscale has sufficient reliability for screening nurses in Lebanon and the Eastern Mediterranean region for low to moderate levels of occupational fatigue. The construct validity of the A-OFER requires further investigation.
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Younan L, Clinton M, Fares S, Jardali FE, Samaha H. The relationship between work-related musculoskeletal disorders, chronic occupational fatigue, and work organization: A multi-hospital cross-sectional study. J Adv Nurs 2019; 75:1667-1677. [DOI: 10.1111/jan.13952] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2018] [Revised: 10/31/2018] [Accepted: 12/07/2018] [Indexed: 11/29/2022]
Affiliation(s)
- Lina Younan
- Hariri School of Nursing; American University of Beirut; Beirut Lebanon
| | - Michael Clinton
- Hariri School of Nursing; American University of Beirut; Beirut Lebanon
| | - Souha Fares
- Hariri School of Nursing; American University of Beirut; Beirut Lebanon
| | - Fadi El Jardali
- Department of Health Management & Policy; American University of Beirut; Beirut Lebanon
| | - Helen Samaha
- Academic and Administrative Nursing Affairs; Order of Nurses in Lebanon; Beirut Lebanon
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Ali A, Rasheed A, Naz S. Impact of morning and rotational duties on physical health of nurses working in tertiary care hospitals of Karachi. Pak J Med Sci 2018; 34:1545-1549. [PMID: 30559820 PMCID: PMC6290231 DOI: 10.12669/pjms.346.16187] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Background & Objectives: In the system related to health care, shifting duties are considered essential and obligatory to make sure the stability of care in hospitals. Scheduling and shifting are the key uniqueness of shift work and nurses are mostly bounded into different schedules that facilitate 24-hour care. Our objective was to identify the impact of morning and rotational duties on physical health of nurses working in tertiary care hospitals. Methods: A total of 154 nurses from two tertiary care hospitals in Karachi were included in this study. Data were collected through the Short Form Health Servay-26 between May to June 2017. Questionnaire form consisted of five domains including Physical functioning, Role limitations due to physical health, Energy/Fatigue, Pain and General health. Results: Most of the study participants were staff nurses (66.9%) and few were head nurse and assistant head nurses 13.6% and 8.4% respectively. Nurses’ characteristics such as gender, age, educational level, designation and monthly income were found significant with duty shift with p-values 0.049, 0.007, <0.001 and 0.017 respectively. Energy/Fatigue was only domain of SF-26 which showed significant mean difference (p-value <0.001) between morning and rotational duties. Conclusion: This research concludes that nurses working in rotational duties were more prone to develop physical problem as compared to morning duties. Energy/Fatigue showed significant mean difference.
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Affiliation(s)
- Amjad Ali
- Mr. Amjad Ali, Institute of Nursing MS-Nursing, Lecturer, Dow University of Health Sciences Karachi, Pakistan
| | - Abdur Rasheed
- Dr. Abdur Rasheed, Research Department, PhD Statistic Senior Lecturer, Dow University of Health Science, Karachi, Pakistan
| | - Subia Naz
- Ms. Subia Naz, Institute of Nursing MS-Nursing, Lecturer, Dow University of Health Sciences, Karachi, Pakistan
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Pelders J, Nelson G. Contributors to Fatigue of Mine Workers in the South African Gold and Platinum Sector. Saf Health Work 2018; 10:188-195. [PMID: 31297281 PMCID: PMC6598803 DOI: 10.1016/j.shaw.2018.12.002] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2018] [Revised: 11/10/2018] [Accepted: 12/06/2018] [Indexed: 11/17/2022] Open
Abstract
Background Mine workers in South Africa face challenges relating to poor health and safety, including fatigue risks, and poor socioeconomic and living conditions. Fatigue results in impaired mental and physical performance. The aim of this study was to assess contributors to fatigue of mine workers in South Africa. Methods Data collection took place at four gold mines and one platinum mine in South Africa. A total of 21 focus groups were held with individuals in management, union representatives, and mine workers, and 564 questionnaires were completed by mine workers to gather information about fatigue and potential contributors to fatigue at these mines. Results Qualitatively (through focus groups), fatigue was attributed to extended working hours, harsh working conditions, high workloads, production pressure, and resource constraints, along with aspects relating to demographic and socioeconomic factors, living conditions, lifestyle, health, and wellness. Greater fatigue was significantly associated with younger age, indebtedness, a lack of exercise, poor nutrition, less sleep, increased alcohol use, poor self-reported health, more sick leave, higher stress, and lower job satisfaction. Conclusion The aim of the study was achieved; numerous work-, sociodemographic-, lifestyle-, and wellness-related factors were linked to fatigue in the participating mine workers. Contributors to fatigue should be addressed to improve health, safety, and sustainability in the industry.
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Affiliation(s)
- Jodi Pelders
- Natural Resources and the Environment, Council for Scientific and Industrial Research (CSIR), Pretoria, South Africa.,School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
| | - Gill Nelson
- School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
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Chin W, Chen Y, Ho J, Cheng N, Wu H, Shiao JSC. Psychological Work Environment and Suicidal Ideation Among Nurses in Taiwan. J Nurs Scholarsh 2018; 51:106-113. [DOI: 10.1111/jnu.12441] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Affiliation(s)
- Wei‐Shan Chin
- Postdoctoral Research FellowNational Institute of Environmental Health ScienceNational Health Research Institutes Zhunan Taiwan
| | - Yi‐Chuan Chen
- PhD Student, School of NursingCollege of MedicineNational Taiwan University Taipei Taiwan
| | - Jiune‐Jye Ho
- Chief Secretary, Institute of LaborOccupational Safety and HealthMinistry of Labor Taipei Taiwan
| | - Nai‐Yun Cheng
- Assistant Researcher, Institute of LaborOccupational Safety and HealthMinistry of Labor Taipei Taiwan
| | - Hsueh‐Ching Wu
- Assistant Professor, Department of NursingHsin Sheng Junior College of Medical Care and Management Taoyuan Taiwan
| | - Judith S. C. Shiao
- Associate Professor, School of NursingCollege of MedicineNational Taiwan University (NTU) and NTU Hospital, and PresidentOccupational Health Nursing and Education Association of Taiwan Taipei Taiwan
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Silva IS, Bastos R. Shift work – change from semi-continuous to continuous system. JOURNAL OF ORGANIZATIONAL CHANGE MANAGEMENT 2018. [DOI: 10.1108/jocm-11-2017-0431] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Purpose
The purpose of this paper is to understand workers’ resistance toward change from a semi-continuous (SCW) to a continuous shift work system (CW), especially focusing the perspective of change and its impact on workers’ personal lives.
Design/methodology/approach
A case study was conducted at a Portuguese steel plant. A questionnaire was administered to 98 shift workers of the two systems, three focus groups (FG) each with ten CW workers, and three interviews with their managers.
Findings
The results of the FG and the interviews indicate the loss of days off during weekends as the main drawback of this change, leading to work schedule dissatisfaction. The consequences of the change focused on social and family life. For the CW workers, the conciliation between working hours and life outside the company were the only predictors of satisfaction with work schedule.
Research limitations/implications
The cross-sectional design is one of the main limitations, as well the use of only one organization in the study suggests future replication. Organizations need to consider the aspects of family and social life in the management of working hours.
Originality/value
Globally, this case study highlights the importance of family and social aspects in the adjustment process to working hours, especially when these involve performing work on the weekends, such as shift work.
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Merkus SL, Huysmans MA, Holte KA, van Mechelen W, van der Beek AJ. An active transition from offshore work to family life: Activities that may impact recovery. Work 2018; 58:371-381. [PMID: 29154305 DOI: 10.3233/wor-172631] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND Night shift workers, particularly those working offshore, take a long time to recover from their shifts. The activities that shift workers, such as offshore employees, pursue during their leisure time can influence the process of recovery from work-related fatigue, but little is known about these leisure time activities. OBJECTIVE To explore what leisure time activities are pursued that may be relevant to recovery for offshore employees. METHODS Sixty-one offshore working family men-20 night shift, 16 swing shift, and 25 day shift workers-reported on six predefined activities for 14 days following their offshore tours. Generalized estimating equations analysis was used to explore trends in the data. RESULTS From the start of the free period, almost all participants were involved in household chores and childcare; these activities declined over the 14 days. Throughout the study period, participants actively pursued social, volunteer, and leisure time physical activities. Work-related activities were pursued by half of the participants at some time during the 14 days. Night and swing shift workers were more physically active than day workers throughout the first 14 days of the free period. CONCLUSIONS The transition from offshore work to family life can be characterised as active. The activities engaged in by this sample of employees are likely to promote their recovery.
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Affiliation(s)
- Suzanne L Merkus
- Research group Work and Safety, International Research Institute of Stavanger, Stavanger, Norway.,Department of Public and Occupational Health, Amsterdam Public Health research institute, VU University Medical Center, Amsterdam, The Netherlands
| | - Maaike A Huysmans
- Department of Public and Occupational Health, Amsterdam Public Health research institute, VU University Medical Center, Amsterdam, The Netherlands.,Body@Work TNO VUmc, Research Center on Physical Activity, Work and Health, VU University Medical Center, Amsterdam, The Netherlands
| | - Kari Anne Holte
- Research group Work and Safety, International Research Institute of Stavanger, Stavanger, Norway
| | - Willem van Mechelen
- Department of Public and Occupational Health, Amsterdam Public Health research institute, VU University Medical Center, Amsterdam, The Netherlands.,Body@Work TNO VUmc, Research Center on Physical Activity, Work and Health, VU University Medical Center, Amsterdam, The Netherlands
| | - Allard J van der Beek
- Department of Public and Occupational Health, Amsterdam Public Health research institute, VU University Medical Center, Amsterdam, The Netherlands.,Body@Work TNO VUmc, Research Center on Physical Activity, Work and Health, VU University Medical Center, Amsterdam, The Netherlands
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Sickness Absence of Nurses Working in Residential Elder Care: The Essential Role of Psychosocial Job Resources and Home Demands. J Occup Environ Med 2018; 60:e445-e454. [PMID: 30020213 DOI: 10.1097/jom.0000000000001393] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVES To elucidate the role and pathways of psychosocial home demands, psychosocial home resources, and psychosocial job resources in relation to sickness absence among nurses working in residential elder care. METHODS Longitudinal (SEM) analyses with bootstrapping with a 1 year follow-up among 365 nurses were performed. Survey data and registered sickness absence data were used. RESULTS A complete mediation model showed the best fit. More psychosocial job resources (β = -1.50) like "work schedule fit with private life" predicted less and more psychosocial home demands (β = 0.62) predicted more psychosomatic health complaints. The job resources and home demands predicted sickness absence duration and episodes 1-year later mediated through nurses' health. CONCLUSIONS More attention is needed for nurses' work schedule fit with private life and their home demands to potentially reduce health-related sickness absence among nurses working in residential elder care.
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Guo F, Wang T, Ning Z. Subjective measures of work-related fatigue in automobile factory employees. Work 2018; 58:233-240. [PMID: 28922184 DOI: 10.3233/wor-172606] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND Work-related fatigue is common among automobile factory employees. OBJECTIVES The purpose of this study was to assess fatigue of employees at a Chinese automobile factory. METHODS 238 employees (119 engineers and 119 workers) participated in this study. The following questionnaires were completed: demographic survey questionnaire, working condition questionnaire (WCQ), functional assessment of chronic illness therapy-fatigue (FACIT-F), subscales of multidimensional fatigue inventory (MFI), and Pittsburgh sleep quality index (PSQI). RESULTS Both engineers and workers experienced fatigue. The workers (35.6 years old, SD = 6.7) generally felt more fatigue than engineers (42.6 years old, SD = 6.4). The engineers claimed to be more satisfied with the working conditions than workers. The WCQ showed good properties for assessing work-related factors, which were significantly correlated with fatigue (r = 0.568 for engineers and r = 0.639 for workers). For engineers, general fatigue was observed regularly and frequently, and for workers, physical fatigue usually had a long duration. CONCLUSIONS The fatigue was significantly correlated with work-related factors, especially working environment and monotony. For workers, the duration of the work day also affected their fatigue. Some improvements to the working condition in this automobile factory should be considered.
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Affiliation(s)
- Fu Guo
- School of Business Administration, Northeastern University, Heping District, Shenyang, P. R. China
| | - Tianbo Wang
- School of Business Administration, Northeastern University, Heping District, Shenyang, P. R. China
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Zion N, Drach-Zahavy A, Shochat T. Who is sleepier on the night shift? The influence of bio-psycho-social factors on subjective sleepiness of female nurses during the night shift. ERGONOMICS 2018; 61:1004-1014. [PMID: 29239697 DOI: 10.1080/00140139.2017.1418027] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/26/2017] [Accepted: 12/10/2017] [Indexed: 06/07/2023]
Abstract
Sleepiness is a common complaint during the night shift and may impair performance. The current study aims to identify bio-psycho-social factors associated with subjective sleepiness during the night shift. Ninety-two female nurses working rotating shifts completed a sociodemographic questionnaire, the Munich ChronoType Questionaire for shift workers, the Pittsburg Sleep Quality Index, and the Pre-sleep Arousal Scale. Subjective sleepiness was measured hourly during two night shifts using the Karolinska Sleepiness Scale, and activity monitors assessed sleep duration 24-h before each shift. Findings showed that increased sleepiness was associated with increased age in nurses with early chronotypes and with more children. High cognitive pre-sleep arousal, but not sleep, was associated with increased sleepiness, especially in late chronotypes. The impact of bio-psycho-social factors on night shift sleepiness is complex, and depends on mutual interactions between these factors. Nurses most prone to increased sleepiness must develop personal strategies for maintaining vigilance on the night shift. Practitioner Summary: This study aims to identify bio-psycho-social factors associated with subjective sleepiness of female nurses during the night shift. Increasing sleepiness was associated with increased age in nurses with early chronotypes and with more children. Increased cognitive pre-sleep arousal, but not sleep, was associated with increased sleepiness, especially in late chronotypes.
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Affiliation(s)
- Nataly Zion
- a Faculty of Social Welfare and Health Sciences, Cheryl Spencer Department of Nursing , University of Haifa , Haifa , Israel
- b Department of Pediatrics , Bnei Zion Medical Center , Haifa , Israel
| | - Anat Drach-Zahavy
- a Faculty of Social Welfare and Health Sciences, Cheryl Spencer Department of Nursing , University of Haifa , Haifa , Israel
| | - Tamar Shochat
- a Faculty of Social Welfare and Health Sciences, Cheryl Spencer Department of Nursing , University of Haifa , Haifa , Israel
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