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Related Experiment Videos

Fatigue and nurses' work patterns: An online questionnaire survey.

Philippa Gander1, Karyn O'Keeffe1, Edgar Santos-Fernandez1

  • 1Sleep/Wake Research Centre, Massey University, New Zealand.

International Journal of Nursing Studies
|July 19, 2019
PubMed
Summary
This summary is machine-generated.

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Shift work, particularly night shifts and extended hours, significantly increases nurses' fatigue and risk of errors. Improving shift scheduling and ensuring adequate rest are crucial for patient safety and nurse well-being.

Area of Science:

  • Nursing Practice and Patient Safety
  • Occupational Health and Fatigue Management

Background:

  • Shift work and long working hours in nursing are linked to compromised patient care, reduced nurse safety and health, increased turnover, and higher healthcare costs.
  • Fatigue is a significant occupational hazard for nurses, impacting their well-being and the quality of care provided.

Purpose of the Study:

  • To identify specific nurse work patterns associated with an elevated risk of fatigue-related outcomes.
  • To investigate the relationship between work schedules, sleep patterns, and fatigue-related errors or sleepiness in nurses.

Main Methods:

  • A national online survey was conducted among 3,133 registered and enrolled nurses working in public hospitals across six high-fatigue-risk areas.
  • The survey assessed demographics, work patterns, shift choices, and four fatigue-related outcomes: chronic sleep problems, excessive sleepiness, fatigue-related errors, and drowsy driving.
Keywords:
Chronic sleep problemsExcessive sleepinessFatigue among nursesManaging fatigue and shift workPatient safetySleepy drivingWork patterns

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Main Results:

  • Nurses reported higher rates of chronic sleep problems (37.7%) and excessive sleepiness (33.7%) compared to the general population.
  • 30.8% of nurses recalled fatigue-related errors, and 64.5% reported drowsy driving in the past year.
  • Increased night shifts, roster changes, and extended shifts (>30 min) were associated with higher fatigue risk, while adequate sleep and more shift choice reduced risk.

Conclusions:

  • Findings underscore the need for a comprehensive, adaptable fatigue management strategy integrating safety, scientific principles, and nursing expertise.
  • A data-driven, risk-focused approach is recommended to address fatigue, considering evolving healthcare demands and resources.