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Implementing a roundtable culture within a fatigue risk management system significantly reduced nurse leader stress and attrition. However, fatigue remains a persistent challenge in leadership roles.

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Area of Science:

  • Healthcare Management
  • Occupational Health
  • Quality Improvement

Background:

  • Nurse leader fatigue and stress are significant issues in tertiary healthcare.
  • Leader attrition negatively impacts healthcare organizations.
  • Effective fatigue risk management systems are crucial.

Purpose of the Study:

  • To develop and implement a roundtable culture within a fatigue risk management system.
  • To mitigate nurse leader fatigue and stress.
  • To assess strategies for fostering collaboration and reducing leader attrition.

Main Methods:

  • A quality improvement process was employed in a large, tertiary healthcare organization.
  • A roundtable culture was established as part of a fatigue risk management system.
  • Strategies for collaboration and attrition reduction were initiated and evaluated.

Main Results:

  • Measurable decreases in reported stress levels among nurse leaders were observed.
  • A reduction in leader attrition rates was documented.
  • Acute, chronic, and persistent fatigue remain ongoing challenges for leaders.

Conclusions:

  • A roundtable culture can effectively mitigate nurse leader stress and attrition.
  • Fatigue risk management requires ongoing attention and adaptation.
  • Further strategies are needed to address persistent fatigue in leadership roles.