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Overwork Among ICU Nurses: Identification of Risk Factors.

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Nearly 85% of intensive care unit (ICU) nurses in China are overworked, with factors like employment type and professional identity contributing significantly. Nurse managers must implement strategies to support nurses and prevent overwork.

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Area of Science:

  • Nursing
  • Occupational Health
  • Healthcare Management

Background:

  • Overwork in healthcare professionals, characterized by extended hours and high pressure, negatively impacts health.
  • Limited research exists on the prevalence, characteristics, and contributing factors of overwork among intensive care unit (ICU) nurses.
  • Understanding overwork is crucial for maintaining nurse well-being and patient safety in critical care settings.

Purpose of the Study:

  • To describe the current prevalence and characteristics of overwork among ICU nurses in China.
  • To identify key predictors associated with overwork in this population.
  • To provide evidence-based recommendations for mitigating overwork.

Main Methods:

  • A cross-sectional study design was employed.
  • Validated instruments including the Professional Identification Scale for Nurses, Practice Environment Scale of the Nursing Work Index, and Overwork Related Fatigue Scale (ORFS) were utilized.
  • Statistical analyses, including univariate, bivariate correlations, and multiple regression, were performed to explore relationships and identify predictors.

Main Results:

  • A high prevalence of overwork was observed, with approximately 85% of ICU nurses categorized as overworked.
  • Of those overworked, 30% experienced moderate to severe levels of fatigue.
  • Significant predictors of overwork included gender, employment status, stress from technological advancements, professional identity, and the nursing work environment, collectively explaining 36.6% of the variance in ORFS scores.

Conclusions:

  • Overwork is a prevalent issue among ICU nurses in China, highlighting a critical need for intervention.
  • Factors such as professional identity and work environment significantly influence nurse overwork.
  • Nurse managers should proactively develop and implement targeted strategies to support ICU nurses and prevent overwork, thereby improving nurse well-being and retention.