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Updated: May 12, 2025

Collecting Sleep, Circadian, Fatigue, and Performance Data in Complex Operational Environments
Published on: August 8, 2019
Fatigue and coping strategies among Chinese night-shift nurses: a cross-sectional study
Bin He1,2, Yanle Zhang3, Shengjun Qian2
1Department of Orthopedics, the Fourth Affiliated Hospital of School of Medicine, and International School of Medicine, International Institutes of Medicine, Zhejiang University, Yiwu, 322000, China.
Chinese night-shift nurses experience high chronic fatigue, often using ineffective personal strategies like naps and stimulants. Comprehensive interventions are needed to address nurse fatigue and improve well-being and patient safety.
Area of Science:
- Nursing Research
- Occupational Health
- Sleep Medicine
Background:
- Night-shift work is common in nursing but linked to significant nurse fatigue.
- Fatigue impacts nurse well-being and patient safety.
- Understanding fatigue and coping mechanisms is vital for interventions.
Purpose of the Study:
- Assess fatigue levels in Chinese night-shift nurses.
- Explore prevalent anti-fatigue strategies used by these nurses.
Main Methods:
- Cross-sectional study in Zhejiang Province, China.
- Occupational Fatigue Exhaustion/Recovery Scale (OFER) questionnaire used.
- Statistical analysis performed using SPSS 26.0.
Main Results:
- Chronic fatigue (66.41±24.17) exceeded acute fatigue (57.31±15.61).
- Higher education correlated with lower acute fatigue; older, experienced nurses and those in higher-grade hospitals reported less chronic fatigue.
- Naps (63.88%) and stimulants (54.72%), notably coffee (45.37%), were common coping strategies.
Conclusions:
- Chinese night-shift nurses face significant fatigue, particularly chronic.
- Fatigue is influenced by education, age, experience, exercise, and hospital grade.
- Individual coping strategies are insufficient, necessitating combined individual and organizational interventions.
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