Assessing the relationship between pediatric nurses' three-dimensional work fatigue and ethical blindness levels
Dilek Uysal1, Selda Yildiz2, Dilek Eryürük3
1Eskisehir Osmangazi University, Health Services Vocational School, Eskisehir, Turkey.
Insights
Pediatric nurses experience high work fatigue, which is linked to ethical blindness. Experience and job satisfaction may offer protection, highlighting the need for workload management and ethics education.
Area of Science:
- Nursing Research
- Occupational Health
- Bioethics
Background:
- Pediatric nurses face significant work fatigue due to demanding conditions.
- Work fatigue can impair ethical awareness, leading to ethical blindness.
- This study investigated the prevalence and relationship between work fatigue and ethical blindness in pediatric nurses.
Purpose of the Study:
- To assess work fatigue and ethical blindness levels in pediatric nurses.
- To examine the correlation between work fatigue and ethical blindness.
- To identify factors influencing ethical blindness in this population.
Main Methods:
- A descriptive, cross-sectional study was conducted in Turkey.
- Anonymous online questionnaires assessed work fatigue and ethical blindness.
- Data from 240 nurses were analyzed using descriptive and inferential statistics.
Main Results:
- High levels of work fatigue were reported, with ethical blindness being relatively low.
- Younger, less experienced nurses with lower job satisfaction showed higher ethical blindness.
- Pediatric intensive care nurses reported the highest work fatigue.
Conclusions:
- Professional motivation, career choice, and experience may mitigate ethical blindness.
- Workload regulation, support, and ethics education are crucial for pediatric nurses.
- Institutions should prioritize workload management and ethics training for professional development.
Background:
Pediatric nurses face heavy workloads, long shifts, inadequate staffing, and the emotional demands of caring for vulnerable children, leading to physical, emotional, and cognitive fatigue. Such fatigue may increase the risk of ethical blindness, defined as difficulty in recognizing or responding to ethical issues. This study aimed to assess levels of work fatigue and ethical blindness and to examine their relationship.
Methods:
A descriptive, cross-sectional study was conducted in Turkey between April and August 2025. Data were collected using an anonymous online questionnaire including the Three-Dimensional Work Fatigue Inventory and the Workplace Ethical Blindness Scale. Analyses were performed with descriptive and inferential statistics.
Results:
A total of 240 nurses participated, most aged 36-45 years with more than 11 years of experience. Overall, work fatigue was high, whereas ethical blindness was relatively low. Higher ethical blindness was observed among younger and less experienced nurses and those with lower professional satisfaction. Work fatigue was highest among pediatric intensive care nurses. Weak correlations were found between the routine dimension of ethical blindness and both physical and emotional fatigue.
Discussion:
Professional motivation, voluntary career choice, and long-term experience may protect against ethical blindness. Workload regulation, motivational support, and structured ethics education are recommended to reduce fatigue-related risks and support ethical pediatric nursing care.
Implications To Practice:
Institutions should implement workload management strategies and integrate regular ethics education and reflective practices into professional development.
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