An Integrative Review

Cheryl A. Smith‐Miller · Julia Shaw‐Kokot · Brooke Curro · Cheryl Bland Jones

133 citations0/0 files storedJONA The Journal of Nursing Administration

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Sleep and Work-Related Fatigue Nursing education and management Healthcare professionals’ stress and burnout

Abstract

OBJECTIVE: The aim of this study was to examine current research related to nurse fatigue and identify effective prevention strategies. BACKGROUND: Work-related fatigue negatively affects patient safety and nurses' well-being and increases employer costs. Preventing fatigue and minimizing its negative consequences require knowledge of the contributing factors if effective interventions are to be designed and implemented. METHODS: This review targeted original research (2002-2013) examining fatigue among nurses working in acute care settings. RESULTS: Nurses experience high rates of fatigue. Shifts longer than 12 hours contribute to increased fatigue and errors, but the evidence was inconsistent with regard to age and fatigue level. Individual lifestyle, unit culture, and organization policies influence the prevalence and intensity of work-related fatigue. CONCLUSIONS: Preventing work-related fatigue requires multifaceted approaches involving the organization, the clinical unit, and the individual.

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References

2011GRADE guidelines: 3. Rating the quality of evidence 2000Moderate sleep deprivation produces impairments in cognitive and motor performance equivalent to legally prescribed levels of alcohol intoxication 2005Distinguishing sleepiness and fatigue: focus on definition and measurement 2007Fatigue in the U.S. Workforce: Prevalence and Implications for Lost Productive Work Time 2006Effects of Critical Care Nurses’ Work Hours on Vigilance and Patients’ Safety 2011Fatigue, performance and the work environment: a survey of registered nurses 2012Sleep, Sleepiness, Fatigue, and Performance of 12-Hour-Shift Nurses 2006Work‐related fatigue and recovery: the contribution of age, domestic responsibilities and shiftwork

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