Work-Related Fatigue Among Inpatient Unit Nurses

Irman Somantri, Mia Yuliati, Peter Winwood, Dian Adiningsih

Abstract


Nurse fatigue has been recognized as a threat to both nurse and patient safety. Comparing to other units, inpatient unit has lower nurse to patient ratio. Inpatient unit nurses also work in shift and experience shift rotation. Thus make them more vulnerable to experience fatigue. The purpose of this study was to describe work-related fatigue among inpatient unit nurses. A cross-sectional, descriptive design with cluster sampling technique was used to 93 staffs nurses in six wards. Work-related fatigue was measured using Occupational Fatigue Exhaustion Recovery (OFER) scale. The data were analyzed using descriptive statistics. A total of 93 nurses provided their personal information details and fully completed self-reported fatigue and recovery questionnaire. The mean (±SD) scores were 56.55 (±15.56), 42.83 (±19.46), and 51.07 (±16.98) for acute fatigue, chronic fatigue, and intershift recovery, respectively. Perinatology unit nurses had the highest acute and chronic fatigue and the lowest intershift recovery. Less experienced nurses experienced lower acute fatigue level which tends to increase progressively with increasing experience and accompanied by poorer recovery. Nursing administrators should consider individual factors while planning staff placement in order to optimize quality of care and meet the job demands in every different unit.

Keywords


fatigue, inpatient unit, nurses

Full Text:

PDF

References


ANA. (2014). Addressing Nurse Fatigue to Promote Safety and Health: Joint Responsibilities of Registered Nurses and Employers to Reduce Risks.

Barker, L. M., & Nussbaum, M. A. (2010). Fatigue, Performance and the Work Environment: A Survey of Registered Nurses. Journal of Advanced Nursing, 1370–1382. https://doi.org/10.1111/j.1365-2648.2010.05597.x

Chen, J., Davis, K. G., Daraiseh, N. M., Pan, W., & Davis, L. S. (2014). Fatigue and recovery in 12-hour dayshift hospital nurses. Journal of Nursing Management, 22(5), 593–603. https://doi.org/10.1111/jonm.12062

Chua, S. S., Chua, H. M., & Omar, A. (2010). Drug administration errors in paediatric wards: A direct observation approach. European Journal of Pediatrics, 169(5), 603–611. https://doi.org/10.1007/s00431-009-1084-z

Chuang, C.-H., & Liu, Y. (2017). Nurses ’ Work-Related Fatigue and Related Factors. Virginia Henderson: Global Nursing e-Repository, 1–2. Retrieved from http://hdl.handle.net/10755/621477

CNA. (2010). Nurse Fatigue and Patient Safety.

CNA. (2012). Fact Sheet: Nurse fatigue.

Dorrian, J., Tolley, C., Lamond, N., van den Heuvel, C., Pincombe, J., Rogers, A. E., & Drew, D. (2008). Sleep and Errors in A Group of Australian Hospital Nurses at Work and During the Commute. Applied Ergonomics, 39(5), 605–613. https://doi.org/10.1016/j.apergo.2008.01.012

Fang, J., Kunaviktikul, W., Olson, K., Chontawan, R., & Kaewthummanukul, T. (2008). Factors influencing fatigue in Chinese nurses. Nursing and Health Sciences, 10(4), 291–299. https://doi.org/10.1111/j.1442-2018.2008.00407.x

Geiger-Brown, J., Rogers, V. E., Trinkoff, A. M., Kane, R. L., Bausell, R. B., & Scharf, S. M. (2012). Sleep, sleepiness, fatigue, and performance of 12-hour-shift nurses. Chronobiology International, 29(2), 211–219. https://doi.org/10.3109/07420528.2011.645752

Han, K., Trinkoff, A. M., & Geiger-Brown, J. (2014). Factors Associated with Work-Related Fatigue and Recovery in Hospital Nurses Working 12-Hour Shifts. Workplace Health & Safety, 62(10), 409–414. https://doi.org/10.3928/21650799-20140826-01

Kebede, G., Molla, M., & Sharma, H. R. (2012). Needle Stick and Sharps Injuries among Health Care Workers in Gondar City, Ethiopia. Safety Science, 50(4), 1093–1097. https://doi.org/10.1016/j.ssci.2011.11.017

Koren, H. (2005). Illustrated Dictionary and Resource Directory of Environmental and Occupational Health. CRC Press (2nd ed.). Florida.

Kurniawati, D., & Solikhah. (2012). Hubungan Kelelahan Kerja dengan Kinerja Perawat Di Bangsal Rawat Inap Rumah Sakit Islam Fatimah Kabupaten Cilacap. Kes Mas, 6(ISSN : 1978-0575), 162–232. Retrieved from journal.uad.ac.id/index.php/KesMas/article/download/1019/pdf

Lo, W. Y., Chiou, S. T., Huang, N., & Chien, L. Y. (2016). Long Work Hours and Chronic Insomnia are Associated with Needlestick and Sharps Injuries among Hospital Nurses in Taiwan: A national survey. International Journal of Nursing Studies, 64, 130–136. https://doi.org/10.1016/j.ijnurstu.2016.10.007

Maulana, H. C., Sitorus, R. J., & Hasyim, H. (2010). Hubungan Shift Kerja dengan Kelelahan Kerja dan Perubahan Tekanan Darah pada Perawat Unit Rawat Inap Rumah Sakit Bukit Asam Tanjungenim Tahun 2009. Jurnal Ilmu Kesehatan Masyarakat, 1(02 Juli 2010), 134–139.

Mcclelland, L. (2007). Examining the Effects of Fatigue on Decision- Making in Nursing : A Policy-Capturing Approach.

Nursalam. (2014). Manajemen Keperawatan (4th ed.). Jakarta: Salemba Medika.

O’Toole, M. T. (Ed.). (2013). Mosby’s Medical Dictionary (9th ed.). Missouri: Elsevier Mosby.

Pasupathy, K. S., & Barker, L. M. (2011). Impact of Fatigue on Performance in Registered Nurses : Data Mining and Implications for Practice. Journal for Healthcare Quality, 34(5), 22–30.

Rivera-Brown, A. M., & Frontera, W. R. (2012). Principles of Exercise Physiology: Responses to Acute exercise and Long-Term Adaptations to Training. Physical Medicine and Rehabilitation, 4(11), 797–804. https://doi.org/10.1016/j.pmrj.2012.10.007

Sahlin, C., Franklin, K. A., Stenlund, H., & Lindberg, E. (2009). Sleep in women: Normal values for sleep stages and position and the effect of age, obesity, sleep apnea, smoking, alcohol and hypertension. Sleep Medicine, 10(9), 1025–1030. https://doi.org/10.1016/j.sleep.2008.12.008

Scott, L. D., Engoren, C. A., & Engoren, M. C. (2014). Association of Sleep and Fatigue with Desicion Regret among Critical Care Nurses. American Journal of Critical Care, 23(1), 13–23. https://doi.org/http://dx.doi.org/10.4037/ajcc2014191

Seitz, M. A. (2016). Impact of Nurse Fatigue and Nursing Handoffs on Patient and Nurse Safety.

Vilia, A., Saftarina, F., & Ta, L. (2014). The Correlation between Shift Work and Work Fatigue on Nurses in Inpatient Installation Dr . H . Abdul Moeloek of Bandar Lampung General Hospital Hubungan Shift Kerja dengan Kelelahan Kerja pada Perawat di Instalasi Rawat Inap RSUD Dr . H . Abdul Moeloek. Jurnal Majority, 18–25.

Winwood, P. C., Lushington, K., & Winefield, A. H. (2006). Further development and validation of the Occupational Fatigue Exhaustion Recovery (OFER) scale. Journal of Occupational and Environmental Medicine, 48(4), 381–389. https://doi.org/10.1097/01.jom.0000194164.14081.06

Winwood, P. C., Winefield, A. H., Dawson, D., & Lushington, K. (2006). Development and Validation of a Scale to Measure Work-Related Fatigue and Recovery : American College of Occupational and Environmental Medicine, 47(6), 594–606. https://doi.org/10.1097/01.jom.0000161740.71049.c4

Winwood, P. C., Winefield, A. H., & Lushington, K. (2006). Work-related fatigue and recovery: The contribution of age, domestic responsibilities and shiftwork. Journal of Advanced Nursing, 56(4), 438–449. https://doi.org/10.1111/j.1365-2648.2006.04011.x

Winwood, Peter C., & Lushington, K. (2006). Disentangling the effects of psychological and physical work demands on sleep, recovery and maladaptive chronic stress outcomes within a large sample of Australian nurses. Journal of Advanced Nursing, 56(6), 679–689. https://doi.org/10.1111/j.1365-2648.2006.04055.x

Wolf, L. A., Perhats, C., Delao, A. M., & Clark, P. R. (2016). Workplace Aggression as Cause and Effect : Emergency Nurses ’ Experiences of Working Fatigued. International Emergency Nursing, 4. https://doi.org/10.1016/j.ienj.2016.10.006

Zhang, L., Sun, D., Li, C., & Tao, M. (2016). Influencing Factors for Sleep Quality Among Shift-working Nurses : A Cross-Sectional Study in China Using 3-factor Pittsburgh Sleep Quality Index. Asian Nursing Research, 10(4), 277–282. https://doi.org/10.1016/j.anr.2016.09.002

Zuraida, R., Iridiastadi, H., & Sutalaksana, I. Z. (2017). Indonesian Drivers’ Characteristics Associated with Road Accidents. International Journal of Technology, 2017(2), 311–319.




DOI: https://doi.org/10.24198/jnc.v3i3.22286

Refbacks

  • There are currently no refbacks.


Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

JNC is indexed on:

 

Redaksi Journal of Nursing Care:


Fakultas Keperawatan, Universitas Padjadjaran
Jalan Raya Bandung-Sumedang Km. 21 Jatinangor, Sumedang, Indonesia 45363
WA: 085314295890

Tlp. 022-7795596
Email: jnc.fkep@unpad.ac.id

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License

hit
counter