A model for predicting acute and chronic fatigue in Chinese nurses

Fang, Jinbo; Qiu, Changjian; Xu, Huiqiong; You, Guiying

doi:10.1111/j.1365-2648.2012.06029.x

Cited by 34 publications

(64 citation statements)

References 50 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The levels of chronic fatigue, acute fatigue and inter‐shift recovery were examined in three studies (i.e. four articles) using the Occupational Fatigue Exhaustion Recovery scale (Barker & Nussbaum, ; Fang et al, ; Fang et al, ; Sagherian et al, ). One study measured the level of chronic fatigue using the Standard Shift Work Index (Ferri et al, ).…”

Section: Resultsmentioning

confidence: 99%

“…One article reported a significant relationship between the number of night and evening shifts and fatigue (Fang et al, ), with the number of night and evening shifts per month being positively associated with both acute and chronic fatigue, and negatively associated with inter‐shift recovery. However, four articles reported no significant relationship between the number of night shifts and fatigue (Eldevik et al, ; Fang et al, ; Flo et al, ; Jung & Lee, ). Fang et al () found that the number of night and evening shifts per month had only indirect effects on both acute and chronic fatigue as well as on inter‐shift recovery.…”

Section: Resultsmentioning

confidence: 99%

“…However, four articles reported no significant relationship between the number of night shifts and fatigue (Eldevik et al, ; Fang et al, ; Flo et al, ; Jung & Lee, ). Fang et al () found that the number of night and evening shifts per month had only indirect effects on both acute and chronic fatigue as well as on inter‐shift recovery. In their longitudinal study, Flo et al () found that pathological fatigue was not associated with either the number of night shifts in the past year at T1 or the increased or decreased number of night shifts between T1 and T2.…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Work schedule characteristics and fatigue among rotating shift nurses in hospital setting: An integrative review

Min

Hong

2019

J Nurs Manag

View full text Add to dashboard Cite

Aim To systematically evaluate the effect of work schedule characteristics on fatigue among shift nurses in hospital settings. Background The complexity and multidimensional nature of nursing work may lead to fatigue. This review mainly focused on work schedule characteristics that may mitigate the fatigue in nurses. Evaluation Six databases were searched, and eight relevant research articles published between 2000 and 2018 were identified. Key issues The reviewed articles provided evidence supporting the association of work schedule characteristics such as total working hours, overtime, shift length and number of monthly night and evening shifts with fatigue. In addition, studies provided evidence for the positive association between insufficient rest period between shifts and fatigue among shift nurses in hospital settings. Conclusion The reviewed studies provided mixed results regarding the associations between work schedule characteristics and nurse fatigue. However, quick returns and days called to work on days off were consistent factors contributing to nurse fatigue. More evidence is needed to arrive at a definitive conclusion about such relationships. Implication for nursing management Nursing managers and administrators need to carefully review current rotating shift system and examine its impact on nurse fatigue as well as ensure enough resting time when developing nurse schedules.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Work schedule characteristics and fatigue among rotating shift nurses in hospital setting: An integrative review

Min

Hong

2019

J Nurs Manag

View full text Add to dashboard Cite

show abstract

“…Although long working hours are not related to CFS, it might lead to lack of sleep and induced short‐term memory or impairment of concentration. Sleep insufficiency could also trigger mental problems (Zhai, Zhang, & Zhang, ) and aggravate fatigue symptoms (Fang, Qiu, Xu, & You, ). Our results indicated that Chinese nurses suffered more serious mental symptoms than physical symptoms.…”

Section: Discussionmentioning

confidence: 99%

Associations of occupational stress, workplace violence, and organizational support on chronic fatigue syndrome among nurses

Shu

Huang

et al. 2020

Journal of Advanced Nursing

View full text Add to dashboard Cite

Aims Chronic fatigue syndrome is an agnogenic disease worldwide. Nurses are at a high risk of chronic fatigue syndrome. However, no research has been done to examine the associations of workplace violence, organizational support, and occupational stress with chronic fatigue syndrome among Chinese nurses. This study aimed to examine effects of these factors on chronic fatigue syndrome in this occupational group. Design Cross‐sectional. All participants voluntarily completed a questionnaire survey. Methods The study was conducted in Liaoning province from December 2017–January 2018. Self‐administered questionnaires were distributed to 1,200 nurses, including Effort‐Reward‐Imbalance, Workplace Violence Scale, Survey of Perceived Organizational Support, together with age, gender, marital status, education levels, physical activities, job rank, monthly income, and weekly working hours. Complete responses were obtained from 1,080 (90%) participants. Chronic fatigue syndrome was diagnosed by doctors according to the Centers for Disease Control and Prevention criteria. Multivariable logistic regression was performed to examine these independent risk factors. Results The prevalence of chronic fatigue syndrome was 6.76%. The results of logistic regression analysis showed that nurses who experienced serious higher levels of overcommitment, workplace violence and less organizational support were more likely to be classified as chronic fatigue syndrome. Conclusion There was a high prevalence of chronic fatigue syndrome. Lower workplace violence, more organizational support and lower overcommitment could be effective resources for reducing chronic fatigue syndrome. Impact Workplace violence, organizational support, and occupational stress were related to chronic fatigue syndrome, which helped to explain why Chinese nurses suffered higher prevalence of chronic fatigue syndrome. Overcommitment explained chronic fatigue syndrome better than Effort/Reward Ratio, so intrinsic stress played a more critical role than extrinsic stress in chronic fatigue syndrome. Chinese nurses suffered serious sleep disorders and impairment of concentration and memory. These symptoms might also attribute to serious occupational stress, unsafe and unsupportive working environment. Creating a safe and supportive working environment, relieving intrinsic occupational stress should be considered as an institutional strategy to early prevent chronic fatigue syndrome.

show abstract

“…The OFER scale has previously been used to measure self-reported levels of fatigue among RNs (Chen, Davis, Daraiseh, Pan, & Davis, 2014;Fang, Qui, Xu, & You, 2013;Geiger-Brown et al, 2012). This 15-item instrument is comprised of three subscales: chronic fatigue, acute fatigue, and intershift recovery.…”

Section: Occupational Fatigue Exhaustion Recovery (Ofer) Scalementioning

confidence: 99%

Perception of clinical deterioration cues among medical‐surgical nurses

Orique

Despins

Wakefield

et al. 2019

Journal of Advanced Nursing

View full text Add to dashboard Cite

Aim To examine medical‐surgical nurses’ capacity and tendency to perceive cues indicating clinical deterioration and nursing characteristics influencing deterioration cue perception. Design Cross‐sectional, explorative study design. Methods Data were collected over 10 weeks between September–November 2017. Medical‐surgical nurses completed an online survey consisting of a demographic questionnaire, the Occupational Fatigue, Exhaustion Recovery scale and 50 detection trials. Descriptive statistics and statistical tests were used to describe and interpret data. Findings A significant association was found between nurses’ capacity and tendency to perceive deterioration cues. As nurses’ capacity to perceive deterioration cues increased, nurses were more likely to classify patient cues as indicators of deterioration. Fatigue, education, and certification were not identified as characteristics associated with deterioration cue perception. However, experience was observed to significantly influence nurses’ capacity to perceive deterioration cues based on levels of skills acquisition. Conclusion Study findings imply that future research should be directed at determining whether other individual factors and organizational system dynamics influence deterioration cue perception. Impact To better understand how nurses perceive deterioration cues, this study integrated concepts from the Situation Awareness model and Signal Detection Theory. Novice, advanced beginner and competent nurses were found to have a lower capacity to perceive deterioration cues compared with proficient and expert nurses. With simulation increasingly being used as a primary teaching modality in nursing, the development of a simulation‐based signal detection training intervention may be beneficial in enhancing deterioration cue perception.

show abstract

A model for predicting acute and chronic fatigue in Chinese nurses

Abstract: Acute and chronic fatigue is affected by different factors and nurse managers should generate specific interventions to decrease them.

Cited by 34 publications

References 50 publications

Work schedule characteristics and fatigue among rotating shift nurses in hospital setting: An integrative review

Work schedule characteristics and fatigue among rotating shift nurses in hospital setting: An integrative review

Associations of occupational stress, workplace violence, and organizational support on chronic fatigue syndrome among nurses

Perception of clinical deterioration cues among medical‐surgical nurses

Contact Info

Product

Resources

About