Development and Validation of a Scale to Measure Work-Related Fatigue and Recovery: The Occupational Fatigue Exhaustion/Recovery Scale (OFER)

Winwood, Peter C.; Winefield, Anthony H.; Dawson, Drew; Lushington, Kurt

doi:10.1097/01.jom.0000161740.71049.c4

Cited by 250 publications

(321 citation statements)

References 53 publications

(32 reference statements)

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“…Furthermore, the nurses were not likely to sufficiently recover from their fatigue-related states during nonwork periods. Nurses with poorer intershift recovery (failure to recover from acute fatigue) are at greater risk than those with better recovery for becoming chronically fatigued 39 ; experiencing injuries, illnesses, and absenteeism 42 ; and making impaired decisions. 1 Acute and chronic sleep deprivation adversely affects cognitive function, 3,43 most noticeably working memory, alertness, attention, vigilance, and decision making.…”

Section: Discussionmentioning

confidence: 99%

“…When quartile cut points are used, the level of acute fatigue, chronic fatigue, and intershift recovery can be interpreted as low (0-25), low/moderate (26-50), moderate/high (51-75), and high (76-100). 39 The subscales of the instrument have documented internal reliability (Cronbach α > 0.84) and face, construct, and discriminant validity, with coefficients (Cronbach α) ranging from 0.77 (chronic) to 0.89 (intershift recovery). 38,39 The reliability coefficients obtained in the study reported here were similar (Cronbach α = 0.81-0.83).…”

Section: Samplementioning

confidence: 99%

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Association of Sleep and Fatigue With Decision Regret Among Critical Care Nurses

Scott

Arslanian‐Engoren

Engoren

2014

American Journal of Critical Care

106

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Background The effects of inadequate sleep on clinical decisions may be important for patients in critical care units, who are often more vulnerable than patients in other units. Fatigued nurses are more likely than well-rested nurses to make faulty decisions that lead to decision regret, a negative cognitive emotion that occurs when the actual outcome differs from the desired or expected outcome. Objectives To examine the association between selected sleep variables, impairment due to fatigue, and clinical-decision self-efficacy and regret among critical care nurses. Decision regret was the primary outcome variable. Methods A nonexperimental, descriptive design and extant measures were used to obtain data from a random sample of full-time nurses. Binary logistic regression models were used to examine the association between sleep variables, fatigue, and clinical-decision self-efficacy and regret. The discrimination of the models was compared with the C statistic, the area under the receiver operating characteristic curve. Results A total of 605 nurses returned the questionnaires (17% response rate). Among these, decision regret was reported by 157 of 546 (29%). Nurses with decision regret reported more fatigue, more daytime sleepiness, less intershift recovery, and worse sleep quality than did nurses without decision regret. Being male, working a 12-hour shift, and clinical-decision satisfaction were significantly associated with decision regret (C statistic, 0.719; SE, 0.024). Conclusion Nurses who experience impairments due to fatigue, loss of sleep, and inability to recover between shifts are more likely than unimpaired nurses to report decision regret.

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Section: Discussionmentioning

confidence: 99%

Section: Samplementioning

confidence: 99%

Association of Sleep and Fatigue With Decision Regret Among Critical Care Nurses

Scott

Arslanian‐Engoren

Engoren

2014

American Journal of Critical Care

106

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“…Recovery scale (OFER; Winwood et al, 2005). Nine items (i.e., "I often dread waking up to another day of my work") were rated on a five-point Likert scale (1 = strongly disagree, 5 = strongly disagree).…”

Section: Fatigue Was Measured As Chronic Fatigue Using the Occupationmentioning

confidence: 99%

Promoting personal resources and reducing exhaustion through positive work reflection among caregivers.

Clauß¹,

Hoppe²,

O’Shea³

et al. 2018

Journal of Occupational Health Psychology

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The aim of this study was to test the effects of a daily positive work reflection intervention on fostering personal resources (i.e., hope and optimism) and decreasing exhaustion (i.e., emotional exhaustion and fatigue) among caregivers for the elderly and caregivers who provide services at patients' homes. Using an intervention/waitlist control group design, 46 caregivers in an intervention group were compared with 44 caregivers in a control group at three points of measurement: Pre-intervention, post-intervention, and at a two-week follow-up. The results show that emotional exhaustion and fatigue were reduced for the intervention group. Primarily, caregivers with a high need for recovery at baseline benefited from the intervention. The results reveal no intervention effects for personal resources; however, they reveal a trend that the intervention led to an increase in hope and optimism among caregivers with a high need for recovery. Overall, the findings show that caregivers benefit from a daily positive work reflection intervention, particularly when their baseline levels of resources and well-being are low.

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“…The variables under study were measured with singular diary items, according to the premises of the Experience Sampling Method (ie, items were to measure states instead of constructs and mimic an internal dialogue) and thus needed to be short and easy to comprehend (32). Exhaustion was defined as a severe and stable form of fatigue that is no longer responsive to normal periods of rest and emerges only when fatigue becomes chronic (33)(34)(35). Exhaustion was measured by the statement "Right now I feel exhausted".…”

Section: Methodsmentioning

confidence: 99%

Influence of sleep on symptom improvement and return to work in clinical burnout

Sonnenschein¹,

Sorbi²,

Verbraak³

et al. 2008

Scand J Work Environ Health

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Development and Validation of a Scale to Measure Work-Related Fatigue and Recovery: The Occupational Fatigue Exhaustion/Recovery Scale (OFER)

Abstract: These studies confirm the mediating role of intershift-shift recovery in the evolution of adaptive end-of-shift fatigue states to maladaptive persistent fatigue traits. The OFER scale is suggested as a potentially valuable new tool for use in work-related fatigue research.

Cited by 250 publications

References 53 publications

Association of Sleep and Fatigue With Decision Regret Among Critical Care Nurses

Association of Sleep and Fatigue With Decision Regret Among Critical Care Nurses

Promoting personal resources and reducing exhaustion through positive work reflection among caregivers.

Influence of sleep on symptom improvement and return to work in clinical burnout

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