Dimensions of Fatigue as Predictors of Performance: A Structural Equation Modeling Approach Among Registered Nurses

Evaluation of physically and mentally fatiguing tasks and sources of fatigue as reported by registered nurses

“…Nurse fatigue is defined typically based upon the type of work or behaviour that is the subject of analyses and is not uniquely defined in the nursing literature. It is often categorised into multiple dimensions, including physical fatigue, mental fatigue, compassion fatigue, emotional fatigue, alarm fatigue, total fatigue and other workrelated behaviours, environmental experiences and responses of nurses (Coetzee & Klopper 2010, Barker & Nussbaum 2011b, Barker Steege & Nussbaum 2012. A number of studies described levels of nurse fatigue across multiple dimensions and acute and chronic states, and investigated aspects of the work system that relate to fatigue (Lipscomb et al 2002, Rogers 2004, Rogers et al 2004a, Dorrian et al 2006, Barker & Pasupathy 2010, Trinkoff et al 2011a.…”

Optimal nurse scheduling based on quantitative models of work-related fatigue

“…Most of the work on nurse scheduling incorporates the financial aspects (cost of a given schedule) along with preferences of nurses (Bard and Purnomo, 2007;Wright et al, 2006); however, to the best of our knowledge there is no work that determines the nurse schedules by taking into account the fatigue accumulation over time. As mentioned in Section 2, fatigue has been linked to performance decrements and decreased well-being and satisfaction among nurses (Barker and Nussbaum, 2011;Barker Steege and Nussbaum, 2012;Yip, 2001;GeigerBrown et al, 2004;Lipscomb et al, 2004;Edell-Gustafsson et al, 2002;Josten et al, 2003;Taylor and Barling, 2004;Rogers et al, 2004;Carayon and Gurses, 2005) 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 FaƟgue AccumulaƟon Rate…”

“…Both fatigue and sleepiness have been linked to performance decrements and decreased well-being and satisfaction among nurses, with implications for patient and nurse safety, nurse injuries and wellness, and nurse recruitment and retention (Barker and Nussbaum, 2011;Barker Steege and Nussbaum, 2012;Yip, 2001;Geiger-Brown et al, 2004;Lipscomb et al, 2004;Edell-Gustafsson et al, 2002;Josten et al, 2003;Taylor and Barling, 2004;Rogers et al, 2004;Carayon and Gurses, 2005). The importance of fatigue in nursing has been acknowledged by the American Nurses Association in a resolution stating that work-related fatigue in nurses is a critical factor in efforts to improve patient safety, quality of care and nurse safety (Implications of Fatigue on Patient and Nurse Safety, 2005).…”

“…Total fatigue: a state that arises in nurses who are exposed to excessive mental and physical demands and stresses through their work tasks and schedules, and over time can result in these workers not being able to function at their normal capacity leading to an increased risk for injury or error (Barker Steege and Nussbaum, 2012;Pasupathy and Barker, 2011).…”

Hospital Nurse Force Theory

“…[12][13][14][15] Fatigue in nursing has been found to be multidimensional, with the presence of distinct fatigue types (eg, physical and mental fatigue) 12,16,17 that then also contribute significantly to a separate overall construct of total fatigue. Clinical use and application of conceptual models explaining the complexity of fatigue interactions are underreported in clinical practice.…”