Health Care Worker Fatigue

Gardner, Lea Anne; Dubeck, Deborah

doi:10.1097/01.naj.0000490182.21432.85

Cited by 9 publications

(8 citation statements)

References 6 publications

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“…These results were confirmed through sensitivity analyses using several cutoff values for surgeon experience. Accordingly, studies have shown that moderate levels of fatigue produce higher levels of performance impairment compared to proscribed levels of alcohol intoxication [35] and that fatigue may cause medical incidences or accidents [36]. Moreover, evidence has suggested that unexpected challenges tended to emerge with technical immaturity and when introducing a new modality [37,38].…”

Section: Discussionmentioning

confidence: 99%

Safety assessment of robotic gastrectomy and analysis of surgical learning process: a multicenter cohort study

et al. 2022

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Background The safety of robotic gastrectomy (RG) for gastric cancer in daily clinical settings and the process by which surgeons are introduced and taught RG remain unclear. This study aimed to evaluate the safety of RG in daily clinical practice and assess the learning process in surgeons introduced to RG. Methods Patients who underwent RG for gastric cancer at Kyoto University and 12 affiliated hospitals across Japan from January 2017 to October 2019 were included. Any morbidity with a Clavien-Dindo classification grade of II or higher was evaluated. Moreover, the influence of the surgeon's accumulated RG experience on surgical outcomes and surgeon-reported postoperative fatigue were assessed. Results A total of 336 patients were included in this study. No conversion to open or laparoscopic surgery and no inhospital mortality were observed. Overall, 50 (14.9%) patients developed morbidity. During the study period, 14 surgeons were introduced to robotic procedures. The initial five cases had surprisingly lower incidence of morbidity compared to the following cases (odds ratio 0.29), although their operative time was longer (+ 74.2 min) and surgeon's fatigue scores were higher (+ 18.4 out of 100 in visual analog scale). Conclusions RG was safely performed in actual clinical settings. Although the initial case series had longer operative time and promoted greater levels of surgeon fatigue compared to subsequent cases, our results suggested that RG had been introduced safely.

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Section: Discussionmentioning

confidence: 99%

Safety assessment of robotic gastrectomy and analysis of surgical learning process: a multicenter cohort study

et al. 2022

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“…24 Medication, diagnostic, and procedural errors are the most common errors that occur as a result of health care worker fatigue. 25…”

Section: Potential Impact On Patient Carementioning

confidence: 99%

The Health of Health Care Professionals

Holtzclaw

Arlinghaus

Johnston

2020

American Journal of Lifestyle Medicine

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Health care professionals represent a population at high risk for poor health. Although this may be counterintuitive given their expertise in health, the high stress and long hours of many medical work environments present challenges for health care professionals to engage in healthy lifestyle behaviors. This is extremely problematic for the health and well-being of both health care professionals and the patients they treat. Medical settings are encouraged to implement interventions that intervene at both the enviornmental and personal level to help faciliate behavior change among health care providers.

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“…[3][4][5] Fatigue among nurses is particularly important because of its negative impact on performance. 3,6 Fatigue is associated with errors in various patient care activities, including medication administration. 6,7 Fatigue reduces cognitive and physical abilities not only threatening patient safety but also personal safety [5][6][7][8] and has been attributed to 13% of all workplace injuries.…”

mentioning

confidence: 99%

“…3,6 Fatigue is associated with errors in various patient care activities, including medication administration. 6,7 Fatigue reduces cognitive and physical abilities not only threatening patient safety but also personal safety [5][6][7][8] and has been attributed to 13% of all workplace injuries. 8 Furthermore, fatigue negatively affects quality of life for nurses.…”

mentioning

confidence: 99%

Can Nurses Self-Assess Fatigue?

Cochran¹,

Letvak²,

McCoy³

et al. 2021

JONA: The Journal of Nursing Administration

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The aims of this study were to describe nurses' self-perceptions of fatigue and to examine nurses' acceptance of specific fatigue countermeasures. BACKGROUND: The work of nurses places them at a high risk of fatigue. Evidence suggests 75% to 80% of nurses in the United States experience high levels of fatigue. METHODS: This descriptive, cross-sectional correlational study surveyed 279 nurses. RESULTS: Results suggest that almost half of nurses (46%) are not able to accurately self-assess fatigue. Nurses expressed acceptance of several workplace fatigue reduction strategies. CONCLUSIONS: It may be unrealistic to expect nurses to self-assess fatigue levels and make decisions about their ability to safely provide patient care. Reliable methods for assessing fatigue in the workplace are needed. Several strategies exist that may be used to alleviate fatigue, and many were acceptable to nurses. Nurse leaders are well positioned to implement changes that impact the occurrence of nurse fatigue and thereby the quality of patient care.

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Health Care Worker Fatigue

Cited by 9 publications

References 6 publications

Safety assessment of robotic gastrectomy and analysis of surgical learning process: a multicenter cohort study

Safety assessment of robotic gastrectomy and analysis of surgical learning process: a multicenter cohort study

The Health of Health Care Professionals

Can Nurses Self-Assess Fatigue?

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