The Occurrence of Work-related Fatigue and Job Satisfaction in Nursing Staff to the Quality of Care : A Cross-sectional Survey in North-East China

Abstract

BackgroundPoor quality of care would significantly increase adverse patient outcomes. Improving the quality of care is an urgent priority. The relationship between work-related fatigue and quality of care has not been systematically explored. This paper explores the occurrence of work-related fatigue, job satisfaction, and its relationship with quality of care.MethodsSelf-report questionnaires assessing work-related fatigue and job satisfaction were distributed among 1,299 nurses from 20 hospitals in North-Eastern China. Regression analysis was performed to assess the associations between work-related fatigue, job satisfaction, and quality of care. Mediate effect analysis was used to explore the mediating role of job satisfaction.ResultsApproximately 55% of nurses got moderate or severe work-related fatigue. The results from the t-test indicated that nurses with a high level of work-related fatigue were more prone to nursing errors. The mediation analysis showed that work-related fatigue indirectly affected the quality of care through job satisfaction (indirect effect: β 0.047, 95%Cl 0.040-0-054), while the direct effect was β 0.059, 95%Cl 0.050-0.068.ConclusionsThe present study concluded that more than half of the nurses surveyed were moderate to severe work-related fatigue. Nurses with a high level of work-related fatigue were likely to provide significantly more nursing errors. We confirmed that job satisfaction was a mediator for the relationship between work-related fatigue and quality of care. Therefore, hospitals managers and relevant management departments should consider work-related fatigue and job satisfaction among nurses to improve health services in the future.

Determinan Kelelahan Kerja pada Perawat di Ruang Rawat Inap RSUD DR. Soedarso Pontianak

“…Kecelakaan kerja dapat dipengaruhi oleh beberapa faktor salah satunya adalah kelelahan. Penelitian yang dilakukan Bi dan Chen, 2021 di Harbin, China menyatakan bahwa Perawat dengan tingkat kelelahan kerja yang tinggi cenderung memberikan lebih banyak kesalahan keperawatan secara signifikan (3). Sama halnya dengan penelitian yang dilakukan oleh Yuhyani, 2018 pada perawat di rawat inap RSUD H. Abdul Moeloek Provinsi Lampung yang menunjukkan ada hubungan antara kondisi fisik perawat dengan kecelakaan luka tusuk jarum suntik (4).…”

“…Kelelahan merupakan masalah yang harus mendapat perhatian serius. Penelitian di China yang melibatkan 1.299 perawat dari 20 rumah sakit di Cina Timur Laut menunjukkan bahwa sekitar 55% perawat mengalami kelelahan terkait pekerjaan sedang hingga berat (3). Pada penelitian lain yang dilakukan oleh De Oliveira dkk., 2021 juga menyatakan bahwa dari hasil analisis 1.406 artikel tentang kelelahan pada perawat di Brazil menunjukkan bahwa 43% perawat memiliki skor kelelahan yang tinggi (5).…”