Effects Of Fatigue Research Articles

Mental Fatigue in Sport-From Impaired Performance to Increased Injury Risk.

The literature describing the effects of mental fatigue (MF) has grown tremendously. This is accompanied by identification of a host of performance-determining parameters affected by MF. MF results from prolonged cognitive effort and predominantly affects physical, technical, tactical, and perceptual-cognitive dimensions of sport, while physiological parameters (eg,heart rate, lactate) and physical aspects of maximal and supramaximal efforts are predominantly unaffected. The aim of this paper was to provide an overview of the parameters described in the literature as influenced by MF. By identifying the different parameters, we not only see how they affect the performance of athletes but also raise concerns about the potentially increased injury risk due to MF. Preliminary evidence suggests that subsequent disturbances in balance, motor skills, and decision-making processes could potentially increase the vulnerability to injury. An abundance of lab-based studies looked into the effects of MF on performance; however, many questions remain about the mechanisms of origin and neurophysiological causes of MF, and only small steps have been taken to translate this knowledge into practice. Thus, there is a need for more research into the underlying mechanisms of MF and the role of the brain, as well as more applied research with a high ecological validity that also takes into account the potential increased risk of injury due to MF.

Mental fatigue mediates the relationship between qi deficiency and academic performance among fifth-grade students aged 10-13 years.

Health has effects on children's academic performance. Qi deficiency is generally used to assess an individual's health in the Chinese traditional medicine theory. This study explores the effects of qi deficiency on children's academic performance and examines whether mental fatigue mediates these effects. A total of 550 students aged 10-13 in fifth-grade were surveyed in a big primary school in Sichuan Province in November 2023 using paper-pencil-based questionnaires. Qi deficiency and mental fatigue were assessed, and exam scores in Chinese and Mathematics were recorded. Pearson's correlation and linear regression analyses were used to test the mediation model and hypotheses. The fifth-grade students had mild qi deficiency (M = 2.09) and a mild state of mental fatigue (M = 2.38) on a five-point Likert scale. The average exam scores in Mathematics and Chinese were 70.07 and 74.44 points out of 100, respectively. Qi deficiency was associated with Mathematics scores (r = -0.37, p < 0.01) and Chinese scores (r = -0.30, p < 0.01), and mental fatigue (r = 0.47, p < 0.01). Furthermore, mental fatigue was associated with Mathematics scores (r = -0.46, p < 0.01) and Chinese scores (r = -0.34, p < 0.01). Linear regression analyses showed that qi deficiency significantly predicted Mathematics scores (β = -0.26, p < 0.01), Chinese scores (β = -0.19, p < 0.01), and mental fatigue (β = 0.41, p < 0.01). When qi deficiency was controlled for, mental fatigue significantly predicted Mathematics scores (β = -0.28, p < 0.01) and Chinese scores (β = -0.17, p < 0.01). The mediation model and hypotheses were well supported, indicating that mental fatigue mediated the influence of qi deficiency on academic performance of fifth-grade students. Furthermore, the mediation effect of mental fatigue on Mathematics scores was a little stronger than that on Chinese scores.

EEG Information Transfer Changes in Different Daily Fatigue Levels During Drowsy Driving.

A significant issue for traffic safety has been drowsy driving for decades. A number of studies have investigated the effects of acute fatigue on spectral power; and recent research has revealed that drowsy driving is associated with a variety of brain connections in a specific cortico-cortical pathway. In spite of this, it is still unclear how different brain regions are connected in drowsy driving at different levels of daily fatigue. This study identified the brain connectivity-behavior relationship among three different daily fatigue levels (low-, median- and high-fatigue) with the EEG data transfer entropy. According to the results, only low- and medium-fatigue groups demonstrated an inverted U-shaped change in connectivity from high performance to poor behavioral performance. In addition, from low- to high-fatigue groups, connectivity magnitude decreased in the frontal region and increased in the occipital region. These study results suggest that brain connectivity and driving behavior would be affected by different levels of daily fatigue.

"Left on read" examining social media users' lurking behavior: an integration of anxiety and social media fatigue.

With the widespread use of social media, the behavior and mindset of users have been transformed, leading to a gradual increase in lurking users, which can impede the sustainable development of social media platforms. In this study, we aim to investigate the impact of intrinsic and extrinsic motivational factors on social media users' anxiety, social media fatigue, and lurking behavior. For the confirmation of these phenomena and to validate the theories, a structural equation model was constructed based on the SSO (Stressor-Strain-Outcome) theoretical framework. The model was then tested and validated with data from 836 valid online surveys. These data were analyzed using SPSS 27.0 and AMOS 24.0 software. The results indicate that intrinsic motivations (such as social comparison and privacy concerns) and extrinsic motivations (including information overload, functional overload, and social overload) are positively associated with users' lurking behavior through the mediating effects of social media fatigue and anxiety. Additionally, for the mediator variables, social media fatigue was found to be positively associated with anxiety. These findings underscore the importance of social media platforms considering both intrinsic and extrinsic motivational factors to mitigate user anxiety and social media fatigue. By addressing these factors, platforms can foster user satisfaction and increase engagement, ultimately contributing to the sustainable development of social media platforms.

Effect of Lower Limb Muscle Fatigue on Dynamic Balance Performance in Healthy Young Adults: Role of Arm Movement.

There is evidence that balance performance deteriorates due to exercise-induced muscle fatigue. However, it is unknown if free arm movement during balance testing can compensate for, or restricted arm movement can amplify these performance degradations. Thus, the objective of this study was to compare the effects of free versus restricted arm movement on balance performance under non-fatigued and fatigued conditions. Fifty-two healthy participants (men=31, women=21; age=22.6±1.6 years) were assessed for their dynamic balance (reach distances for the Y Balance Test - Lower Quarter) under non-fatigued and fatigued (repetitive vertical bipedal box jumps until failure) conditions using two different arm positions: free (move the arms freely) and restricted (keep the arms akimbo) arm movement. Restriction of arm movement (all p< 0.001; 0.48≤ η p 2 ≤0.79) and application of fatigue ( p≤ 0.003; 0.16≤ η p 2 ≤0.28) independently, but not the interaction between the two (except for the posteromedial reach direction: p= 0.046; η p 2 =0.08) , resulted in significantly deteriorated lower limb reach distances. These findings suggest that free arm movement and thus the use of an 'upper body strategy' has no compensatory effect on muscle fatigue-induced balance deteriorations.

Correlation between postural stability and fall risk in trans-femoral amputees due to muscle fatigue.

[Purpose] This study aimed to establish a connection between postural stability and falling in individuals with transfemoral amputation (TFA), particularly with muscle fatigue. [Participants and Methods] Fourteen participants were recruited. Muscle fatigue was induced using a sit-to-stand (STS) fatigue protocol. Pre-fatigue and post-fatigue assessments were conducted using the Biodex Balance System (BBS). [Result] The findings of the study revealed significant increases in the postural stability index between the pre-fatigue and post-fatigue conditions for the TFA group, particularly in the overall stability index (OSI) and anterior-posterior stability index (APSI) components. The mean postural stability index scores for the TFA group exhibited a percentage increase of 65.2% for OSI, 52.7% for APSI, and 50% for medial-lateral stability index (MLSI). Furthermore, the TFA fall risk index surged by 61.4%. Regarding the relationships observed, a significant correlation emerged between fall risk and both OSI and APSI. [Conclusion] These findings underscore the impact of muscle fatigue on postural stability and an increase in fall risk among TFA. By mitigating the effects of muscle fatigue, therapists can play an important role in reducing the risk of falls and promoting better postural stability in this population.

Comparing the Efficacy and Side Effect Profiles of Pazopanib and Sunitinib in the Treatment of Advanced Renal Cell Carcinoma: A Narrative Literature Review

Background: Renal Cell Carcinoma (RCC) is the most common form of kidney cancer, accounting for approximately 85% of all kidney malignancies [1, 3]. Targeted therapies such as Pazopanib and Sunitinib, which inhibit the vascular endothelial growth factor (VEGF) pathway, have become integral to the management of metastatic RCC [4, 5]. Despite their similar mechanisms of action, these agents differ in their side effect profiles, which presents important considerations for patient tolerability and quality of life (QoL) [11, 12]. Objectives: This literature review aims to compare the efficacy and side effect profiles of Pazopanib and Sunitinib in treating advanced or metastatic RCC, providing a synthesis of the current evidence to guide clinicians in optimizing treatment strategies based on patient-specific factors. Methods: A narrative literature review was conducted using a descriptive synthesis approach. Relevant studies from 2006 to 2024 were identified in PubMed, Cochrane Library, and EMBASE. Randomized controlled trials (RCTs) and observational cohort studies were included, with a focus on identifying trends in efficacy and side effect profiles. Conclusion: Pazopanib and Sunitinib provide comparable efficacy in treating advanced RCC, though they differ significantly in their side effect profiles. Pazopanib is generally better tolerated, particularly in reducing fatigue, hand-foot syndrome, and mucosal side effects. In contrast, Sunitinib may be more suitable for patients with concerns about hypertension or hepatotoxicity. Clinicians should carefully balance efficacy with patient-specific tolerability when selecting between these agents. Further research should focus on combination therapies and long-term safety profiles.

From a Clustering of Adverse Symptoms after Colorectal Cancer Therapy to Chronic Fatigue and Low Ability to Work: A Cohort Study Analysis with 3 Months of Follow-Up.

In colorectal cancer (CRC) patients, apart from fatigue, psychological and physical symptoms often converge, affecting their quality of life and ability to work. Our objective was to ascertain symptom clusters within a year following CRC treatment and their longitudinal association with persistent fatigue and reduced work ability at the 3-month follow-up. We used data from MIRANDA, a multicenter cohort study enrolling adult CRC patients who are starting a 3-week in-patient rehabilitation within a year post-curative CRC treatment. Participants completed questionnaires evaluating symptoms at the start of rehabilitation (baseline) and after three months. We performed an exploratory factor analysis to analyze the clustering of symptoms at baseline. Longitudinal analysis was performed using a multivariable linear regression model with dichotomized symptoms at baseline as independent variables, and the change in fatigue and ability to work from baseline to 3-month-follow-up as separate outcomes, adjusted for covariates. We identified six symptom clusters: fatigue, gastrointestinal symptoms, pain, psychosocial symptoms, urinary symptoms, and chemotherapy side effects. At least one symptom from each factor was associated with higher fatigue or reduced ability to work at the 3-month follow-up. This study highlights the interplay of multiple symptoms in influencing fatigue and work ability among CRC patients post-rehabilitation.

Failure distribution and reliable analysis of ferroelectric ceramics under pulsed electric field

Dielectric breakdown at high electric field plays an important role in the application of ferroelectric ceramics. In this paper, the failure probability versus electric shock time of ferroelectric ceramics under positive pulse electric field is analyzed statistically. The failure probability distribution of ceramics after 10 electric shocks is studied. Piezoelectric constant, &lt;i&gt;P-E&lt;/i&gt; loop of ferroelectric ceramics after 10 thousand electric shocks are measured and the breakdown mechanism is discussed. The results indicate that the relation between failure probability and electric shock number of ferroelectric ceramics is shown by a bath-tube curve and the failure probability of samples after 10 electric shocks decreases by 4 orders of magnitudes compared with that of origin sample. According to the results of piezoelectric constant and &lt;i&gt;P-E&lt;/i&gt; loop, the samples subjected to positive pulse electric field many times do not show obvious fatigue or aging effect. So pulse electric field loading at 4.5 kV/mm is close to non-destructive condition. Considering the spread speed of cracks, it can be found that the rupture of ferroelectric ceramics under pulsed electric field roots from extension and connection of multi-cracks from multi-defects.

Perceptual Health and Wellbeing, Self‐Reported Sleep, and Hydration Status in Youth Soccer Players During Competition

Introduction: The aim of this study was to assess match time courses on hydration, wellness, and sleep as well as the interrelationship between these variables in youth national soccer players.Materials and Methods: Under‐17 and under‐19 youth national soccer players (age range: 16.96 ± 1.17 years) completed a perceptual wellness questionnaire, self‐reported their sleep, and carried out hydration assessments each morning during a period of competitive match play.Results: Players reported having significantly more sleep leading into the day of a match (MD) compared to both the evening after a match (MD‐2; p &lt; 0.001; CI = 7.972 and 8.212) and the evening before a match (MD‐1; p &lt; 0.001; CI = 7.996 and 8.174). Furthermore, players reported better health and wellbeing scores on MD compared to both MD‐1 (p &lt; 0.001; CI = 19.231 and 19.692) and MD‐2 (p &lt; 0.001; CI = 18.911 and 19.489). When self‐reported sleep was correlated with the individual components of health and wellbeing, it was highlighted that there were significant effects for fatigue (r = 0.304, p &lt; 0.001; CI = 0.250 and 0.383), mood (r = 0.170, p &lt; 0.001; CI = 0.112 and 0.243), general muscle soreness (r = 0.225, p &lt; 0.001; CI = 0.162 and 0.306), and stress (r = 0.203, p &lt; 0.001; CI = 0.147 and 0.274).Conclusion: It is important to consider sleep strategies to mitigate the potential impact of lack of sleep following match play. Self‐reported sleep seems to be appropriate for estimating individual components of health and wellbeing, and therefore may be a suitable replacement for perceptual wellness questionnaires.

Enhancing SSVEP-BCI Performance Under Fatigue State Using Dynamic Stopping Strategy.

Steady-state visual evoked potential (SSVEP)-based brain-computer interfaces (BCIs) have emerged as a prominent technology due to their high information transfer rate, rapid calibration time, and robust signal-to-noise ratio. However, a critical challenge for practical applications is performance degradation caused by user fatigue during prolonged use. This work proposes novel methods to address this challenge by dynamically adjusting data acquisition length and updating detection models based on a fatigue-aware stopping strategy. Two 16-target SSVEP-BCIs were employed, one using low-frequency and the other using high-frequency stimulation. A self-recorded fatigue dataset from 24 subjects was utilized for extensive evaluation. A simulated online experiment demonstrated that the proposed methods outperform the conventional fixed stopping strategy in terms of classification accuracy, information transfer rate, and selection time, irrespective of stimulation frequency. These findings suggest that the proposed approach can significantly improve SSVEP-BCI performance under fatigue conditions, leading to superior performance during extended use.

Exercise-Induced Central Fatigue: Biomarkers, and Non-Medicinal Interventions.

Fatigue, commonly experienced in daily life, is a feeling of extreme tiredness, shortage or lack of energy, exhaustion, and difficulty in performing voluntary tasks. Central fatigue, defined as a progressive failure to voluntarily activate the muscle, is typically linked to moderate- or light-intensity exercise. However, in some instances, high-intensity exercise can also trigger the onset of central fatigue. Exercise-induced central fatigue often precedes the decline in physical performance in well-trained athletes. This leads to a reduction in nerve impulses, decreased neuronal excitability, and an imbalance in brain homeostasis, all of which can adversely impact an athlete's performance and the longevity of their sports career. Therefore, implementing strategies to delay the onset of exercise-induced central fatigue is vital for enhancing athletic performance and safeguarding athletes from the debilitating effects of fatigue. In this review, we discuss the structural basis, measurement methods, and biomarkers of exercise-induced central fatigue. Furthermore, we propose non-pharmacological interventions to mitigate its effects, which can potentially foster improvements in athletes' performances in a healthful and sustainable manner.

Bi-Objective Job-Shop Scheduling Considering Human Fatigue in Cobotic Order Picking Systems: A Case of an Online Grocer

Increasing online retail has resulted in increased automation in order picking systems, leading to new challenges and opportunities in task scheduling. The job-shop scheduling problem is an optimization problem essential in such systems, but existing JSP literature often overlooks workplace fatigue, which harms employees’ well-being and costs U.S. employers up to €127 billion annually. In this work, we propose fatigue consideration in the job-shop scheduling problem in a cobotic order picking system to mitigate its negative effects. We present a new bi-objective mixed integer nonlinear programming problem formulation that considers worker fatigue and productivity during schedule optimisation. To put the results of simulated optimisation in perspective, we experimentally validate the fatigue model and scheduling results in a real operation. The mathematical model finds solutions that conventional single-objective optimisation cannot, allowing fractional fatigue distribution improvements more than 4x larger than the decrease in productivity they require in 53% of the considered virtual cases. The experiments show that our predictive fatigue model has an average RMSE of 2.20 kcal/min in estimating energy expenditure rates compared to heart rate measurements. It also shows a low correlation, meaning it is unfit for application. On the other hand, fatigue-conscious schedules show no clear benefit regarding measured and perceived fatigue. However, the scheduling model could also use heart rate measurements that do not show these inaccuracies. Our study highlights the need to further develop and validate the mathematical formulation and fatigue model and extend to other human factors and indirect fatigue effects.

Influence of microstructure on thermal fatigue effect of laminated tungsten based plasma-facing material

The response of tungsten (W) to thermal shock loading, as the best candidate for plasma-facing material (PFM), is an important issue in the research of future fusion devices. Under thermal loading, thermal irradiation damage, including brittle cracking and fatigue cracking, occurs on the surface of tungsten based plasma-facing material (W-PFM). In this work, a new scheme to suppress the thermal irradiation damage to W-PFM, i.e. the laminated structure W-PFM scheme, is proposed. Thermal fatigue experiments of laminated structure W composed of W foils with different thickness and heat treatment processes are carried out by using an electron beam device. The samples are subjected to thermal pulses with a power density of 48 MW/m&lt;sup&gt;2&lt;/sup&gt; for 5000 cycles. The results indicate that the crack damage to the surface of the laminated structure W decreases with the decrease of the thickness of W foils under the same heat treatment conditions. The main cracks are produced on the surface of laminated structure W after cyclic thermal loads have been all approximately parallel to the foil thickness direction. Only the main cracks appear on the surfaces of W foils with a smaller thickness, while crack networks develop on the surfaces of W foils with a larger thickness , in addition to the main cracks with a larger width. In the rolled state, the laminated structure W has the lowest degree of surface plastic deformation for the same thickness. The thermal fatigue crack damage to the surface is quantitatively analyzed by using computer image processing software and analysis software, and scanning electron microscope images of the thermal damage area are finally selected. It is found that the de-stressed state W has the smallest crack area and the smallest number of cracks for the same thickness, indicating that the de-stressed state W has the strongest resistance to irradiation damage. The experimental results also show that in addition to the effect of microstructure, both the uniaxial stress state and the crack-blocking mechanism of the laminated structured W-PFM contribute to the improvement of its thermal fatigue performance.

Water, lava, and wind

Abstract Small unmanned aerial systems (sUAS) are used more regularly and widely in disaster response. Like other personnel involved in disaster response, the sUAS pilots work for long periods, experience extreme stress and fatigue. They often arrive at the disaster fatigued (due to long drives to get there). However, unlike other personnel in this domain, there is little research on the effects of fatigue on sUAS pilots. Our experiences with a series of three real-world deployments highlight the challenges of conducting human factors research during disaster response and recovery. We specifically present lessons learned from having participant researchers embedded in three disasters with the sUAS pilot teams. These lessons result in a set of feasible and non-interruptive methods and metrics for conducting human factors research during field events. Preliminary results and recommended next steps are presented.

The mediation effect of treatment fatigue in the association between memory and health-related quality of life in men with HIV who have sex with men

Approximately half of all adults living with the Human Immunodeficiency Virus (HIV) experience cognitive alterations related to difficulties in treatment adherence and, therefore, to a significant decrease in quality of life. In this sense, new studies are needed to identify potential mediators related to treatment in this association, such as treatment fatigue. This fact is especially important in at specific groups of individuals with HIV, namely men with HIV who have sex with men (MSM). The objective of this study was to analyze the association between cognitive functioning, Health-Related Quality of Life (HRQoL), and treatment fatigue in MSM with HIV. A cross-sectional study was developed with a sample of 70 MSM, from the Infectious Diseases Unit of the General University Hospital of Alicante (Spain). Participants completed questionnaires related to sociodemographic data, HRQoL, and treatment fatigue in an initial phase; in a second phase, they were administered a computerized cognitive evaluation. Our results demonstrate a significant relationship between a lower cognitive performance in the memory domain and worse HRQoL. Mediation analysis has revealed the total mediation effect of treatment fatigue, specifically, the treatment cynicism domain, on this relationship. This mediation effect remained significant after controlling the sociodemographic and clinical HIV-related variables in the model. No significant mediation effects of the rest of evaluated cognitive domains (attention, perception, reasoning, or coordination) were found in this relationship. The results of this study highlight how MSM with a significant deterioration of memory are at greater risk of developing high levels of treatment fatigue, and, therefore, a lower adherence to the same and a significant deterioration in their HRQoL.

Predicting survival time for cold exposure by thermoregulation modeling

BackgroundExtreme temperatures are becoming increasingly common due to global warming. Extreme cold and heat events lead to an increase in mortality rates. More deaths occur in cold weather as a result of hypothermia. However, the change progress of body core temperature and the survival time during cold exposure has yet to be extensively studied. ObjectivesTo establish a mathematical thermoregulatory model for prolonged cold air exposure and to propose a method for predicting survival time under sedentary conditions. MethodsWe extended the classical multi-segment multi-node human thermoregulatory model by considering the effects of thermoregulatory fatigue on shivering and vasoconstriction based on the variable setpoint theory. The core threshold temperatures and the sensitivity of the responses decreased with the degree of fatigue (fa). The model was then used to systematically examine the effects of environmental parameters on the time course of body core temperature in the development of fatal hypothermia. A new wind chill index was constructed based on the simulated data of our thermoregulatory model to estimate the survival time. ResultsOur extended thermoregulatory model predicted that during prolonged cold air exposures, body core temperature would decrease in three distinct stages: an initial decrease due to uncompensated cooling load, an equilibrium plateau due to shivering, and a final rapid drop due to thermoregulatory fatigue. Fatal hypothermia occurred at the third stage due to impaired shivering and vasoconstriction caused by fatigue. Lower air temperature and higher air speed can accelerate the occurrence of hypothermia. We proposed a predictive equation for survival time, i.e., the maximum endurance time before fatal hypothermia occurs, which is an exponential function of the wind chill index, and the newly defined wind chill index considers the contribution from both air temperature and air speed. ConclusionsWe suggest a new thermoregulatory model to predict the fatal hypothermia due to thermoregulatory fatigue during cold air exposure. We proposed a survival time chart based on a new wind chill index, which can be used to alert the early risk of fatal hypothermia during extreme cold events.

Comparing the cognitive performance of action video game players and age-matched controls following a cognitively fatiguing task: A stage 2 registered report.

Recent work demonstrates that those who regularly play action video games (AVGs) consistently outperform non-gamer (NG) controls on tests of various cognitive abilities. AVGs place high demands on several cognitive functions and are often engaged with for long periods of time (e.g., over 2 h), predisposing players to experiencing cognitive fatigue. The detrimental effects of cognitive fatigue have been widely studied in various contexts where accurate performance is crucial, including aviation, military, and sport. Even though AVG players may be prone to experiencing cognitive fatigue, this topic has received little research attention to date. In this study, we compared the effect of a cognitively fatiguing task on the subsequent cognitive performance of action video game players and NG control participants. Our results indicated AVGs showed superior spatial working memory and complex attention abilities while showing no difference from NGs on simple attention performance. Additionally, we found that our cognitive fatigue and control interventions did not differentially affect the cognitive performance of AVGs and NGs in this study. This pre-registered study provides evidence that AVGs show superior cognitive abilities in comparison to a non-gaming population, but do not appear more resilient to cognitive fatigue.

Few sex-specific effects of fatigue on muscle synergies in a repetitive pointing task

Previous studies have identified some sex differences in how individual muscles change their activation during repetitive multi-joint arm motion-induced fatigue. However, little is known about how indicators of multi-muscle coordination change with fatigue in males and females. Fifty-six (29 females) asymptomatic young adults performed a repetitive, forward-backward pointing task until scoring 8/10 on a Borg CR10 scale while surface electromyographic activity of upper trapezius, anterior deltoid, biceps brachii, and triceps brachii was recorded. Activation coefficient, synergy structure, and relative weight of each muscle within synergies were calculated using the non-negative matrix factorization method. Two muscle synergies were extracted from the fatiguing task. The synergy structures were mostly preserved after fatigue, while the activation coefficients were altered. A significant Sex × Fatigue interaction effect showed more use of the anterior deltoid in males especially before fatigue in synergy 1 during shoulder stabilization (p = 0.04). As for synergy 2, it was characterized by variations in the relative weight of biceps, which was higher by 16 % in females compared to males (p = 0.04), and increased with fatigue (p = 0.03) during the elbow flexion acceleration phase and the deceleration phase of the backward pointing movement. Findings suggest that both sexes adapted to fatigue similarly, using fixed synergy structures, with alterations in synergy activation patterns and relative weights of individual muscles. Results support previous findings of an important role for the biceps and anterior deltoid in explaining sex differences in patterns of repetitive motion-induced upper limb fatigue.

Exploring Sleep and Fatigue of Clinical Nurses and Administrative Supervisors

Shiftwork disrupts nurses’ sleep patterns, leading to sleep deprivation. Consequently, nurses experience fatigue and reduced alertness, which impact their job performance, physical and mental health, and patient safety. This study investigated the difference in fatigue and sleep quality between day and night shift clinical nurses and administrative supervisors. Significant differences were found between day and night shift clinical nurses in quality and patterns of sleep, perceptions of the severity and effects of fatigue, and work-related fatigue, but not with administrative supervisors. Furthermore, more night shift nurses and supervisors recalled a fatigue-related error, falling asleep at a red light, missing their exit, and having a car accident when driving home compared to those working day shift. In the interest of patient safety, it is imperative that nurses prioritize their sleep, and leaders must take proactive measures to mitigate fatigue.