Occupational Fatigue Exhaustion Recovery Research Articles

Work-Related Fatigue Among Indonesian Offshore Oil and Gas Workers.

Work-related fatigue, combined with shift work and prolonged work hours, has a significant effect, contributing to increasing accident rate by 50-100%. To assess the level of work-related fatigue over a 4-week work period among offshore rig oil and gas workers in Indonesia. This cohort study evaluated acute fatigue, chronic fatigue, and intershift recovery scores among offshore oil and gas rig workers using the Occupational Fatigue Exhaustion Recovery 15 (OFER15) questionnaire. Fatigue levels were assessed weekly throughout the study duration, which was 4-week work period. Additionally, atthe fourth week, participants were asked about psychosocial factors that could bepotentially related to fatigue. Of 67 participants, the average scores of acute and chronic fatigue were 30.0 and 33.3, and the scores had significantly increased over 4 weeks (P < 0.001). The intershift recovery scores statistically significantly decreased over 4 weeks (P < 0.001), and the differences between weeks (Week 1 versus 2, Week 1 versus 3 and Week 1 versus 4) were also statistically significant (P < 0.001). Acute and chronic fatigue scores had a significant positive correlation with psychological job demands and negatively correlated with influence at work and job satisfaction. Over 4 weeks, acute fatigue augmented chronic fatigue, while acute and chronic fatigue demanded a longer recovery. Workers at the offshore rig experienced work fatigue during their on-duty periods, with the level of fatigue significantly increasing over the 4 weeks. Comprehensive fatigue management at offshore rigs is vital to mitigate work fatigue and minimize the risk of work-related accidents.

Psychometric properties of the Italian version of the Occupational Fatigue Exhaustion/Recovery (OFER) scale among healthcare professionals

ABSTRACT Objective The purpose of this study was to analyze the psychometric properties of the Italian version of the Occupational Fatigue Exhaustion/Recovery (OFER). Methods A cross-sectional study among 434 healthcare workers was undertaken. The factorial validity of the OFER, was compared using standard confirmatory factor analysis (CFA) with exploratory structural equation modeling (ESEM). Internal consistency, convergent validity, and factorial invariance (across gender) were assessed. Results A three-factor first-order ESEM solution provided the best and most parsimonious representation of the data: χ2(63) = 212.81, p < .001, RMSEA = 0.074 (90% CI 0.063–0.085), CFI = 0.949, TLI = 0.915. The three-factors were chronic fatigue, acute fatigue, and intershift recovery. Chronic and acute factors showed excellent internal consistency (ω > 0.80), however intershift recovery showed less internal consistency (ω < 0.70). OFER scores were found to be positively correlated with FAS scores, supporting its convergent validity. Conclusions The OFER was factorially invariant across gender. Overall, our findings provided evidence for the satisfactory psychometric properties of the OFER among Italian workers, confirming its value for use in both practical occupational and academic research settings.

Scoping Review on Measurement Tool for Work Fatigue

Measurement tools for assessing work fatigue are very diverse and developed according to research needs. The are several measurements that widely used to address or find out the work fatigue in industries. This research is a scoping review of “Swedish Occupational Fatigue Inventory”, “The Multidimensional Work Fatigue Inventory”, “Fatigue Severity Scale”, “Fatigue Assessment Scale”, “Short Form 36 Vitality Subscale”, and “The Occupational Fatigue Exhaustion Recovery Scale (OFER). This was reported under the guidance of PRISMA extension for Scoping Review (PRISMA-ScR). This study shows an inconsistency in use of measurement tools, even though researchers argue for practicality. The large number of studies on work fatigue allows confusion of researchers to choose a measurement tool for work fatigue that is suitable for the research population. This research helps other to describe various measurement tools of work fatigue that are often used globally. Further research can determine the measurement tool of fatigue according to needs and some considerations of advantages to be more accurate.

Chronic fatigue and recovery among nurses working two-shift and three-shift rotations

BackgroundShift patterns influence nurses’ work and rest conditions. Limited information is available about the nurses' recovery, fatigue, and their associated factors considering shift patterns. AimThis study explored the association between fatigue and recovery and factors associated with recovery and chronic fatigue among nurses working a three-shift (8 hour shifts) or two-shift (more than 12 hour shifts) rotations in Japan. MethodsThis cross-sectional secondary analysis included 807 nurses from a previous questionnaire survey. Fatigue (acute and chronic) and intershift recovery were measured using the Occupational Fatigue Exhaustion Recovery Scale. FindingsIntershift recovery was significantly lower among nurses working a three-shift rotations compared to nurses working a two-shift rotations. Nurses aged ≥40 years tended to experience severe chronic fatigue working in the two-shift rotations. In both shift patterns, overtime hours and low sleep quality were associated with lower intershift recovery and higher chronic fatigue. In the three-shift rotations, having children and being activity-oriented in leisure time were associated with higher intershift recovery and lower chronic fatigue. In the two-shift rotations, activity orientation was significantly associated with lower chronic fatigue. DiscussionsThe three-shift rotations influenced nurses’ intershift recovery more than the two-shift rotations. Regardless of shift patterns, managers must restrict overtime and encourage nurses to maintain sleep quality, family roles, and leisure activities. Moreover, considering nurses’ age while selecting and organising shift patterns may prevent chronic fatigue. ConclusionFatigue management based on the characteristics and associated factors of fatigue and recovery for each shift pattern revealed in this study prevents chronic fatigue, which may contribute to the retention of nurses.

The insomnia, fatigue, and psychological well-being of hospital nurses 18 months after the COVID-19 pandemic began: Across-sectional study.

BackgroundResearch has shown sleep problems, elevated fatigue, and high cases of burnout, as well as signs of post‐traumatic stress and psychological distress among nurses during the COVID‐19 pandemic. Many US hospitals attempted to minimise its impact on staff by providing basic resources, mental health services, and wellness programs. Therefore, it is critical to re‐evaluate these well‐being indices and guide future administrative efforts.PurposeTo determine the long‐term impact of the COVID‐19 pandemic after 18 months on hospital nurses' insomnia, fatigue, burnout, post‐traumatic stress, and psychological distress.DesignCross‐sectional.MethodsData were collected online mainly through state board and nursing association listservs between July–September 2021 (N = 2488). The survey had psychometrically tested instruments (Insomnia Severity Index, Occupational Fatigue Exhaustion Recovery Scale, Maslach Burnout Inventory, Short Post‐Traumatic Stress Disorder, and Patient Health Questionnaire‐4) and sections on demographics, health, and work. The STrengthening the Reporting of Observational studies in Epidemiology checklist was followed for reporting.ResultsNurses had subthreshold insomnia, moderate‐to‐high chronic fatigue, high acute fatigue, and low‐to‐moderate intershift recovery. Regarding burnout, they experienced increased emotional exhaustion and personal accomplishment, and some depersonalisation. Nurses had mild psychological distress but scored high on post‐traumatic stress. Nurses who frequently cared for patients with COVID‐19 in the past months scored significantly worse in all measures than their co‐workers. Factors such as nursing experience, shift length, and frequency of rest breaks were significantly related to all well‐being indices.ConclusionNurses' experiences were similar to findings from the early pandemic but with minor improvements in psychological distress. Nurses who frequently provided COVID‐19 patient care, worked ≥12 h per shift, and skipped rest breaks scored worse on almost all well‐being indices.Relevance to clinical practiceAdministration can help nurses' recovery by providing psychological support, mental health services, and treatment options for insomnia, as well as re‐structure current work schedules and ensure that rest breaks are taken.

Occupational fatigue, workload and nursing teamwork in hospital nurses.

To evaluate the relationships between workload, nursing teamwork and nurse fatigue and the moderating effect of nursing teamwork on the relationship between workload and fatigue. This cross-sectional online survey study used data from 810 United States hospital nurses collected between March and April 2021. Workload, nursing teamwork and fatigue were measured using the Quantitative Workload Inventory, the Nursing Teamwork Survey, and the Occupational Fatigue Exhaustion Recovery scale. Hierarchical multiple linear regression models were used. All the nursing teamwork subscales (i.e. trust, team orientation, backup, shared mental model, team leadership) were significantly negatively related to acute and chronic fatigue. Nursing teamwork components of team orientation, shared mental model and team leadership moderated the relationship between workload and chronic fatigue. The relationships between workload and chronic fatigue were stronger when these components of nursing teamwork were high. No moderating effects were found with acute fatigue. Efforts to increase nursing teamwork may be a promising strategy in managing nurse fatigue. It is equally important to monitor and modify high workload to protect nurses from elevated fatigue. WHAT PROBLEM DID THE STUDY ADDRESS?: Fatigue is negatively associated with the health and safety of hospital nurses and patients. Nursing teamwork has been shown to improve the nursing care of hospitalized patients; yet, it is rarely explored in relation to nurse fatigue. WHAT WERE THE MAIN FINDINGS?: Greater nursing teamwork is significantly associated with lower acute and chronic fatigue. The relationships between workload and chronic fatigue were stronger when nursing teamwork (i.e. team orientation, shared mental model and team leadership) was high than when nursing teamwork was low. WHERE AND ON WHOM WILL THE RESEARCH HAVE AN IMPACT?: Improving nursing teamwork, in addition to monitoring and modifying workloads, can be a promising approach for managing fatigue in healthcare organizations.

Occupational fatigue, individualized nursing care, and quality of nursing care among hospital nurses.

This study aimed to evaluate the relationships among nurse fatigue, individualized nursing care, and nurse-reported quality of care. The study used a cross-sectional design. Data from 858 registered nurses providing bedside care in hospitals were collected between March and April 2021 in the United States. Participants completed a self-administered online survey, including the Occupational Fatigue Exhaustion Recovery scale, the Individualized Care Scale-Nurse version, and a single item assessing nursing care quality. Relationships among the study variables were examined using multiple linear and logistic regression models. Nurses' higher levels of acute fatigue were significantly associated with decreased perceptions of individualized nursing activities provided to patients on their last shifts, specifically related to personal life condition and decision-making control. Nurses' higher levels of chronic fatigue were significantly associated with decreased perception of individualized nursing activities provided to patients on their last shifts related to clinical condition, personal life condition, and decision-making control. Nurses with higher levels of acute or chronic fatigue, and who perceived their nursing care activities as less individualized were less likely to assess their quality of care as excellent. These findings suggest that addressing hospital nurses' acute and chronic fatigue may contribute to promoting the delivery of individualized nursing care and in improving patients' quality of care. Healthcare institutions are encouraged to regularly monitor and manage nurse fatigue to improve the delivery of individualized and quality nursing care to their patients.

Psychometric properties of the Japanese version of the Occupational Fatigue Exhaustion Recovery Scale among shift-work nurses.

ObjectivesShift‐work nurses are at a higher risk of inadequate recovery from fatigue and developing maladaptive fatigue with significant health consequences. Therefore, it is necessary to monitor fatigue and recovery levels with a reliable scale. We investigated psychometric properties of the Japanese version of the Occupational Fatigue Exhaustion Recovery scale (OFER‐J) for shift‐work nurses.MethodsJapanese shift‐work nurses responded to self‐administered questionnaires at baseline (n = 942) and one month later (n = 334). The confirmatory factor analysis (CFA) and exploratory factor analysis (EFA) were conducted to verify the structural validity and the correlation analysis and one‐way analysis of variance were conducted to test the construct and discriminative validity. Cronbach's alpha coefficient, intra‐class correlation coefficient (ICC), and smallest detectable change (SDC) were calculated to assess reliability.ResultsThe CFA showed high correlations between the factors and whilst the goodness‐of‐fit of the three‐factor model was suboptimal, it was in an acceptable range. Most modifications included the error covariance of the Acute Fatigue (AF) and Intershift Recovery (IR) items. The EFA showed that Chronic Fatigue (CF) and AF were not clearly separated, indicating that the two AF items dropped out. Construct and discriminative validity were also well indicated. Cronbach's alpha coefficients were 0.75–0.85. Only CF showed sufficient reproductivity (ICC = 0.74). The SDC for CF, AF, and IR was 14.0, 17.1, and 18.7, respectively.ConclusionsThe validity and reliability of the OFER‐J were verified as acceptable for shift‐work nurses. The OFER‐J could contribute to a data‐based approach to fatigue management in nursing management practice.

Occupational Fatigue and Associated Factors among Saudi Nurses Working 8-Hour Shifts at Public Hospitals

IntroductionShift work and demanding work schedules contribute to occupational fatigue, negatively affecting patient safety and nurses’ well-being, consequently placing nurses and patients at risk for injury and adverse health outcomes. For preventing fatigue and minimizing its negative consequences, information about its characteristics and associated factors is required.ObjectivesThis study aimed to assess occupational fatigue “acute fatigue, chronic fatigue, and inter-shift recovery” among Saudi nurses working 8-h shifts. Further, we explored factors associated with fatigue from nurses’ perspectives.MethodsWe conducted a mixed-method study with a convenience sample of Saudi nurses (N = 282) working in four public hospitals in Saudi Arabia. Data were collected using the nurses’ profile form; the occupational fatigue exhaustion recovery (OFER) scale, for relevant quantitative data; and open-ended questions for qualitative data. We used descriptive and inferential statistics for analysing the quantitative data and content analysis of the qualitative data.ResultsThe results showed that Saudi nurses rated themselves moderately fatigued with working 8-h shifts. The inter-shift recovery subscale showed a negative correlation with chronic fatigue and acute fatigue (r = −0.518, r = −0.356, P < 0.001). Sleeping problems, meals per day, and frequency of exercise showed significant relations with chronic fatigue among nurses (p < 0.05). In addition, three categories were derived from the qualitative content analysis. Saudi nurses reported work-related, psychosocial, and individual factors as major contributors to fatigue and recovery.ConclusionOccupational fatigue is a multidimensional issue, and nurses and nurse managers are challenged with reducing its prevalence and negative impact on nurses and patients. Our quantitative and qualitative findings suggest the need for a comprehensive approach to fatigue management and mitigation, including organizational support, creative workforce planning, flexible work schedules, and psychosocial support. Fatigue reduction and prevention policies and educational programs are vital strategies to improve nurses’ well-being and inter-shift recovery.

Occupational fatigue and sleep quality among the physicians employed in the emergency service of a COVID-19 pandemic hospital

Background/Aim: Outbreaks of infectious diseases, including the current COVID-19, are associated with major psychological distress and significant symptoms of mental illness. Healthcare workers may experience sleep problems, anxiety, depression, and stress when facing a major public health threat. This study aimed to assess the levels of occupational fatigue and sleep quality among the physicians working in the emergency service of a COVID-19 pandemic hospital. Methods: This descriptive study was conducted in July 2020 in Şanlıurfa Province Mehmet Akif Inan Training and Research Hospital. The sample group included 194 physicians. The Introductory Information Form prepared by the researchers, the Occupational Fatigue Exhaustion/Recovery (OFER) Scale and the Pittsburgh Sleep Quality Index (PSQI) were used for data collection. Results: The mean chronic fatigue subscale, mean acute fatigue subscale, mean recovery subscale, and mean Pittsburgh Sleep Quality Index scores were 65.30 (22.87), 69.03 (20.23), 43.93 (19.09), and 8.76 (3.20), respectively. Good and poor sleep quality levels were detected in 11.9% and 88.1% of the physicians, respectively. Sleep quality, gender, marital status, age, and anxiety status due to COVID-19 pandemic affected the occupational fatigue levels of the physicians (P

Comparison of 12-Hour Biweekly Versus 6-Hour Weekly Shifts on Fatigue in Student Nurses.

Some challenges affecting student nurse learning include student fatigue, clinical recovery time, and hindered clinical experiences due to students experiencing long clinical shifts. The aim of this study was to evaluate the differences between 12-hour biweekly and 6-hour weekly shifts on student nurse fatigue. A descriptive research design was used with second-year nursing students (N=80) upon completion of their clinical rotations of four distinct cohorts during 2019-2020. All students in these cohorts were invited to complete the Occupational Fatigue Exhaustion Recovery (OFER15) online survey, developed and validated to assess the full spectrum of fatigue. There were no statistically significant differences in acute fatigue, chronic fatigue, or the inter-shift recovery subscale for the 6-hour and 12-hour clinical groups. Student nurses, like registered nurses, would likely prefer to choose between a 6-hour and 12-hour clinical shift depending on their individual circumstances. In the parameters of this study, there was no statistical significance in shift length and student nurse fatigue. Student nurse fatigue levels can affect learning inside and outside of nursing clinical experiences. In this study, no statistical significances were found between 6-hour and 12-hour clinical experiences in second-year nursing students. Offering both the 6-hour and 12-hour clinical experiences provides flexibility for students, clinical sites, and the school of nursing.

The relationship between coronavirus 19 fear and occupational fatigue, burnout and recovery levels in healthcare professionals in Turkey

Studies conducted after the SARS outbreak (2003) reported that healthcare professionals experienced high levels of psychological distress. These psychological problems need to be addressed during and after the epidemic. This study was planned to be carried out in healthcare professionals to determine the relationship between the fear of COVID-19 and burnout. Data were collected online from 538 healthcare professionals working in different cities and units using the Personal Information Form consisting of questions about demographic characteristics, the COVID-19 Phobia Scale and the Occupational Fatigue Exhaustion Recovery Scale. It was determined that the fear of COVID-19 high and burnout levels of the participants were above the scale. There was a significant difference between the burnout level of individuals, the level of fear of COVID-19, the individual's profession and the unit they work in. It is important to implement psychosocial interventions in order to take the necessary precautions to ensure that healthcare workers are less affected by the negative effects of fear and burnout during the epidemic process. The role of professional teams, including psychiatric nurses, is of great importance in determining and resolving the negative effects of the pandemic on healthcare professionals.

Exploring the Relationship between Patient Acuity, Patient Assignments and Fatigue among Nurses

This study surveyed 114 registered nurses throughout Ohio to determine if there was a relationship between patient acuity and perceived fatigue. Also examined for a potential relationship to perceived fatigue were nurse-patient ratios (NPRs) and the method by which nurse-patient assignments (NPAs) were created. Two validated fatigue scales, the Fatigue Assessment Scale (FAS) and the Occupational Fatigue Exhaustion Recovery (OFER) scale were used to capture participants perception of fatigue at their workplace. Resultsindicated that the interaction between patient acuity and NPR was significantly related to FAS ratings while NPR had a significant relationship to acute fatigue on the OFER scale. Most nurses experience substantial fatigue, with high acuity patients having an overall greater impact. We recommend that NPAs shall contain fewer high acuity patients than lower acuity patients. Additionally, The OFER acute fatigue scale (OPER-AF) suggests that assignments should contain no more than five patients to mitigate fatigue.

Assessment of Occupational Fatigue in Healthcare Professionals During the COVID-19 Pandemia

Aim: This study aimed to determine the level of occupational fatigue in healthcare professionals during the COVID-19 pandemic process and assess some variables considered to have a relationship with it. Material and Method: This study used a descriptive cross-sectional design and was carried out on physicians and nurses between June and July 2020. The study data were collected using a questionnaire with items questioning some socio-demographic data of the healthcare professionals, characteristics of their workplace and working conditions, and contact with patients with COVID-19, and the items of the Occupational Fatigue-Exhaustion Recovery Scale. The study group consisted of 308 females and 98males. In non-normal distributions, the Mann-Whitney U test was used for variables with two groups and Kruskal–Wallis-H test for variables with more than two groups.Results: The mean scores of the healthcare professionals from the chronic fatigue and acute fatigue sub-domains of the Occupational Fatigue Exhaustion Recovery Scale were 60.65±29.10, 65.52±21.64 and 45.09±19.1, respectively. In the study group, fatigue levels were higher in women who were aged 49 years or younger, had weekly working hours of more than 40 hours, and came into contact with COVID 19 patients every day.. Conclusion: The fatigue and burnout levels of healthcare professionals who are directly involved in the care of patients with COVID-19 during the pandemic process were above moderate levels, and the level of their recovery was at a moderate level. It is recommended that necessary administrative initiatives should be taken to improve healthcare workers’ rights, whose working conditions are getting more difficult in the pandemic environment, their needs for rest should be planned, and that working environments that will ensure that not only the risk of contamination but also the risk factors that will arise due to fatigue are under control should be created.

Psychometric properties of the Portuguese version of the occupational fatigue exhaustion/recovery (OFER) scale among industrial shift workers

Reliable and valid instruments are essential for understanding fatigue in occupational settings. This study analyzed the psychometric properties of the Portuguese version of the Occupational Fatigue Exhaustion/Recovery (OFER). A cross-sectional study was conducted with 260 workers (M = 46.52 ± 13.16 years) from a textile industry, exposed to shift work. Convergent and discriminant validity, internal consistency reliability and exploratory and confirmatory factor analysis were performed. Results showed an adequate fit to data (χ2 (84) = 209,102, CFI = 0.936, GFI = 0.902, RMSEA = 0.076 CI90% (0.063–0.089)), yielding a 13-item, three factor structure. Two items were removed due to low factor loading. The OFER presented an adequate internal consistency, with the subscales presenting good reliability values (Chronic Fatigue (α = 0.81), Acute Fatigue (α = 0.84) and Recovery between Shifts (α = 0.77)). Findings suggest that the Portuguese version of OFER can be a useful tool to assess occupational fatigue of shift workers and prevent work related injuries.

Acute and chronic fatigue in nurses providing direct patient care and in non-direct care roles: A cross-sectional analysis.

Nurses are at risk for work-related fatigue, which can impact their health, well-being, and job readiness. The purpose of this study was to examine the levels, types, and factors associated with fatigue in registered nurses (RNs) in direct patient care (DCRNs) and in non-direct patient care (non-DCRNs) roles. A cross-sectional survey was administered to 313 RNs. Measures included: Multidimensional Fatigue Symptom Inventory, Occupational Fatigue Exhaustion Recovery, Brief COPE, PROMIS® Global Sleep Disturbance, and Job Content Questionnaire. Acute fatigue levels in RNs were similar to those in diseased populations, and nearly 50% reported moderate/high levels of chronic fatigue. DCRNs reported higher levels of acute and chronic fatigue than non-DCRNs, but the differences were small and disappeared when accounting for other factors associated with fatigue including sleep disturbance, job strain, workplace support, maladaptive coping, and especially intershift recovery, which accounted for 20%-41% of fatigue variability. This study suggests that it may not be only nurses providing direct patient care who are at risk for acute and chronic fatigue. Intershift recovery may be particularly important in alleviating acute and chronic fatigue in nurses.

Comparison of Fatigue, Quality of Life, Turnover Intention, and Safety Incident Frequency between 2-Shift and 3-Shift Korean Nurses.

This study aimed to compare the fatigue, quality of life, turnover intention, and safety incident frequency between 2- and 3-shift nurses, and analyze their perceptions of the 2-shift system. Participants were 227 nurses working for one year or more in a tertiary hospital in Seoul, South Korea (113 were 2-shift nurses for two months or longer, and 114 were 3-shift nurses with no experience of 2-shift work). The Occupational Fatigue Exhaustion Recovery Scale (OFER) and Quality of Life Scale were used. Turnover intention, safety incident frequency, and perceptions of the 2-shift system were surveyed by questionnaires developed by the researchers. Results showed that 2-shift nurses had lower chronic fatigue (t = −2.38, p = 0.018) and higher recovery between shifts (t = 3.90, p < 0.001) and quality of life scores than 3-shift nurses (t = 3.69, p < 0.001). There were no significant differences for turnover intention (t = −1.48, p = 0.140), frequency of needlestick accidents (t = 0.30, p = 0.763), medication errors (t = −1.46, p = 0.146), or near-miss medication errors (t = 0.78, p = 0.437). Two-shift nurses found it easier to secure rest and personal leisure time, and their shift system was shown to improve work satisfaction by increasing the continuity of care. Additional research is necessary to examine how nurses’ health status and emotional satisfaction vary by shift type.

Occupational Fatigue and Sleep Quality: A Comparison Between Nurses Working in Various Wards of Public Hospitals

Background & Objective: Fatigue is defined as a feeling of disability and weakness that leads to a reduction in the capacity of individuals to do their job and daily activities. Sleep disorders are one of the most important causes of fatigue in nurses. The present study aimed to determine the level of occupational fatigue and sleep quality among nurses working in various wards of public hospitals. Materials & Methods: This cross-sectional study was conducted on 234 nurses working in diverse wards of the two public hospitals affiliated to Ilam University of Medical Sciences, Iran selected by the convenience sampling method. The data were collected using a demographic questionnaire, Occupational Fatigue Exhaustion Recovery scale, and Pittsburgh Sleep Quality Index. Finally, the data were analyzed by descriptive statistics, independent t-test, and one-way analysis of variance using the SPSS software version 21. Results: The mean sleep quality index of the nurses working in the nursing station was at the appropriate level (3.83±2.32), whereas the nurses working in other wards had an unsuitable level of sleep quality index. Moreover, the mean score of occupational fatigue was high among the nurses of female Post-cardiac Care Unit (post-CCU) (58.12±12.24) and moderate among the nurses of other hospital wards. The results of t-test indicated significantly lower mean scores of sleep latency, taking sleeping medications, and acute fatigue in nurses with a second job, compared to nurses with a single job (P<0.05). Conclusion: Sleep problems and occupational fatigue in nurses of the female Post-CCU and nursing stations were higher and lower than the nurses working in the other hospital wards, respectively. Furthermore, the second job variable was found to be important and influential. © 2020, Journal of Advances in Medical and Biomedical Research. All rights reserved.

Work-Related Fatigue Among Inpatient Unit Nurses

Nurse fatigue has been recognized as a threat to both nurse and patient safety. Comparing to other units, inpatient unit has lower nurse to patient ratio. Inpatient unit nurses also work in shift and experience shift rotation. Thus make them more vulnerable to experience fatigue. The purpose of this study was to describe work-related fatigue among inpatient unit nurses. A cross-sectional, descriptive design with cluster sampling technique was used to 93 staffs nurses in six wards. Work-related fatigue was measured using Occupational Fatigue Exhaustion Recovery (OFER) scale. The data were analyzed using descriptive statistics. A total of 93 nurses provided their personal information details and fully completed self-reported fatigue and recovery questionnaire. The mean (±SD) scores were 56.55 (±15.56), 42.83 (±19.46), and 51.07 (±16.98) for acute fatigue, chronic fatigue, and intershift recovery, respectively. Perinatology unit nurses had the highest acute and chronic fatigue and the lowest intershift recovery. Less experienced nurses experienced lower acute fatigue level which tends to increase progressively with increasing experience and accompanied by poorer recovery. Nursing administrators should consider individual factors while planning staff placement in order to optimize quality of care and meet the job demands in every different unit.

Influence of Demographic Characteristics and Muscle Strength on the Occupational Fatigue Exhaustion Recovery Scale in Career Firefighters.

Little is known regarding how individual characteristics and changes in muscle strength across a shift cycle are associated with the Occupational Fatigue Exhaustion Recovery scale in career firefighters. Thirty-two career firefighters completed lower body maximal strength testing prior to and following three 24-hour on-off shifts. Demographic data were collected prior to the first shift and the OFER15 questionnaire was completed following the last shift. Increased age was associated with greater acute and chronic fatigue and poorer recovery. A positive percent change in strength following a shift cycle was related to better recovery. Age was the only significant predictor of acute and chronic fatigue, while age and the change in strength were significant predictors of inter-shift recovery. Increased age influences all dimensions of work-related fatigue, with changes in muscle strength influencing inter-shift recovery in career firefighters.