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Running head: RESEARCH CRITIQUES AND PICOT STATEMENT FINAL DRAFT 1 Research Critiques and Picot Statement Final Draft Student’s Name Institutional Affiliation
RESEARCH CRITIQUES AND PICOT STATEMENT FINAL DRAFT 2 Research Critiques and Picot Statement Final Draft Nursing Practice Question In the contemporary healthcare setting, healthcare providers are experiencing high demand for healthcare services and they encounter heavy workloads because of inadequate staff and overtime works. Nursing practice is both mentally and physically strenuous in itself and a decrease in performance is likely to happen if a nurse works for long shifts or overtime. Fatigue among nurses is inevitable because they encounter work schedules that are not standardized, long shifts and overtime work. Research studies depict that nurses who are working in the current 12- hour shifts report high levels of both acute and chronic fatigue. Fatigue refers to a condition in which the body seeks to recuperate through sleep after a tiresome day’s work or strenuous activity. There is physical and mental fatigue. In physical fatigue, an individual gets tired and the capacity to function decreases as a result of exhaustion in the musculoskeletal system. On the other hand, mental fatigue affects cognitive functioning and makes an individual less vigilant. When nurses fail to have enough rest due to overtime working, it results in chronic fatigue which jeopardizes nursing performance and provision of quality care. Despite working in long shifts and overtime, nurses are expected to uphold high levels of performance and remain to be efficient while executing their duties. Sometimes nurses work for three days in a row thus affecting their normal sleeping patterns resulting in burnout and job dissatisfaction. Besides, overtime work and long hours of working can lead to medical errors that directly affect a patient. Most of the nurses prefer 8-hour shifts because it is less strenuous as compared to 12-hour shifts. The chief aim of this study is to evaluate the impact of long shifts and overtime to the development of fatigue and other associated risks which affect the performance of nurses.
RESEARCH CRITIQUES AND PICOT STATEMENT FINAL DRAFT 3 PICOT QUESTION : Concerning nurses working in acutely staffed health care facilities, what is the contribution of over-time working versus an 8-hour shift to nursing fatigue? Background of Study The research conducted by Gyllensten, Andersson, and Muller (2017) noted that in the European Union, nurses are facing challenges such as job dissatisfaction, and family conflicts which cause nursing staff turnover. The authors suggest that the best alternative to deal with these challenges is through a reduction of working hours. By analyzing a hospital facility in Sweden it is evident that improving work situations need a reduction of work hours for healthcare providers. The chief aim of the study by Gyllensten, Andersson, and Muller (2017) is

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