RESEARCH CRITIQUES AND PICOT STATEMENT FINAL DRAFT
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.