In hospitals acute fatigue is an expected occurrence

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In hospitals, acute fatigue is an expected occurrence due to physical and psychosocial work demands (Chen, Daraiseh, et al., 2014; Raftopoulos, Charalambous, & Talias, 2012). Researchers have hypothesized that in the absence of recovery, as may be the case in this study, individuals may transition to Table 3. Differences in Nurses’ Fatigue and Intershift Recovery by Sleep and Schedule CharacteristicsVariablesnChronic fatigueAcute fatigueIntershift recoveryHours of sleep<7 hours5373.21 (20.54)76.92 (17.55)35.16 (16.54)7 hours2464.31 (21.70)77.36 (18.65)47.22 (18.33)t(p)−1.73 (.088)0.10 (.920)2.85 (.006)Refreshed after sleepYes2460.83 (25.31)71.25 (20.92)48.75 (18.65)No5275.26 (17.43)79.87 (15.77)34.20 (15.83)t(p)−2.53 (.016)−1.99 (.050)3.49 (.001)OvertimeYes6471.77 (20.52)77.86 (16.58)37.30 (16.59)No1163.03 (24.79)73.03 (23.78)50.61 (21.64)t(p)−1.27 (.210)−0.84 (.407)2.34 (.022)Called to work on day offNo3160.75 (21.80)73.23 (18.69)43.11 (19.84)1 day4576.74 (18.37)79.33 (16.92)36.67 (16.17)t(p)−3.45 (.001)−1.48 (.143)1.53 (.129)Note.The bolded values indicate significance at .05 level.
309vol. 65 no. 7WORKPLACE HEALTH & SAFETYTable 4. Differences in Nursing Performance by Acute and Chronic FatigueDescriptorsNPIChronic fatigueAcute fatigueM(SD)High n= 37Low n= 40t(p)High n= 53Low n= 24t(p)1. During a work shift, changes in my physical strength, endurance, or energy affect my ability to do my work.a2.70 (1.28)2.05 (1.13)3.30 (1.11)4.87 (<.001)2.47 (1.31)3.21 (1.06)2.42 (.018)2. I sometimes find it necessary to take shortcuts in patient care.a3.92 (1.56)3.59 (1.50)4.23 (1.56)1.81 (.075)3.74 (1.60)4.35 (1.40)1.59 (.116)3. Throughout a work shift, I am able to perform fine motor tasks (e.g., inserting an IV, catheter insertion, medication preparation) without difficulty.4.78 (1.21)4.50 (1.44)5.03 (0.89)1.88 (.065)4.65 (1.36)5.04 (0.75)1.60 (.114)4. During a work shift, changes in my concentration or alertness affect my ability to perform patient care.a3.30 (1.48)2.86 (1.42)3.70 (1.44)2.57 (.012)3.17 (1.55)3.58 (1.28)1.14 (.258)5. During a work shift, my ability to communicate deteriorates (e.g., ability to express my opinions, understand what other nurses, physicians, clinicians, patients, or family members are saying).a3.47 (1.51)2.86 (1.29)4.05 (1.49)3.68 (<.001)3.15 (1.53)4.17 (1.23)2.82 (.006)6. I always follow existing facility guidelines for safe patient handling (e.g., use of lift devices, two person lifts).4.58 (1.33)4.41 (1.36)4.75 (1.30)1.14 (.259)4.57 (1.31)4.63 (1.41)0.18 (.859)7. I am sometimes forced to modify my standards to get the work done.a3.74 (1.43)3.58 (1.34)3.88 (1.51)0.89 (.377)3.67 (1.41)3.88 (1.48)0.57 (.570)Note.Responses range from 1 (strongly disagree) to 6 (strongly agree). The bolded values indicate significance at .05 level. NPI = nursing performance instrument.aIndicates reverse coded. Higher scores indicate higher perceived performance.
310July 2017WORKPLACE HEALTH & SAFETYmore permanent chronic fatigue states (Geurts & Sonnentag, 2006; Winwood & Lushington, 2006). Using the cutoff scores of the OFER, the researchers found that 48.1% of study nurses had high levels of chronic fatigue. Based on the literature, certain work schedule characteristics contributed to nurse fatigue (Smith-Miller, Shaw-Kokot, Curro, & Jones, 2014; Williamson & Friswell, 2013; Yuan et al., 2011). In this sample, when nurses were called to work on their days off, they experienced higher levels of chronic fatigue and did not feel fully refreshed after a night’s sleep. Moreover, inadequate intershift recovery was associated with sleep, not feeling fully refreshed upon waking, and overtime (Table 3). In addition to work schedules, these

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