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fatigue. The overall workload scale can be used as a quick screening tool. Another point of
interest that was not discussed might be to define ITL for each nurse. Does it mean they want to
leave nursing altogether? Or does it mean they want to leave their current area in hopes of
finding somewhere where there are better working conditions and less stress?
Limitations
The authors identified several limitations of this study. The study was cross-sectional,
measuring fatigue level at only one point in time, making it impossible to determine how fatigue
changed and what influenced that change. The study did not use random sampling method,
limiting the generalizability of the results. The one-item SRHS scale might not be sensitive
enough for healthy workers. Increasing the sample size would increase the instrument options.
The study did not include organizational factors, such as co-worker support or leadership style,
which might increase the amount of explained variance of ITL (Liu et al., 2016).
Generalization of Findings
This study demonstrates how personal characteristics, such as health, work conditions,
and work fatigue can affect ITL in new nurses. It has also been shown that work conditions, such
as working overtime and excessive workload, can directly impact nurses’ ITL. Nursing is a very
demanding career, both physically and mentally, and nurses have a higher need for recovery. In
this study, the average working hours for nurses were around 10 hours per day, with some
reaching as high as 16 hours. Working more than 10 hours resulted in acute and chronic fatigue
among nurses with less recovery compared to those working less than 10 hours. These nurses
were also required to do homework and to review literature for problems that they encountered
or for questions their preceptors asked. New nurses seemed to have little down time for adequate
rest outside of work. The inability to withdraw from work obligations would also contribute to

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increased fatigue and poor recovery. With less recovery time, nurses might develop chronic
fatigue, which was the dominant type among new nurses (Liu et al., 2016).
Suggestions for Further Study
According to Liu (2016), future studies should focus on the longitudinal change of work-
related fatigue. This would allow researchers to find trends in fatigue changes and develop
interventional strategies.
Format
Current APA format was used in writing this article. No spelling or grammatical errors
were noted. The article was clearly organized in a way that made it easy for the reader to
understand the study.
Part II: Comparison and Analysis
Design
Quantitative research design was appropriate for this study and there was no intervention
or treatment described. The strength of this research is that it is both a descriptive and
correlational non-interventional design. It describes the variables in detail and focuses on the
relationship between and among the variables (Gray et al., 2017). The limitations of the study


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- Summer '16
- Kris Diggins
- Nursing, Sociology, Longitudinal study, Cross-sectional study , Homi500 Research Questions