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Nurses and fatigue
Nurse fatigue puts patient at risk
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In the past two decades, a lot of changes have been characterised in the healthcare working systems. One of these changes has been the assimilation of shift work systems and the flexibility in work schedules. The need for 24 hour care makes the healthcare professions to work with different shift systems such as 12 h, 8 h, 9 h or 10 hour shifts. However, the common shift work systems divide a 24-h day in two (12-h) or three (8-h) shifts. Nonetheless, this requires the staff to be adapted with the various forms of shift work schedules.
The negative impacts of shift work on workers’ health such as fatigue and sleep which are the main complain among the staff, job performance, psychosocial well-being, and job dissatisfaction have been well reported in the literature (Poissonnet, 2000; Costa 1996). Community based studies of fatigue demonstrates the prevalence of fatigue in the primary care studies which is defined by loss of energy and tiredness among the worker ranging from 10% to 45% (Lewis and Wessely, 1992). This prevalence is associated with physical activity, psychosocial variables such as depression and anxiety, and psychological problems. The data of NHANES indicated that female respondents were suffering from fatigue with a percentage of 20.4% which is higher than male respondents 14.3%. This finding pointed out to the higher risk among women than men about 1.5 times risk (Chen, 1986). Therefore, fatigue is considered as a symptom resulted from shift work, which has an impact on the health. It has a significant effect on the level of alertness, concentration, judgment, mood, and performance that might be a reason of increased the risk of injury and medical errors (Dawson and Zee, 2005). Moreover, fatigue can also impa...
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...evidence for both future research and clinical practice.
The objectives which assist accomplishment of the review’s aim are:
• To recognize and systematically review the available evidence based
• To describe and appraise the methodological quality of current selected studies
• To demonstrate the effect of working hours on nurse’s health, wellbeing and satisfaction.
• To identify the best shift system for nurses
This chapter has introduced the issues of shift work and its impact on the workers such as fatigue and sleep. It has given a brief justification for the present review and presented the aim and objectives. The following chapter will provide a more in-depth discussion of the literature review, presenting more about the shift work, working hours, and the researches have been done on nurse’s physical health and wellbeing, and job satisfaction.
Inadequate rest which results in fatigue has major implications on the health and safety of registered nurses and can compromise patient care. Nurses often work three to four 12 hour shift a week without taking any breaks while on duty. They often have difficult workloads and challenges which can take a toll and impact patient care. I will be taking a look at nurse fatigue and the impact it has on the nurse’s wellbeing, work, and patient care.
Besides Hallie Shafer’s statement about how balance 12 hour shifts are to her life; there is a growing popularity, now and in the past, for nurses working 12 hour shifts. It began in 1970 when there was a national nursing shortage. This allows more time for nurses to be at home. It also allows hospitals to increase nursing part time and offers different shifts. Next thing we kn...
In a hospital patients are cared for around the clock, twenty-four hours a day and seven days a week. Hospital RN schedules are set up on rotation shifts meaning you might have to work night or days, holidays, and/or weekends (“Job…”). In a doctor’s office, school, or health center regular business hours are normally maintained (“Job…”). If an RN works for a home health care agency then their routine patient visits are mostly scheduled during business hours. However, if a nurse is on call they may be paged and required to make a visit on any day, at any time.
A considerable amount of literature has been published on the impact of working hours (8 vs. 12 hour shifts) on fatigue among the nurses. These studies revealed that twelve-hour shifts increase the risk of fatigue, reduce the level of alertness and performance, and therefore reduce the safety aspect compared to eight-hour shifts (Mitchell and Williamson, 1997; Dorrian et al., 2006; Dembe et al., 2009; Tasto et al., 1978). Mills et al. (1982) found that the risk of fatigues and performance errors are associated with the 12-hour shifts. Beside this, Jostone et al. (2002) revealed that nurses who are working for long hours are providing hasty performance with increased possibility of errors.
...shift is the last shift of the day. It’s from 10 to 6 am or 11 to 7 am. Night crew turns and positions the patients or residents every hour or two depends on the care plan. They make four rounds at night usually one at the beginning of the shift, at twelve, two, and at five before the shift ends. Night shift cleans and sanitizes the wheelchairs, handlebars, doors, and day to day equipment used. All the shifts have the same purpose to keep the helpless safety and as clean as possible.
Harrington, J. M. (2001). Health Effects of Shift Work and Extended Hours of Work. OEM Education. Retrieved on December 3, 2013, from http://oem.bmj.com/content/58/1/68.full. doi: 10.1136.oem.58.1.68
...hological preparation. After a nurse is done working their regular shift being forced to work overtime can out them a greater right of medical mistake in part due to fatigue and tiredness consequently putting the patient at high risk of complications.
Witkoski Stimpfel, Amy , Douglas M. Sloane, and Linda H. Aiken. "The Loger the shifts for hosital nurses, the higher the levels of burnout and patient disstisfaction." Health Affairs 31.11 (2012): 2501-2509. Proquest. Web. 11 Mar. 2014.
Nurses are the largest and the most trusted professional group in the health care system. They are highly educated and skilled in their areas of practice. However, today’s nurses are experiencing an ever increasing workload, which negatively impacts their ability to deliver safe patient care (Berry & Curry, 2012). This paper explores four published journals that report on survey results on nursing workload and their direct correlation with patient care outcomes. The purpose of this paper is to address the ongoing nursing workload issues and explore the reasons behind it.
In the recent past, nursing has come to the forefront as a popular career amongst students across the globe. The demand for nurses has kept increasing gradually over the years. In fact, the number of registered nurses does not meet the demand of the private and public health sector. This phenomenon has resulted in a situation where the available registered nurses have to work extra hours in order to meet the patients’ needs. With this in mind, the issue of nurse fatigue has come up as a common problem in nursing. According to the Canadian Nurses Association (CNA), nurse fatigue is “a feeling of tiredness” that penetrates a persons physical, mental and emotional realms limiting their ability to function normally. Fatigue does not just involve sleepiness as has been assumed before. It involves utter exhaustion that is not easily mitigated through rest. When nurses ignore the signs of fatigue, they risk the development of chronic fatigue and other health problems that may not be easily treated. Additionally, fatigue may cause nurses to lose more time at work as they may have to be away from work for several days to treat it. The issue of nurse fatigue has permeated the nursing profession to the extent of causing errors in the work performed by nurses. Fatigue causes a decrease in a nurse’s ability to make accurate decisions for themselves and their patients. It is therefore important to find ways to curb nurse fatigue such that it is no longer a problem. Nurse fatigue is a danger to the patients, organizations and to the nurses themselves and must be mitigated adequately.
As nursing tends to be a predominantly female profession, the effects of both work and nonwork stress have been studied intermittently. Nurses experiencing burnout reported to associate with poor job study and
Notably, having higher proportions of nurses working shorter shifts—8–9 hours or 10–11 hours—resulted in decreases in patient dissatisfaction” (Stimpfel et al.). This is essentially saying that the longer the shift length, the more negative outcomes result. This study proves that eight to nine-hour shifts are more effective, and should, in turn, be worked more than longer shifts. This is a problem because hospitals are likely to continue to schedule nurses for twelve hours shifts out of
Working in a fast-paced environment and being on their feet can really take a toll on a person. In addition they have to be prepared for anything to happen during their shift. A study of overworked and stressed nurses found that nurses are overworked suffered from physical sickness like type two diabetes (Stress and overworked 2006). For most nurses, their work week consists of more than sixty hours. Working that many hours can double their chances of sicknesses. When they compare the working week hours of nurses who worked the normal 21 to 40 hours with those that work more than 40 or 60 hours a week, they found that in comparison the ones who worked 40 hours or more a week increased the risk by almost 50 percent for type 2 diabetes (Stress and overwork 2006). If nurses were to work their normal work hours without mandatory overtime, then their health would improve.
Long working hours continue to be one of the largest health concerns in the world. Currently, the world population has become so busy due to the pressure from harsh economic conditions. People are therefore spending long working hours in the workplace, which is an aspect that has negative impact on their health conditions. Statistics from Working Condition Survey indicates that approximately 30% of workers residing in European Union believe that their health is at risk due to the hours they spent in the workplace (Gurung, 2010:16)
It is the desire and aim of every employee to attain some level of satisfaction in their various jobs or work place. Work plays an important role in an individual’s live because these individuals spend more of their time at workplace than any other activity. According to Furnham (2005), there are many reasons why people work. That is, work provides a source of income, a source of activity and stimulation, a source of social contacts, a means of structuring time and a source of self-fulfilment and self-actualisation. Understanding the effects of job stressors on an individual’s health is very important not only from a medical aspect but also from an economic perspective. Thus, job satisfaction plays an important role at the employee level as