Work-related fatigue and related factors among nurses working at the Adnan Menderes University Hospital

Abstract

Objective:   Work-related fatigue is a common health problem among nurses. The objective of this study is to determine the level of fatigue among nurses working at the Adnan Menderes University Hospital in Turkey. Material and Methods: This cross-sectional study has been carried out in Turkey in 2016. A total of 463 nurses from Adnan Menderes University Hospital in Aydin have agreed and completed the data collection form. They have provided information on sociodemographic characteristics, work place, number of shifts worked, work year and weekly working hours. The visual analogue scale was used to measure levels of energy and fatigue. Linear regression analysis was performed to highlight any significant changes. Results: In total, 85.3% of the nurses who participated were females. 60.3% were single, 53.6% worked in intensive care units and 26.1% worked only in the day shift, 17.9% worked for more than 45h a week. According to univariate analyses, nurses who were over 40 years of age, married, worked in internal medicine and surgery clinics for over 15 years and constantly worked in the day shift for 40 h a week had lower energy scores and higher fatigue scores. According to the univariate analysis, all the personal and working characteristics are related fatigue and energy subscale scores. Linear regression analysis revealed that age was the only variable affecting energy scores. Conclusion: It can be stated that factors affecting fatigue among nurses in our study group are associated with age and gender. Prevention and supporting programs may focus on firstly vulnerable nurses (female and older age group).

Keywords

• Fatigue; Nurse; Hospital

References

1. 1. Schnorpfeil P, Noll A, Wirtz P, Schulze R, Ehlert U, Frey K et al. Assessment of exhaustionand related risk factors in employees in the manufacturing industry – a cross-sectional study. Int Arch Occup Environ Health. 2002; 75(8): 535-540.
2. 2. DeArmond S, Chen PY. Occupational safety: the role of workplace sleepiness. Accid Anal Prev. 2009; 41(5): 976-84.
3. 3. Scott LD, Hofmeister N, Rogness N, Rogers AE. Implementing a fatigue countermeasures program for nurses: a focus group analysis. J Nurs Adm. 2010; 40(5): 233–40.
4. 4. Ayed A, Ahida S, ThulthDr Sumaya R, Sayej U. Impact of night shift and training development factors on performance of professional nurses in North West Bank Governmental Hospitals. J Edu Pract. 2015; 6(27): 50-60.
5. 5. Berger AM, Hobbs BB. Impact of shift work on the health and safety of nurses and patients. Clin J Oncol Nurs. 2006; 10(4): 465-71.
6. 6. Ruggiero JS. Correlates of fatigue in critical care nurses. Res Nurs Health. 2003; 26(6): 434-44.
7. 7. Van Dijk FJH, Swaen GMH . Fatigue at work. Occup Environ Med. 2003; 60(Suppl I):i1–i2.
8. 8. Kant IJ, Bültmann U, Schröer KA, Beurskens AJ, Van Amelsvoort LG, Swaen GM. An epidemiological approach to study fatigue in the working population: the Maastricht Cohort Study. Occup Environ Med. 2003; 60(Suppl 1): i32–i39.

9. 9. Steege LM, Dykstra JG. A macroergonomic perspective on fatigue and coping in the hospital nurse work system. Appl Ergon. 2016; 54: 19-26.
10. 10. Akerstedt T, Fredlund P, Gillberg M, Jansson B. Work load and work hours in relation to disturbed sleep and fatigue in a large representative sample. J Psychosom Res. 2002; 53(1): 585-8.
11. 11. Parshuram CS, Dhanani S, Kirsh JA, Cox PN. Fellowship training, workload, fatigue and physical stress: a prospective observational study. CMAJ. 2004; 170(6): 965-70.
12. 12. Dinges, DF. An overview of sleepiness and accidents. J Sleep Res. 1995; 4(S2): 4-14.
13. 13. Smart D, English A, James J, Wilson M, Daratha KB, Childers B et al. Compassion fatigue and satisfaction: a cross-sectional survey among US healthcare workers. Nurs Health Sci. 2014; 16(1): 3-10.
14. 14. Ho JC, Lee MB, Chen RY, Chen CJ, Chang WP, Yeh CY et al. Work-related fatigue among medical personnel in Taiwan. J Formos Med Assoc. 2013; 112(10): 608-15.
15. 15. Steege LM, Rainbow JG. Fatigue in hospital nurses-‘Supernurse’ culture is a barrier to addressing problems: A qualitative interview study. Int J Nurs Stud. 2017; 67: 20-28.
16. 16. Steege LM, Pinekenstei BJ, Arsenault KÉ, Rainbow JG. Exploring nurse leader fatigue: a mixed methods study. J Nurs Manag. 2017; 25(4): 276-286.
17. 17. Günay U, Kılınç G. The transfer of theoretical knowledge to clinical practice by nursing students and the difficulties they experience: A qualitative study. Nurse Educ Today. 2018; 65: 81-86.
18. 18. Özer Ö, Şantaş F, Şantaş G, Şahin DS. Impact of nurses' perceptions of work environment and communication satisfaction on their intention to quit. Int J Nurs Pract. 2017; 23(6): e12596.
19. 19. Sonğur C, Özer Ö, Gün Ç, Top M. Patient Safety Culture, Evidence-Based Practice and Performance in Nursing. Syst Pract Action Res(SPAA). 2017; 30(175):1-16.
20. 20. Zekioğlu A, Kaptanoğlu A, Çavmak D, Söyler S. The Scale Development on Health Professionals’ Perceptions About Health Sector Privatization in Turkey. International Journal of Health Administration and Education Congress (Sanitas Magisterium). 2018; 3(2):46-55.
21. 21. Lee K, Hicks G, Nino-Murcia G. Validity and reliability of a scale to assess fatigue. Psychiatry Research. 1991; 36(3): 291-298.
22. 22. Yurtsever S, Bedük T. Evaluation of fatigue on hemodialysis patients. Turkish Journal of Research and Development in Nursing. 2003; 5(2), 3–12.
23. 23. Noble KA. Fatigue: When the ‘‘little engine that could’’ just can’t anymore!. J Perianesth Nurs. 2007; 22(6):430-4.
24. 24. Çelik S, Taşdemir N, Kurt A, İlgezdi E, Kubalas Ö. Fatigue in Intensive Care Nurses and Related Factors. Int J Occup Environ Med. 2017; 8(4):199-206.
25. 25. Yang YH, Kim JK. A Literature Review of Compassion Fatigue in Nursing. Korean J Adult Nurs. 2012; 24(1):38-51.
26. 26. Batak T, Gvozdenović L, Bokan D, Bokan D. The impact of nurses' shift work on the fatigue level. South Eastern Europe Health Sci J. 2013; 3(2): 120-127.
27. 27. Winwood PC, Winefield AH, Lushington K. Work-related fatigue and recovery: the contribution of age, domestic responsibilities and shiftwork. J Adv Nurs. 2006; 56(4):438-49.
28. 28. Niu SF, Chung MH, Chen CH, Hegney D, O'Brien A, Chou KR. The effect of shift rotation on employee cortisol profile, sleep quality, fatigue, and attention level: a systematic review. J Nurs Res. 2011; 19(1):68-81.
29. 29. Clendon J, Walker L. Nurses aged over 50 and their perceptions of flexible working. J Nurs Manag. 2016; 24 (3):336–346.
30. 30. Ryan C, Bergin M, Wells JS. Valuable yet Vulnerable—A review of the challenges encountered by older nurses in the workplace. Int J Nurs Stud. 2017; 72: 42-52.
31. 31. Pool IA, Poell RF, Berings MG, ten Cate O. Strategies for continuing professional development among younger, middle-aged, and older nurses: A biographical approach. Int J Nurs Stud. 2015; 52(5),939-950.
32. 32. Conway PM, Campanini P, Sartori S, Dotti R, Costa G. Main and interactive effects of shiftwork, age and work stress on health in an Italian sample of healthcare workers. Appl Ergon. 2008; 39(5):630-9.
33. 33. Stichler JF. Healthy work environments for the ageing nursing workforce. J Nurs Manag. 2013; 21(7):956-63.