Steege Linsey M, Drake Diane A, Olivas Mary, Mazza Gerri
School of Nursing, University of Wisconsin-Madison, Madison, WI, USA.
J Nurs Manag. 2015 Mar;23(2):179-89. doi: 10.1111/jonm.12112. Epub 2013 Jul 15.
To identify fatiguing tasks and develop a model of sources of fatigue in nursing work.
Research has identified multiple factors contributing to occupational fatigue; however, comprehensive consideration of diverse factors identified by nurses as contributing to fatigue in nursing work systems is lacking.
Content and frequency analyses were performed on previously unpublished data from an online survey of registered nurses. Responses from 100 registered nurses to questions related to the most fatiguing tasks in their work and factors that cause those tasks to be most fatiguing were analysed.
Physically demanding patient care tasks, and organisation, management and logistics tasks, respectively, were listed as the most frequent physically and mentally fatiguing. Time and multitasking demands were listed frequently as sources of both fatigue dimensions.
Registered nurses reported working in environments that include physically and mentally fatiguing tasks. They identified factors related to work content demands, including physical and mental task demands as well as time and multitasking demands, as most frequently contributing to fatigue.
This work and our conceptual model of sources of fatigue provide a framework to support nurses, nursing managers and administrators to develop strategies to reduce fatigue among RNs.
识别导致疲劳的工作任务,并建立护理工作中疲劳来源的模型。
研究已确定多种导致职业疲劳的因素;然而,缺乏对护士所确定的、在护理工作系统中导致疲劳的各种因素的全面考虑。
对注册护士在线调查中先前未发表的数据进行内容和频率分析。分析了100名注册护士对与工作中最易导致疲劳的任务以及使这些任务最易导致疲劳的因素相关问题的回答。
对体力要求较高的患者护理任务以及组织、管理和后勤任务,分别被列为最常导致身体和精神疲劳的任务。时间和多任务需求经常被列为这两种疲劳维度的来源。
注册护士报告称工作环境中存在导致身体和精神疲劳的任务。他们认为与工作内容需求相关的因素,包括身体和精神任务需求以及时间和多任务需求,是导致疲劳的最常见因素。
这项工作以及我们的疲劳来源概念模型提供了一个框架,以支持护士、护理管理者和行政人员制定策略来减少注册护士的疲劳。