一项综合性综述：急症护理环境中护士的疲劳状况
An integrative review: fatigue among nurses in acute care settings.
作者信息
Smith-Miller Cheryl A, Shaw-Kokot Julia, Curro Brooke, Jones Cheryl B
机构信息
Author Affiliations: Nurse Researcher (Dr Smith-Miller), University of North Carolina Hospitals, and Adjunct Faculty, University of North Carolina at Chapel Hill; Education Librarian (Ms Shaw-Kokot), Health Sciences Library, University of North Carolina at Chapel Hill; Patient Services Manager (Ms Curro), University of North Carolina Hospitals, Chapel Hill; Associate Professor and Chair (Dr Jones), Health Care Environments School of Nursing; Director, Hillman Scholars Program in Nursing Innovation, University of North Carolina at Chapel Hill; and Research Program Consultant, University of North Carolina Hospitals Division of Nursing, Chapel Hill.
出版信息
J Nurs Adm. 2014 Sep;44(9):487-94. doi: 10.1097/NNA.0000000000000104.
OBJECTIVE
The aim of this study was to examine current research related to nurse fatigue and identify effective prevention strategies.
BACKGROUND
Work-related fatigue negatively affects patient safety and nurses' well-being and increases employer costs. Preventing fatigue and minimizing its negative consequences require knowledge of the contributing factors if effective interventions are to be designed and implemented.
METHODS
This review targeted original research (2002-2013) examining fatigue among nurses working in acute care settings.
RESULTS
Nurses experience high rates of fatigue. Shifts longer than 12 hours contribute to increased fatigue and errors, but the evidence was inconsistent with regard to age and fatigue level. Individual lifestyle, unit culture, and organization policies influence the prevalence and intensity of work-related fatigue.
CONCLUSIONS
Preventing work-related fatigue requires multifaceted approaches involving the organization, the clinical unit, and the individual.
目的
本研究旨在审视与护士疲劳相关的当前研究，并确定有效的预防策略。
背景
与工作相关的疲劳会对患者安全和护士的健康产生负面影响，并增加雇主成本。如果要设计和实施有效的干预措施，预防疲劳并将其负面后果降至最低需要了解促成因素。
方法
本综述针对2002年至2013年期间研究急症护理环境中护士疲劳情况的原始研究。
结果
护士疲劳发生率很高。超过12小时的轮班会导致疲劳和错误增加，但关于年龄与疲劳程度的证据并不一致。个人生活方式、科室文化和组织政策会影响与工作相关疲劳的发生率和严重程度。
结论
预防与工作相关的疲劳需要组织、临床科室和个人多方面的方法。
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