Han Kihye, Trinkoff Alison M, Geiger-Brown Jeanne
Workplace Health Saf. 2014 Oct;62(10):409-14. doi: 10.3928/21650799-20140826-01. Epub 2014 Sep 3.
Nurse fatigue threatens both nurse and patient safety; fatigue affects nurses' neurocognitive functioning and hinders their work performance. The authors assessed the association of work and non-work factors with acute and chronic fatigue and intershift recovery among hospital nurses working 12-hour shifts. This study used survey data from 80 nurses who provided full-time direct patient care on medical-surgical and critical care units in a large teaching hospital. Psychological job demands (e.g., work load and social support from supervisor or coworker) were significantly associated with acute and chronic fatigue and intershift recovery. Rotating shifts were significantly related to acute fatigue. Findings suggest the need for a comprehensive approach to fatigue management, including organizational support to provide healthful work schedules and favorable nursing work environments, fewer psychological and physical demands, and assistance to improve nurses' sleep quality and quantity. [Workplace Health Saf 2014;62(10):409-414.].
护士疲劳对护士和患者安全均构成威胁；疲劳会影响护士的神经认知功能并妨碍其工作表现。作者评估了工作因素和非工作因素与实行12小时轮班制的医院护士的急性和慢性疲劳以及轮班间恢复情况之间的关联。本研究使用了来自80名护士的调查数据，这些护士在一家大型教学医院的内科-外科和重症监护病房提供全职直接患者护理。心理工作需求（如工作量以及上级或同事给予的社会支持）与急性和慢性疲劳以及轮班间恢复情况显著相关。轮班与急性疲劳显著相关。研究结果表明需要采取全面的疲劳管理方法，包括组织支持以提供健康的工作时间表和良好的护理工作环境，减少心理和身体需求，并协助改善护士的睡眠质量和时长。[《工作场所健康与安全》2014年；62(10):409 - 414。]
