Sagherian Knar, Clinton Michael E, Abu-Saad Huijer Huda, Geiger-Brown Jeanne
1 University of Maryland, Baltimore.
2 American University of Beirut.
Workplace Health Saf. 2017 Jul;65(7):304-312. doi: 10.1177/2165079916665398. Epub 2016 Nov 23.
Hospital nurses are expected to maintain optimal work performance; yet, fatigue can threaten safe practice and result in unfavorable patient outcomes. This descriptive cross-sectional study explored the association between fatigue, work schedules, and perceived work performance among nurses. The study sample included 77 bedside nurses who were mostly female, single, and between 20 and 29 years of age. The majority worked 8-hour shifts and overtime. Nurses who worked during off days reported significantly higher chronic fatigue compared with those nurses who took time off. Nurses who reported feeling refreshed after sleep had significantly less chronic and acute fatigue and more intershift recovery. Nurses with acute and chronic fatigue perceived poorer physical performance. Also, nurses who reported chronic fatigue perceived they were less alert and less able to concentrate when providing patient care. Less effective communication was also associated with acute and chronic fatigue. In conclusion, fatigue has safety implications for nurses' practice that should be monitored by nursing management.
医院护士需要保持最佳工作表现；然而，疲劳会威胁到安全操作，并导致不利的患者预后。这项描述性横断面研究探讨了护士疲劳、工作时间表与感知工作表现之间的关联。研究样本包括77名床边护士，她们大多为女性、单身，年龄在20至29岁之间。大多数护士轮值8小时班并加班。与那些休息的护士相比，在休息日工作的护士报告的慢性疲劳程度明显更高。报告称睡眠后感觉精神焕发的护士，其慢性和急性疲劳明显较少，轮班间恢复更好。患有急性和慢性疲劳的护士感觉身体表现较差。此外，报告有慢性疲劳的护士认为，她们在提供患者护理时警觉性较低，注意力较难集中。沟通效果不佳也与急性和慢性疲劳有关。总之，疲劳对护士的执业安全有影响，护理管理层应予以监测。
