An Examination of Work Characteristics, Fatigue, and Recovery Among Acute Care Nurses.

OBJECTIVE

To examine self-perceived fatigue among nurses and to quantify levels of fatigue and the ability to recover from fatigue between worked shifts across various work characteristics.

BACKGROUND

Fatigue is associated with working long hours, disruption of sleep, and inadequate time to recover between shifts. Fatigue degrades the nurses' performance leading to poorer patient outcomes and increased occupational injuries.

METHODS

This quantitative study surveyed 573 nurses across 5 hospitals in the southeastern United States.

RESULTS

Significant levels of acute fatigue were associated with working labor and delivery and medical-surgical units and working a 12-hour shift. Nurses working night shift and on the behavioral health unit showed a significantly lower ability to recover between worked shifts.

CONCLUSIONS

Fatigue threatens safety and the quality of patient care. Leaders should ensure that nurses take duty-free breaks and schedule adequate time off to recover between worked shifts.