Cho Hyeonmi, Steege Linsey M
School of Nursing, University of Wisconsin, Madison, WI, USA.
West J Nurs Res. 2021 Dec;43(12):1157-1168. doi: 10.1177/0193945921990892. Epub 2021 Feb 8.
Hospital nurses are at high risk of fatigue due to stressful work environments with heavy workloads and non-standard work schedules. This systematic review examined the relationship between hospital nurse fatigue and outcomes. Full-text English language quantitative studies published between January 2000 and July 2020 were included. A total of 22 articles were reviewed and synthesized. The findings were synthesized into three major categories: nurse outcomes, nurse-reported patient outcomes, and organizational outcomes. Some of the most commonly studied outcomes include nursing performance (n=3), sickness absence (n=3), and intention to leave (n=4). Fatigue was consistently associated with mental health problems, decreased nursing performance, and sickness absence. Many studies confirmed that nurse fatigue is negatively associated with nurse, patient-safety, and organizational outcomes. However, our findings highlight gaps in current knowledge and the need for future research using a longitudinal design and measuring additional outcomes to better understand the consequences of nurse fatigue.
由于工作环境压力大、工作量繁重且工作时间表不规范，医院护士面临着很高的疲劳风险。本系统评价研究了医院护士疲劳与结果之间的关系。纳入了2000年1月至2020年7月期间发表的英文全文定量研究。共审查并综合了22篇文章。研究结果综合为三大类：护士结果、护士报告的患者结果和组织结果。一些最常研究的结果包括护理绩效（n = 3）、缺勤（n = 3）和离职意向（n = 4）。疲劳一直与心理健康问题、护理绩效下降和缺勤有关。许多研究证实，护士疲劳与护士、患者安全和组织结果呈负相关。然而，我们的研究结果突出了当前知识的差距，以及未来需要采用纵向设计并测量更多结果进行研究，以更好地理解护士疲劳的后果。
