Abbaszadeh Reyhaneh, Ahmadi Fazlollah, Khoobi Mitra, Kazemnejad Anoshirvan, Vaismoradi Mojtaba
Nursing Department, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
Department of Biostatistics, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
Nurs Crit Care. 2025 Mar;30(2):e13091. doi: 10.1111/nicc.13091. Epub 2024 May 17.
Fatigue is a growing concern among nurses who provide care to unstable and critically ill patients in critical care wards. It has various negative consequences for both nurses and patients.
To explore and describe contributors to fatigue among nurses working in critical care units.
A qualitative content analysis.
Participants were 21 nurses chosen using purposeful sampling. They were working in different critical care units at different hospitals in nine urban areas of Iran. Semi-structured interviews were used to collect data, and conventional content analysis was used to develop categories and subcategories. The analysis of data on the nurses' perspectives and experiences led to developing nine categories as contributors to fatigue: 'compassion fatigue', 'extensive network of interactions', 'sound and alarm fatigue', 'psychological tensions', 'managerial and organizational tensions', 'lack of motivation and incentives', 'individual characteristics of nurses', 'physical and mental pressure', and requirements of special care and situational complexity'.
Understanding the factors that influence the experience of fatigue among nurses working in critical care units is essential for maintaining a reliable and high-quality health care environment within health care facilities.
The experience of fatigue by critical care nurses can increase the possibility of practice errors, reduce patient safety and quality of care, and enhance staff burnout and turnover. Proactive policies should be formulated to assess nurses' fatigue levels and implement strategies for effective fatigue management. This approach aims to enhance both patient safety and job satisfaction in the workplace.
在重症监护病房为不稳定和危重症患者提供护理的护士中，疲劳问题日益受到关注。这对护士和患者都会产生各种负面后果。
探讨并描述重症监护病房护士疲劳的影响因素。
定性内容分析。
采用目的抽样法选取了21名护士作为研究对象。他们在伊朗9个城市不同医院的不同重症监护病房工作。通过半结构式访谈收集数据，并采用常规内容分析法形成类别和子类别。对护士观点和经历的数据进行分析后，得出了9个导致疲劳的类别：“同情疲劳”、“广泛的互动网络”、“声音和警报疲劳”、“心理压力”、“管理和组织压力”、“缺乏动力和激励”、“护士的个人特征”、“身心压力”以及特殊护理要求和情况复杂性。
了解影响重症监护病房护士疲劳体验的因素对于在医疗机构内维持可靠且高质量的医疗环境至关重要。
重症监护护士的疲劳体验会增加操作失误的可能性，降低患者安全和护理质量，并加剧员工倦怠和离职率。应制定积极主动的政策来评估护士的疲劳程度，并实施有效的疲劳管理策略。这种方法旨在提高患者安全和工作场所的工作满意度。
