Which socio-demographic characteristics impact on the fatigue conditions in nurses: an Italian investigatory study
Characteristics impacting on fatigue
Keywords:
Condition, Fatigue, Investigatory Study, Nurse, Sampling CharacteristicsAbstract
Background and aim: Fatigue describes a wholeness feeling of tiredness or lack of energy. To assess which sampling nurses relating characteristics could influence the fatigue condition among nurses. Methods: From May 2020 to September 2021 a cross sectional, multicenter study was conducted among Italian nursing professional orders. An on-line ad hoc questionnaire was spread including sampling characteristics both on socio-demographic and nursing-relating work characteristics. Results: Significant associations were reported between item no.1 and gender (p<0.001) and BMI conditions (p=0.013), as most of the female participants (47%) affirmed to often feel themselves tired when they wake up, despite most of participants were at normal weight (32%). Item no.2 was significantly associated with gender (p=0.009), job role (p=0.039) and shift (p=0.030), as most of females never (31%) or often (31%) were not concentrated in their working tasks and, most of them were registered nurses (never: 41% and often: 35%), despite they were employed also during the night shift (never: 28%; often: 22%). Most of females (p=<0.001) were never slow in their reactions (42%), and they were young nurses (p=0.023). 44% of females declared to make an effort to express clearly themselves (p=0.031). Females reported significant high frequencies (p=0.016) in constant excitant substance assumption, such as caffeine (30%) and high significant percentage of females (p=0.047; 41%) reported the need to sleep during the day. Conclusions: The fatigue will have a strong impact on the quality of life of nursing professionals, compromising their functional abilities, social relationships and their work and family roles.
References
Smith-Miller CA, Shaw-Kokot J, Curro B, Jones CB. An integrative review: fatigue among nurses in acute care settings. J Nurs Adm. 2014; 44(9):487-94. doi: 10.1097/NNA.0000000000000104.
Nazir A, Smalbrugge M, Moser A, et al. The Prevalence of Burnout Among Nursing Home Physicians: An International Perspective. J Am Med Dir Assoc. 2018; 19(1):86-88. doi: 10.1016/j.jamda.2017.10.019.
Van Bogaert P, Timmermans O, Weeks SM, van Heusden D, Wouters K, Franck E. Nursing unit teams matter: Impact of unit-level nurse practice environment, nurse work characteristics, and burnout on nurse reported job outcomes, and quality of care, and patient adverse events--a cross-sectional survey. Int J Nurs Stud. 2014; 51(8):1123-34. doi: 10.1016/j.ijnurstu.2013.12.009.
Cocker F, Joss N. Compassion Fatigue among Healthcare, Emergency and Community Service Workers: A Systematic Review. Int J Environ Res Public Health. 2016; 13(6):618. doi: 10.3390/ijerph13060618.
Han K, Trinkoff AM, Geiger-Brown J. Factors associated with work-related fatigue and recovery in hospital nurses working 12-hour shifts. Workplace Health Saf. 2014; 62(10):409-14. doi: 10.3928/21650799-20140826-01.
Barker LM, Nussbaum MA. The effects of fatigue on performance in simulated nursing work. Ergonomics. 2011; 54(9):815-29. doi: 10.1080/00140139.2011.597878.
Ricci JA, Chee E, Lorandeau AL, Berger J. Fatigue in the U.S. workforce: prevalence and implications for lost productive work time. J Occup Environ Med. 2007; 49(1):1-10. doi: 10.1097/01.jom.0000249782.60321.2a.
Sharpe M, Wilks D. Fatigue. BMJ 2002; 325:480–483. doi:10.1136/bmj.325.7362.480
Barker LM, Nussbaum MA. Fatigue, performance and the work environment: a survey of registered nurses. J Adv Nurs. 2011; 67(6):1370-82. doi: 10.1111/j.1365-2648.2010.05597.x.
Caruso CC. Reducing Risks to Women Linked to Shift Work, Long Work Hours, and Related Workplace Sleep and Fatigue Issues. J Womens Health (Larchmt). 2015; 24(10):789-94. doi: 10.1089/jwh.2015.5481.
Sateia MJ. International classification of sleep disorders-third edition: highlights and modifications. Chest. 2014; 146(5):1387-1394. doi: 10.1378/chest.14-0970.
Bjelland I, Dahl AA, Haug TT, Neckelmann D. The validity of the Hospital Anxiety and Depression Scale. An updated literature review. J Psychosom Res. 2002; 52(2):69-77. doi: 10.1016/s0022-3999(01)00296-3.
Galland-Decker C, Marques-Vidal P, Vollenweider P. Prevalence and factors associated with fatigue in the Lausanne middle-aged population: a population-based, cross-sectional survey. BMJ Open. 2019; 9(8):e027070. doi: 10.1136/bmjopen-2018-027070.
Ruiz-Fernández MD, Pérez-García E, Ortega-Galán ÁM. Quality of Life in Nursing Professionals: Burnout, Fatigue, and Compassion Satisfaction. Int J Environ Res Public Health. 2020; 17(4):1253. doi: 10.3390/ijerph17041253.
Alsharari AF. Psychosocial impact of night shift work among nurses in Saudi Arabia. Am J Nurs Res 2019; 7:238–247. doi: 10.12691/ajnr-7-3-2
De Nunzio G, Conte L, Lupo R, et al. A New Berlin Questionnaire Simplified by Machine Learning Techniques in a Population of Italian Healthcare Workers to Highlight the Suspicion of Obstructive Sleep Apnea. Front Med (Lausanne). 2022; 9:866822. doi: 10.3389/fmed.2022.866822.
Cochran WG. Sampling Techniques, 2nd Ed., New York: John Wiley and Sons, Inc; 1963.
Romero-Corral A, Caples SM, Lopez-Jimenez F, Somers VK. Interactions between obesity and obstructive sleep apnea: implications for treatment. Chest. 2010; 137(3):711-9. doi: 10.1378/chest.09-0360.
Wolk R, Shamsuzzaman AS, Somers VK. Obesity, sleep apnea, and hypertension. Hypertension. 2003; 42(6):1067-74. doi: 10.1161/01.HYP.0000101686.98973.A3.
Punjabi NM. The epidemiology of adult obstructive sleep apnea. Proc Am Thorac Soc. 2008; 5(2):136-43. doi: 10.1513/pats.200709-155MG.
Javaheri S, Javaheri S. Update on Persistent Excessive Daytime Sleepiness in OSA. Chest. 2020; 158(2):776-786. doi: 10.1016/j.chest.2020.02.036.
Alexandropoulou A, Vavougios GD, Hatzoglou C, Gourgoulianis KI, Zarogiannis SG. Risk Assessment for Self Reported Obstructive Sleep Apnea and Excessive Daytime Sleepiness in a Greek Nursing Staff Population. Medicina (Kaunas). 2019; 55(8):468. doi: 10.3390/medicina55080468.
Chotinaiwattarakul W, O'Brien LM, Fan L, Chervin RD. Fatigue, tiredness, and lack of energy improve with treatment for OSA. J Clin Sleep Med. 2009; 5(3):222-7.
Alshammari B, AlEnazy A, Alshammari F, Madkhali N, Al-Masaeed M. Investigation of the Level and Factors Influencing Emergency Department Nurses Fatigue: A Case Study of the Saudi Arabian Context. Healthcare 2022; 10: 1294. doi: 10.3390/healthcare10071294
Zhang X, Lee SY, Luo H, Liu H. A prediction model of sleep disturbances among female nurses by using the BP-ANN. J Nurs Manag. 2019; 27(6):1123-1130. doi: 10.1111/jonm.12782.
Jarrad R, Hammad S, Shawashi T, Mahmoud N. Compassion fatigue and substance use among nurses. Ann Gen Psychiatry. 2018; 17:13. doi: 10.1186/s12991-018-0183-5.
Lazarus M, Shen HY, Cherasse Y, et al. Arousal effect of caffeine depends on adenosine A2A receptors in the shell of the nucleus accumbens. J Neurosci. 2011; 31(27):10067-75. doi:10.1523/JNEUROSCI.6730-10.2011
Shilo L, Sabbah H, Hadari R, et al. The effects of coffee consumption on sleep and melatonin secretion. Sleep Med. 2002; 3(3):271-3. doi: 10.1016/s1389-9457(02)00015-1.
Rajaratnam SM, Howard ME, Grunstein RR. Sleep loss and circadian disruption in shift work: health burden and management. Med J Aust. 2013; 199(8):S11-5. doi: 10.5694/mja13.10561.
Harris A, Ursin H, Murison R, Eriksen HR. Coffee, stress and cortisol in nursing staff. Psychoneuroendocrinology. 2007; 32(4):322-30. doi: 10.1016/j.psyneuen.2007.01.003.
Bonnet MH, Arand DL. Hyperarousal and insomnia: state of the science. Sleep Med Rev. 2010; 14(1):9-15. doi: 10.1016/j.smrv.2009.05.002.
Pattnaik H, Mir M, Boike S, Kashyap R, Khan SA, Surani S. Nutritional Elements in Sleep. Cureus. 2022; 14(12):e32803. doi: 10.7759/cureus.32803.
Carratú P, Karageorgiou G, Bonfitto P, et al. Long-term evaluation of mental fatigue by Maastricht Questionnaire in patients with OSAS treated with CPAP. Monaldi Arch Chest Dis. 2007; 67(1):6-9. doi: 10.4081/monaldi.2007.503.
Goel N, Rao H, Durmer JS, Dinges DF. Neurocognitive consequences of sleep deprivation. Semin Neurol. 2009; 29(4):320-39. doi: 10.1055/s-0029-1237117.
Cho H, Steege LM. Nurse Fatigue and Nurse, Patient Safety, and Organizational Outcomes: A Systematic Review. West J Nurs Res. 2021; 43(12):1157-1168. doi: 10.1177/0193945921990892.
Zion N, Shochat T. Cognitive functioning of female nurses during the night shift: The impact of age, clock time, time awake and subjective sleepiness. Chronobiol Int. 2018; 35(11):1595-1607. doi: 10.1080/07420528.2018.1497642.
Kim SA, Koo BB, Kim DE, Hwangbo Y, Yang KI. Factors affecting fatigue severity in patients with obstructive sleep apnea. Clin Respir J. 2017; 11(6):1045-1051. doi: 10.1111/crj.12682.
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