Fatigue, performance and the work environment: A survey of registered nurses

Journal of Advanced Nursing

Volumn 67, Issue 6, 2011, Pages 1370-1382

  Barker, Linsey M ^a   Nussbaum, Maury A ^b  

^a University of Missouri   (United States)

^b State University   (United States)

Author keywords

Acute fatigue; Chronic fatigue; Nursing; Performance; Shift length; Shift schedule; Total fatigue

Indexed keywords

ACUTE DISEASE; ADULT; ARTICLE; CHRONIC DISEASE; EPIDEMIOLOGY; FATIGUE; FEMALE; HUMAN; MEDICAL ERROR; MIDDLE AGED; NURSING; NURSING STAFF; OCCUPATIONAL DISEASE; ORGANIZATION AND MANAGEMENT; PERSONNEL MANAGEMENT; PHYSIOLOGY; PSYCHOLOGICAL ASPECT; SAFETY; SLEEP; STANDARD; STATISTICS; WORK SCHEDULE; WORKLOAD; WORKPLACE;

ACUTE DISEASE; ADULT; CHRONIC DISEASE; EPIDEMIOLOGIC METHODS; FATIGUE; FEMALE; HUMANS; MEDICAL ERRORS; MIDDLE AGED; NURSING STAFF; OCCUPATIONAL DISEASES; PERSONNEL STAFFING AND SCHEDULING; SAFETY; SLEEP; WORK SCHEDULE TOLERANCE; WORKLOAD; WORKPLACE; YOUNG ADULT;

EID: 79955729614     PISSN: 03092402     EISSN: 13652648     Source Type: Journal    
DOI: 10.1111/j.1365-2648.2010.05597.x     Document Type: Article

References (70)

1. ANA (2001) NursingWorld.org Heath and Safety Survey. Retrieved from on 1 April 2007.
2. Aaronson L.S., Pallikkathayil L. & Crighton F. (2003) A qualitative investigation of fatigue among healthy working adults. Western Journal of Nursing Research 25(4), 419-433.
3. Ahsberg E. (2000) Dimensions of fatigue in different working populations. Scandinavian Journal of Psychology 41(3), 231-241.
4. Ahsberg E., Gamberale F. & Kjellberg A. (1997) Perceived quality of fatigue during different occupational tasks - development of a questionnaire. International Journal of Industrial Ergonomics 20, 121-135.
5. Aiken L.H., Clarke S.P., Sloane D.M. & Sochalski J. (2001) Cause for concern: nurses' reports of hospital care in five countries. LDI Issue Brief 6(8), 1-4.
6. Akerstedt T. (2000) Consensus statement: fatigue and accidents in transport operations. Journal of Sleep Research 9, 395.
7. Akerstedt T., Knutsson A., Westerholm P., Theorell T., Alfredsson L. & Kecklund G. (2004) Mental fatigue, work and sleep. Journal of Psychosomatic Research 57(5), 427-433.
8. Battersby D. & Hemmings L. (1991) Clinical performance of university nursing graduates. The Australian Journal of Advanced Nursing 9(1), 30-34.
9. Bertram D.A., Hershey C.O., Opila D.A. & Quirin O. (1990) A measure of physician mental work load in internal medicine ambulatory care clinics. Medical Care 28(5), 458-467.
10. Bertram D.A., Opila D.A., Brown J.L., Gallagher S.J., Schifeling R.W., Snow I.S. & Hershey C.O. (1992) Measuring physician mental workload: reliability and validity assessment of a brief instrument. Medical Care 30(2), 95-104.
11. Bureau of Labor Statistics (2005) Total Recordable Cases - Injuries and Illnesses, 2005. United States Department of Labor, Bureau of Labor Statistics, Washington, DC. Retrieved from on 6 April 2007.
12. Carayon P. & Gurses A.P. (2005) A human factors engineering conceptual framework of nursing workload and patient safety in intensive care units. Intensive & Critical Care Nursing 21(5), 284-301.
13. Chen S.M. & McMurray A. (2001) "Burnout" in intensive care nurses. Journal of Nursing Research 9(5), 152-164.
14. Chen M., Chen C., Yeh W., Huang J. & Mao I. (2003) Heat stress evaluation and worker fatigue in a steel plant. AIHA Journal 64(3), 352-359.
15. Clarke S.P. & Aiken L.H. (2006) More nursing, fewer deaths. Quality and Safety in Health Care 15(1), 2-3.
16. De Vries J., Michielsen H.J. & Van Heck G.L. (2003) Assessment of fatigue among working people: a comparison of six questionnaires. Occupational and Environmental Medicine 60(Suppl. I), i10-i15.
17. DeMoss C., McGrail M. Jr, Haus E., Crain A.L. & Asche S.E. (2004) Health and performance factors in health care shift workers. Journal of Occupational and Environmental Medicine 46(12), 1278-1281.
18. Edell-Gustafsson U.M., Kritz E.I. & Bogren I.K. (2002) Self-reported sleep quality, strain and health in relation to perceived working conditions in females. Scandinavian Journal of Caring Sciences 16(2), 179-187.
19. Estryn-Behar M., Kaminski M., Peigne E., Maillard M.F., Pelletier A., Berthier C., Delaporte M.F., Paoli M.C. & Leroux J.M. (1990) Strenuous working conditions and musculo-skeletal disorders among female hospital workers. International Archives of Occupational and Environmental Health 62(1), 47-57.
20. Friedberg F. & Jason L.A. (1998) Understanding Chronic Fatigue Syndrome. American Psychological Association, Washington, DC.
21. Ganong W.L., Ganong J.M. & Harrison E.T. (1976) The 12-hour shift: better quality, lower cost. Journal of Nursing Administration 6(2), 17-29.
22. Garland G.A. (1996) Self report of competence. A tool for the staff development specialist. Journal of Nursing Staff Development 12(4), 191-197.
23. Geiger-Brown J., Trinkoff A.M., Nielsen K., Lirtmunlikaporn S., Brady B. & Vasquez E. (2004) Nurses' perception of their work environment, health, and well-being: a qualitative perspective (I). AAOHN Journal 52(1), 16-22.
24. Gillespie A. & Curzio J. (1996) A comparison of a 12-hour and eight-hour shift system. Nursing Times 92(39), 36-39.
25. Gold D.R., Rogacz S., Bock N., Tosteson T.D., Baum T.M., Speizer F.E. & Czeisler C.A. (1992) Rotating shift work, sleep, and accidents related to sleepiness in hospital nurses. American Journal of Public Health 82(7), 1011-1014.
26. Goode J. (2003) Are pilots at risk of accidents due to fatigue? Journal of Safety Research 34, 309-313.
27. Hockey R. (ed.) (1983) Stress and Fatigue in Human Performance. John Wiley & Sons, New York.
28. Howard S.K., Rosekind M.R., Katz J.D. & Berry A.J. (2002) Fatigue in anesthesiology: implications and strategies for patient and provider safety. Anesthesiology 97(5), 1281-1294.
29. Josten E.J., Ng A.T.J.E. & Thierry H. (2003) The effects of extended workdays on fatigue, health, performance and satisfaction in nursing. Journal of Advanced Nursing 44(6), 643-652.
30. Kohn L.T., Corrigan J.M. & Donaldson M.S. (1999) To Err is Human: Building a Safer Health System. National Academy Press, Washington, DC.
31. Krueger G.P. (1994) Fatigue, performance and medical error. In Human Error in Medicine (Bogner M.S., ed.), L. Erlbaum Associates, Hillsdale, pp. 311-326.
32. Lerner D., Amick B., Rogers W., Malspeis S., Bungay K. & Cynn D. (2001) The Work Limitations Questionnaire. Medical Care 39(1), 72-85.
33. Leung A.W., Chan C.C. & He J. (2004) Structural stability and reliability of the Swedish occupational fatigue inventory among Chinese VDT workers. Applied Ergonomics 35(3), 233-241.
34. Leung A., Chan C., Ng J. & Wong P. (2006) Factors contributing to officers' fatigue in high-speed maritime craft operations. Applied Ergonomics 37, 565-576.
35. Lindborg C. & Davidhizar R. (1993) Is there a difference in nurse burnout on the day or night shift? The Health Care Supervisor 11(3), 47-52.
36. Lipscomb J., Trinkoff A., Brady B. & Geiger-Brown J. (2004) Health care system changes and reported musculoskeletal disorders among registered nurses. American Journal of Public Health 94(8), 1431-1435.
37. Michielsen H.J., De Vries J. & Van Heck G.L. (2003) Psychometric qualities of a brief self-rated fatigue measure: the Fatigue Assessment Scale. Journal of Psychosomatic Research 54(4), 345-352.
38. Michielsen H.J., De Vries J., Van Heck G.L., Van de Vijver F.J.R. & Sijtsma G.J. (2004) Examination of the dimensionality of fatigue: the construction of the Fatigue Assessment Scale (FAS). European Journal of Psychological Assessment 20(1), 39-48.
39. Muecke S. (2005) Effects of rotating night shifts: literature review. Journal of Advanced Nursing 50(4), 433-439.
40. Murata K., Araki S., Kawakami N., Saito Y. & Hino E. (1991) Central nervous system effects and visual fatigue in VDT workers. International Archives of Occupational and Environmental Health 63(2), 109-113.
41. Narumi J., Miyazawa S., Miyata H., Suzuki A., Kohsaka S. & Kosugi H. (1999) Analysis of human error in nursing care. Accident Analysis & Prevention 31(6), 625-629.
42. Nunnaly J. (1978) Psychometric Theory. McGraw-Hill, New York.
43. Ochoa F.J., Ramalle-Gomara E., Lisa V. & Saralegui I. (1998) The effect of rescuer fatigue on the quality of chest compressions. Resuscitation 37(1998), 149-152.
44. Owens J.A. (2001) Sleep loss and fatigue in medical training. Current Opinion in Pulmonary Medicine 7, 411-418.
45. Page A. (ed.) (2004) Keeping Patients Safe - Transforming the Work Environment of Nurses. The National Academies Press, Washington.
46. Piko B.F. (2006) Burnout, role conflict, job satisfaction and psychosocial health among Hungarian health care staff: a questionnaire survey. International Journal of Nursing Studies 43(3), 311-318.
47. Punnett L. (1987) Upper extremity musculoskeletal disorders in hospital workers. Journal of Hand Surgery. American Volume 12(5 Pt 2), 858-862.
48. Rogers A.E. (2004) Study shows 12-hour shifts increase errors. Healthcare Benchmarks and Quality Improvement 11(9), 105-106.
49. Rogers A.E., Hwang W., Scott L.D., Aiken L.H. & Dinges D.F. (2004) The working hours of hospital staff nurses and patient safety. Health Affairs 23, 202-221.
50. Schwirian P. (1978) Evaluating the performance of nurses: a multidimensional approach. Nursing Research 27(6), 347-351.
51. Scott L.D., Rogers A.E., Hwang W.-T. & Zhang Y. (2006) Effects of critical care nurses' work hours on vigilance and patients' safety. American Journal of Critical Care 15(1), 30-37.
52. Soh T. & Crumpton L.L. (1996) An evaluation of fatigue indicators while performing nursing tasks. In Proceedings of the Fifth Annual Institute of Industrial Engineering Research Conference, pp. 741-746.
53. Spratley E., Johnson A., Sochalski J., Fritz M. & Spencer W. (2001) The Registered Nurse Population, March 2000. Findings from the National Sample Survey of Registered Nurses. U.S. Department of Health and Human Services, Health Resources and Services Administration, Washington, DC, p. 130.
54. Steiger D., Bausch S., Johnson B. & Peterson A. (2004) The Registered Nurse Population: Findings from the 2004 National Sample Survey of Registered Nurses. US Department of Health and Human Services, Washington, DC, pp. 1-176.
55. Stubbs D.A., Buckle P., Hudson M.P., Rivers P.M. & Worringham C.J. (1983) Back pain in the nursing profession. I. Epidemiology and pilot methodology. Ergonomics 26, 755-765.
56. Suzuki K., Ohida T., Kaneita Y., Yokoyama E. & Uchiyama M. (2005) Daytime sleepiness, sleep habits and occupational accidents among hospital nurses. Journal of Advanced Nursing 52(4), 445-453.
57. Taylor B. & Barling J. (2004) Identifying sources and effects of carer fatigue and burnout for mental health nurses: a qualitative approach. International Journal of Mental Health Nursing 13(2), 117-125.
58. Tiesinga L.J., Dassen T.W. & Halfens R.J. (1996) Fatigue: a summary of the definitions, dimensions, and indicators. Nursing Diagnosis 7(2), 51-62.
59. Torgen M., Winkel J., Alfredsson L. & Kilbom A. (1999) Evaluation of questionnaire-based information on previous physical work loads. Stockholm MUSIC 1 Study Group. Musculoskeletal Intervention Center. Scandinavian Journal of Work, Environment and Health 25(3), 246-254.
60. Tourangeau A.E., Cranley L.A. & Jeffs L. (2006) Impact of nursing on hospital patient mortality: a focused review and related policy implications. Quality and Safety in Health Care 15(1), 4-8.
61. Treanor H.L. (2000) Health risks and the health care professional. Medicine, Health Care and Philosophy 3, 251-255.
62. Trinkoff A.M., Storr C.L. & Lipscomb J.A. (2001) Physically demanding work and inadequate sleep, pain medication use, and absenteeism in registered nurses. Journal of Occupational and Environmental Medicine 43(4), 355-363.
63. Trinkoff A., Geiger-Brown J., Brady B., Lipscomb J. & Muntaner C. (2006) How long and how much are nurses now working? The American Journal of Nursing 106(4), 60-71.
64. Underwood A.B. (1975) What a 12-hour shift offers. American Journal of Nursing 75(7), 1176-1178.
65. Winwood P.C., Winefield A.H., Dawson D. & Lushington K. (2005) Development and validation of a scale to measure work-related fatigue and recovery: the Occupational Fatigue Exhaustion/Recovery Scale (OFER). Journal of Occupational and Environmental Medicine 47(6), 594-606.
66. Winwood P.C., Lushington K. & Winefield A.H. (2006a) Further development and validation of the Occupational Fatigue Exhaustion Recovery (OFER) scale. Journal of Occupational and Environmental Medicine 48(4), 381-389.
67. Winwood P.C., Winefield A.H. & Lushington K. (2006b) Work-related fatigue and recovery: the contribution of age, domestic responsibilities and shiftwork. Journal of Advanced Nursing 56(4), 438-449.
68. Yip Y. (2001) A study of work stress, patient handling activities and the risk of low back pain among nurses in Hong Kong. Journal of Advanced Nursing 36(6), 794-804.
69. Yoshitake H. (1978) Three characteristic patterns of subjective fatigue symptoms. Ergonomics 21(3), 231-233.
70. Zboril-Benson L.R. (2002) Why nurses are calling in sick: the impact of health-care restructuring. Canadian Journal of Nursing Research 33(4), 89-107.