Hospital nurse force theory: a perspective of nurse fatigue and patient harm.
ABSTRACT This article is focused on the primary finding of the 2010 Institute of Medicine report asserting that nurses practice to the full extent of their education and training. An evolving theoretical perspective for hospital nursing practice is proposed as a basis for reaching this goal. This article describes the background and current factors influencing professional hospital nursing practice, presents a theoretical model for future research designed to optimize the power of hospital nursing practice, using a newly evolved concept of "nurse force," and discusses the implications of nurse force theory on perspectives of hospital nurse fatigue and patient harm.
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ABSTRACT: OBJECTIVE: The aim of this study was to examine current research related to nurse fatigue and identify effective prevention strategies. BACKGROUND: Work-related fatigue negatively affects patient safety and nurses' well-being and increases employer costs. Preventing fatigue and minimizing its negative consequences require knowledge of the contributing factors if effective interventions are to be designed and implemented. METHODS: This review targeted original research (2002-2013) examining fatigue among nurses working in acute care settings. RESULTS: Nurses experience high rates of fatigue. Shifts longer than 12 hours contribute to increased fatigue and errors, but the evidence was inconsistent with regard to age and fatigue level. Individual lifestyle, unit culture, and organization policies influence the prevalence and intensity of work-related fatigue. CONCLUSIONS: Preventing work- related fatigue requires multifaceted approaches involving the organization, the clinical unit, and the individual.JONA The Journal of Nursing Administration 09/2014; 44(9):487-94. DOI:10.1097/NNA.0000000000000104 · 1.37 Impact Factor
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ABSTRACT: To identify fatiguing tasks and develop a model of sources of fatigue in nursing work. Research has identified multiple factors contributing to occupational fatigue; however, comprehensive consideration of diverse factors identified by nurses as contributing to fatigue in nursing work systems is lacking. Content and frequency analyses were performed on previously unpublished data from an online survey of registered nurses. Responses from 100 registered nurses to questions related to the most fatiguing tasks in their work and factors that cause those tasks to be most fatiguing were analysed. Physically demanding patient care tasks, and organisation, management and logistics tasks, respectively, were listed as the most frequent physically and mentally fatiguing. Time and multitasking demands were listed frequently as sources of both fatigue dimensions. Registered nurses reported working in environments that include physically and mentally fatiguing tasks. They identified factors related to work content demands, including physical and mental task demands as well as time and multitasking demands, as most frequently contributing to fatigue. This work and our conceptual model of sources of fatigue provide a framework to support nurses, nursing managers and administrators to develop strategies to reduce fatigue among RNs.Journal of Nursing Management 07/2013; 23(2). DOI:10.1111/jonm.12112 · 1.14 Impact Factor