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Fatigue and excessive daytime sleepiness among nurses



Abstract

Background: Nurses are responsible for ensuring the safety of their patients. It has long been known that weariness and sleepiness can lead to mistakes that jeopardize patient safety. The researchers wanted to see if there was a link between exhaustion and excessive daytime sleepiness among nurses.

Methods: The study used a cross-sectional correlational design with 36 nurses from a Tertiary Eye Care Hospital as participants. Convenience sampling was used to collect data. The Epworth Sleepiness Scale (ESS) and the Three-Dimensional Work Fatigue Inventory (3D-WFI) were used to collect data. Pearson's correlation coefficient was used to calculate the correlation between WFI and ESS.

Results: The statistical analysis with ratio data between exhaustion and Excessive Daytime Sleepiness, we obtained that p 0.000 with Pearson correlation and suggests that there is a strong link between fatigue and excessive daytime sleepiness (EDS) among hospital nurses.

Conclusions: Fatigue and daytime sleepiness are significant occupational health concerns for hospital nurses. According to this study, nurses should optimize their work hours to avoid daytime sleepiness and maintain circumstances to avoid excessive sleepiness, which can lead to adverse outcomes.

Keywords: fatigue occupational health sleepiness

References

  1. Barker LM, Nussbaum MA. Fatigue, performance and the work environment: a survey of registered nurses: Fatigue, performance and the work environment. Journal of Advanced Nursing [Internet]. 2011 Jun [cited 2022 Oct 4];67(6):1370–82. Available from: https://onlinelibrary.wiley.com/doi/10.1111/j.1365-2648.2010.05597.x
  2. Chaiard J, Deeluea J, Suksatit B, Songkham W, Inta N. Short sleep duration among Thai nurses: Influences on fatigue, daytime sleepiness, and occupational errors. Jrnl of Occup Health [Internet]. 2018 Sep [cited 2022 Oct 4];60(5):348–55. Available from: https://onlinelibrary.wiley.com/doi/abs/10.1539/joh.2017-0258-OA
  3. Roodbandi ASJ, Feyzi V, Khanjani N, Moghadam SR, Bafghi MS, Moghadasi M, et al. Sleep Quality and Sleepiness: A Comparison between Nurses with and without Shift Work, and University Employees. 2016;7.
  4. Chen L, Luo C, Liu S, Chen W, Liu Y, Li Y, et al. Excessive daytime sleepiness in general hospital nurses: prevalence, correlates, and its association with adverse events. Sleep Breath [Internet]. 2019 Mar [cited 2022 Oct 4];23(1):209–16. Available from: http://link.springer.com/10.1007/s11325-018-1684-9
  5. Scott LD, Arslanian-Engoren C, Engoren MC. Association of Sleep and Fatigue With Decision Regret Among Critical Care Nurses. American Journal of Critical Care [Internet]. 2014 Jan 1 [cited 2022 Oct 4];23(1):13–23. Available from: https://aacnjournals.org/ajcconline/article/23/1/13/3863/Association-of-Sleep-and-Fatigue-With-Decision
  6. Kusnanto K, Rohmah FA, Wahyudi AS, Arifin H. Mental Workload and Stress with Blood Glucose Level: A Correlational Study among Lecturers who are Structural Officers at the University. Systematic Reviews in Pharmacy. 2020;11(7):5.
  7. Rahman HA, Abdul-Mumin K, Naing L. A study into psychosocial factors as predictors of work-related fatigue. Br J Nurs [Internet]. 2016 Jul 14 [cited 2022 Oct 4];25(13):757–63. Available from: http://www.magonlinelibrary.com/doi/10.12968/bjon.2016.25.13.757
  8. Saleh AM, Awadalla NJ, El-masri YM, Sleem WF. Impacts of nurses’ circadian rhythm sleep disorders, fatigue, and depression on medication administration errors. Egyptian Journal of Chest Diseases and Tuberculosis [Internet]. 2014 Jan [cited 2022 Oct 4];63(1):145–53. Available from: http://linkinghub.elsevier.com/retrieve/pii/S0422763813002380
  9. 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 [Internet]. 2014 Oct [cited 2022 Oct 4];62(10):409–14. Available from: http://journals.sagepub.com/doi/10.3928/21650799-20140826-01
  10. Raftopoulos V, Charalambous A, Talias M. The factors associated with the burnout syndrome and fatigue in Cypriot nurses: a census report. BMC Public Health [Internet]. 2012 Dec [cited 2022 Oct 4];12(1):457. Available from: https://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-12-457
  11. da Silva FJ, Felli VEA, Martinez MC, Mininel VA, Ratier APP. Association between work ability and fatigue in Brazilian nursing workers. WOR [Internet]. 2016 Jan 27 [cited 2022 Oct 4];53(1):225–32. Available from: https://www.medra.org/servlet/aliasResolver?alias=iospress&doi=10.3233/WOR-152241
  12. Kaliyaperumal D. Effects of Sleep Deprivation on the Cognitive Performance of Nurses Working in Shift. JCDR [Internet]. 2017 [cited 2022 Oct 4]; Available from: http://jcdr.net/article_fulltext.asp?issn=0973-709x&year=2017&volume=11&issue=8&page=CC01&issn=0973-709x&id=10324
  13. Geiger-Brown J, Rogers VE, Trinkoff AM, Kane RL, Bausell RB, Scharf SM. Sleep, Sleepiness, Fatigue, and Performance of 12-Hour-Shift Nurses. Chronobiology International [Internet]. 2012 Mar [cited 2022 Oct 4];29(2):211–9. Available from: http://www.tandfonline.com/doi/full/10.3109/07420528.2011.645752
  14. Wilson M, Permito R, English A, Albritton S, Coogle C, Van Dongen HPA. Performance and sleepiness in nurses working 12-h day shifts or night shifts in a community hospital. Accident Analysis & Prevention [Internet]. 2019 May [cited 2022 Oct 4];126:43–6. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0001457517303536
  15. Suzuki K, Ohida T, Kaneita Y, Yokoyama E, Uchiyama M. Daytime sleepiness, sleep habits and occupational accidents among hospital nurses. J Adv Nurs [Internet]. 2005 Nov [cited 2022 Oct 4];52(4):445–53. Available from: https://onlinelibrary.wiley.com/doi/10.1111/j.1365-2648.2005.03610.x
  16. Banda Z, Simbota M, Mula C. Nurses’ perceptions on the effects of high nursing workload on patient care in an intensive care unit of a referral hospital in Malawi: a qualitative study. BMC Nurs [Internet]. 2022 Dec [cited 2022 Oct 4];21(1):136. Available from: https://bmcnurs.biomedcentral.com/articles/10.1186/s12912-022-00918-x
  17. Lin SC, Lin LL, Liu CJ, Fang CK, Lin MH. Exploring the factors affecting musculoskeletal disorders risk among hospital nurses. Noll M, editor. PLoS ONE [Internet]. 2020 Apr 16 [cited 2022 Oct 4];15(4):e0231319. Available from: https://dx.plos.org/10.1371/journal.pone.0231319
  18. Ikeda H, Kubo T, Sasaki T, Liu X, Matsuo T, So R, et al. Cross‐sectional Internet‐based survey of Japanese permanent daytime workers’ sleep and daily rest periods. Jrnl of Occup Health [Internet]. 2018 May [cited 2022 Oct 4];60(3):229–35. Available from: https://onlinelibrary.wiley.com/doi/abs/10.1539/joh.17-0165-OA
  19. Młynarska A, Bronder M, Kolarczyk E, Manulik S, Młynarski R. Determinants of Sleep Disorders and Occupational Burnout among Nurses: A Cross-Sectional Study. IJERPH [Internet]. 2022 May 20 [cited 2022 Oct 4];19(10):6218. Available from: https://www.mdpi.com/1660-4601/19/10/6218
  20. Vanttola P, Härmä M, Viitasalo K, Hublin C, Virkkala J, Sallinen M, et al. Sleep and alertness in shift work disorder: findings of a field study. Int Arch Occup Environ Health [Internet]. 2019 May [cited 2022 Oct 4];92(4):523–33. Available from: http://link.springer.com/10.1007/s00420-018-1386-4
  21. St Hilaire MA, Anderson C, Anwar J, Sullivan JP, Cade BE, Flynn-Evans EE, et al. Brief (<4 hr) sleep episodes are insufficient for restoring performance in first-year resident physicians working overnight extended-duration work shifts. Sleep [Internet]. 2019 May 1 [cited 2022 Oct 4];42(5):zsz041. Available from: https://academic.oup.com/sleep/article/doi/10.1093/sleep/zsz041/5362587
  22. Frone MR, Tidwell MCO. The meaning and measurement of work fatigue: Development and evaluation of the Three-Dimensional Work Fatigue Inventory (3D-WFI). Journal of Occupational Health Psychology [Internet]. 2015 Jul [cited 2022 Oct 4];20(3):273–88. Available from: http://doi.apa.org/getdoi.cfm?doi=10.1037/a0038700
  23. Rahme D, Lahoud N, Sacre H, Akel M, Hallit S, Salameh P. Work fatigue among Lebanese community pharmacists: prevalence and correlates. Pharm Pract (Granada) [Internet]. 2020 Jun 3 [cited 2022 Oct 4];18(2):1844. Available from: https://www.pharmacypractice.org/index.php/pp/article/view/1844
  24. Johns MW. A New Method for Measuring Daytime Sleepiness: The Epworth Sleepiness Scale. Sleep [Internet]. 1991 Nov 1 [cited 2022 Oct 4];14(6):540–5. Available from: http://academic.oup.com/sleep/article/14/6/540/2742871
  25. Bambangsafira D, Nuraini T. KEJADIAN EXCESSIVE DAYTIME SLEEPINESS (EDS) DAN KUALITAS TIDUR PADA MAHASISWA KESEHATAN. Jurnal Keperawatan Indonesia [Internet]. 2017 Jul 11 [cited 2022 Oct 4];20(2):94–101. Available from: http://jki.ui.ac.id/index.php/jki/article/view/365
  26. Arbour M, Tanner T, Hensley J, Beardsley J, Wika J, Garvan C. Factors That Contribute to Excessive Sleepiness in Midwives Practicing in the United States. Journal of Midwifery & Women’s Health [Internet]. 2019 Mar [cited 2022 Oct 4];64(2):179–85. Available from: https://onlinelibrary.wiley.com/doi/10.1111/jmwh.12945
  27. Furihata R, Saitoh K, Suzuki M, Jike M, Kaneita Y, Ohida T, et al. A composite measure of sleep health is associated with symptoms of depression among Japanese female hospital nurses. Comprehensive Psychiatry [Internet]. 2020 Feb [cited 2022 Oct 4];97:152151. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0010440X19300744
  28. Duffy JF, Willson HJ, Wang W, Czeisler CA. Healthy Older Adults Better Tolerate Sleep Deprivation Than Young Adults: INCREASED TOLERANCE OF SLEEP DEPRIVATION WITH AGE. Journal of the American Geriatrics Society [Internet]. 2009 Jul [cited 2022 Oct 4];57(7):1245–51. Available from: https://onlinelibrary.wiley.com/doi/10.1111/j.1532-5415.2009.02303.x
  29. Sadeghniiat-Haghighi K, Najafi A, Eftekhari S, Tarkhan S. Insomnia and its association with absenteeism: A cross-sectional study among Iranian nursing team. SS [Internet]. 2021 [cited 2022 Oct 4];14(4). Available from: https://sleepscience.org.br/details/3092/en-US/insomnia-and-its-association-with-absenteeism--a-cross-sectional-study-among-iranian-nursing-team
  30. Al-Abdallah AM, Malak MZ. Factors correlating with prolonged fatigue among emergency department nurses. Journal of Research in Nursing [Internet]. 2019 Dec [cited 2022 Oct 4];24(8):571–84. Available from: http://journals.sagepub.com/doi/10.1177/1744987119880309
  31. Caruso CC, Baldwin CM, Berger A, Chasens ER, Edmonson JC, Gobel BH, et al. Policy brief: Nurse fatigue, sleep, and health, and ensuring patient and public safety. Nursing Outlook [Internet]. 2019 Sep [cited 2022 Oct 4];67(5):615–9. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0029655419305007
  32. Blytt KM, Bjorvatn B, Moen BE, Pallesen S, Harris A, Waage S. The association between shift work disorder and turnover intention among nurses. BMC Nurs [Internet]. 2022 Dec [cited 2022 Oct 4];21(1):143. Available from: https://bmcnurs.biomedcentral.com/articles/10.1186/s12912-022-00928-9

How to Cite

Septian Mixrova Sebayang, Made Suandika, Ita Apriliyani, Suci Khasanah, Asmat Burhan, Noor Yunida Triana, & Dwi Astuti. (2022). Fatigue and excessive daytime sleepiness among nurses . Bali Medical Journal, 11(3), 1640–1643. https://doi.org/10.15562/bmj.v11i3.3746
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Septian Mixrova Sebayang
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Made Suandika
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Ita Apriliyani
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Suci Khasanah
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Asmat Burhan
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Noor Yunida Triana
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Dwi Astuti
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