Contributors to fatigue among nurses working in critical care units: A qualitative study.

IF 3 3区 医学 Q1 NURSING
Nursing in Critical Care Pub Date : 2025-03-01 Epub Date: 2024-05-17 DOI:10.1111/nicc.13091
Reyhaneh Abbaszadeh, Fazlollah Ahmadi, Mitra Khoobi, Anoshirvan Kazemnejad, Mojtaba Vaismoradi
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引用次数: 0

Abstract

Background: 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.

Aim: To explore and describe contributors to fatigue among nurses working in critical care units.

Study design: A qualitative content analysis.

Results: 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'.

Conclusions: 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.

Relevance to clinical practice: 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.

在重症监护室工作的护士产生疲劳的原因:一项定性研究。
背景:在重症监护病房为不稳定和危重病人提供护理的护士越来越关注疲劳问题。目的:探讨并描述在重症监护病房工作的护士产生疲劳的原因:研究设计:定性内容分析:结果: 参与研究的 21 名护士均为有目的抽样。她们在伊朗九个城市地区不同医院的不同重症监护病房工作。采用半结构式访谈收集数据,并使用传统内容分析法进行分类和细分。通过对护士的观点和经验进行分析,得出了导致疲劳的九个类别:同情疲劳"、"广泛的互动网络"、"声音和警报疲劳"、"心理紧张"、"管理和组织紧张"、"缺乏动力和激励"、"护士的个人特点"、"身体和精神压力 "以及特殊护理和情况复杂性的要求:结论:了解影响重症监护室护士疲劳体验的因素对于在医疗机构内维持可靠和高质量的医疗环境至关重要:危重症护理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,增加员工倦怠感和离职率。应制定积极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满意度。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
6.00
自引率
13.30%
发文量
109
审稿时长
>12 weeks
期刊介绍: Nursing in Critical Care is an international peer-reviewed journal covering any aspect of critical care nursing practice, research, education or management. Critical care nursing is defined as the whole spectrum of skills, knowledge and attitudes utilised by practitioners in any setting where adults or children, and their families, are experiencing acute and critical illness. Such settings encompass general and specialist hospitals, and the community. Nursing in Critical Care covers the diverse specialities of critical care nursing including surgery, medicine, cardiac, renal, neurosciences, haematology, obstetrics, accident and emergency, neonatal nursing and paediatrics. Papers published in the journal normally fall into one of the following categories: -research reports -literature reviews -developments in practice, education or management -reflections on practice
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