Postshift Hand Fatigue in Emergency Service Nurses

IF 3.7 2区 医学 Q2 MANAGEMENT
Fadime Ulupınar, Sibel Meler, Şeyda Karasu, Süleyman Ulupınar
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引用次数: 0

Abstract

Objective: Hand functionality, defined as the ability to perform tasks requiring fine motor skills, is crucial for emergency service nurses as it directly affects their ability to perform tasks requiring fine motor skills, such as administering medication, operating equipment, and providing patient care. This study, therefore, aimed to investigate the effects of an 8-h work shift on hand functionality and perceived exertion among emergency service nurses.

Method: Employing a cross-sectional design, the study measured manual dexterity, handgrip, and pinch strength, and perceived exertion using the Minnesota Manual Dexterity Test (MMDT), Nine-Hole Peg Test (9-HPT), Handgrip Strength Test, Pinch Strength Test, and the Borg Rating of Perceived Exertion (RPE) Scale. Data were collected from 34 emergency service nurses both before and after their shifts.

Results: The present findings indicated significant postshift declines in manual dexterity as evidenced by the MMDT and 9-HPT, with the former demonstrating a large effect size and the latter a small effect size. No significant changes were observed in handgrip and pinch strength. Notably, Borg RPE scores increased significantly postshift, indicating substantial perceived fatigue with a nearly perfect effect size. Correlation analyses revealed significant relationships between increased physical exertion and changes in hand dexterity and strength, underscoring the physical demands placed on nurses during typical work shifts.

Conclusions: These findings highlight the need for healthcare institutions to reassess work schedules and ergonomic practices to mitigate fatigue and preserve nurses’ hand functionality, thereby enhancing patient care and nurse well-being. The study calls for further research to explore more comprehensive strategies aimed at reducing the occupational strain on emergency service nurses.

Abstract Image

急诊科护士下班后的手部疲劳
目的:手部功能被定义为执行需要精细运动技能的任务的能力,它对急诊科护士至关重要,因为它直接影响到他们执行需要精细运动技能的任务的能力,如给药、操作设备和提供病人护理。因此,本研究旨在调查 8 小时轮班对急诊科护士手部功能和感知用力的影响。 研究方法本研究采用横断面设计,使用明尼苏达手部灵活性测试(MMDT)、九孔钉测试(9-HPT)、手握强度测试、捏力测试和博格知觉劳累评分量表(RPE)测量手部灵活性、手握强度、捏力和知觉劳累。数据收集自 34 名急诊科护士的班前和班后。 结果显示本研究结果表明,MMDT 和 9-HPT 表明轮班后护士的手部灵活性明显下降,前者的影响范围较大,后者的影响范围较小。在握力和捏力方面没有观察到明显的变化。值得注意的是,博格 RPE 分数在换班后显著增加,表明感知疲劳程度很高,效应大小接近完美。相关分析表明,体力消耗的增加与手部灵活性和力量的变化之间存在显著关系,这突出表明了护士在典型轮班工作中对体力的要求。 结论:这些研究结果突出表明,医疗机构有必要重新评估工作时间安排和人体工程学实践,以减轻疲劳和保护护士的手部功能,从而加强对病人的护理和护士的福祉。该研究呼吁进一步开展研究,探索旨在减轻急诊科护士职业压力的更全面的策略。
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
9.40
自引率
14.50%
发文量
377
审稿时长
4-8 weeks
期刊介绍: The Journal of Nursing Management is an international forum which informs and advances the discipline of nursing management and leadership. The Journal encourages scholarly debate and critical analysis resulting in a rich source of evidence which underpins and illuminates the practice of management, innovation and leadership in nursing and health care. It publishes current issues and developments in practice in the form of research papers, in-depth commentaries and analyses. The complex and rapidly changing nature of global health care is constantly generating new challenges and questions. The Journal of Nursing Management welcomes papers from researchers, academics, practitioners, managers, and policy makers from a range of countries and backgrounds which examine these issues and contribute to the body of knowledge in international nursing management and leadership worldwide. The Journal of Nursing Management aims to: -Inform practitioners and researchers in nursing management and leadership -Explore and debate current issues in nursing management and leadership -Assess the evidence for current practice -Develop best practice in nursing management and leadership -Examine the impact of policy developments -Address issues in governance, quality and safety
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