护士疲劳和恢复措施的网络分析和单位内相关性及其与单位经理疲劳和恢复的关系

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research Pub Date : 2025-04-30 DOI:10.1016/j.apnr.2025.151958

Hyeonmi Cho , Anne L. Thatcher , Linsey M. Steege

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引用次数: 0

摘要

护士疲劳和康复会影响工作人员的幸福感和患者的治疗结果。了解不同类型的疲劳和恢复之间的关系，以及在同一单位的护士之间共享这些措施的程度，对于指导有效的干预措施至关重要。考虑到管理人员对单位动态和支持的影响，检查单位管理人员的疲劳和恢复水平与护士工作人员的疲劳和恢复水平之间的关系也很重要。目的本研究旨在(1)利用基于网络的方法探讨护士疲劳（心理、生理、急性、慢性）与轮班间恢复的关系；(2)量化同一单位护士之间的疲劳和恢复差异程度；(3)考察单位管理人员和护士长疲劳程度与恢复水平的关系。方法横断面描述性研究于2021年4月至2022年7月在美国中西部三家医院的24个单位进行。数据通过对24名管理人员和598名护工的调查收集。网络分析用于绘制和识别疲劳和恢复措施之间的中心联系，计算类内相关性以评估单位内变异性，并采用线性混合模型来检查经理-员工关系。结果体力疲劳是疲劳和恢复措施网络中的核心要素，与其他措施密切相关。班级内相关值表明，急性疲劳和体力疲劳在单位之间有显著差异，而精神疲劳的变化最小。单位管理人员的急性疲劳水平和身体疲劳水平与普通护士显著相关。研究结果表明，身体疲劳作为有针对性的干预措施的杠杆点的重要性，并强调了针对个体和集体疲劳来源的单位特定策略的必要性。通过整合基于网络的视角和考察管理者与员工的关系，本研究为改善护士幸福感和加强有效领导提供了实用的见解。

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Network analysis and within-unit correlation of nurse fatigue and recovery measures and their association with unit manager fatigue and recovery

Background

Nurse fatigue and recovery can influence staff well-being and patient outcomes. Understanding the relationships among different types of fatigue and recovery and the extent to which these measures are shared among nurses within the same unit is crucial for guiding effective interventions. Examining the relationship between unit managers' fatigue and recovery levels and those of staff nurses is also important, given managers' impact on unit dynamics and support.

Aim

This study aimed (1) to explore connections among nurse fatigue (mental, physical, acute, chronic) and inter-shift recovery using a network-based approach; (2) to quantify the extent to which fatigue and recovery vary among nurses within the same unit; and (3) to investigate the relationship between unit managers' and staff nurses' fatigue and recovery levels.

Methods

A cross-sectional descriptive study was conducted from April 2021 to July 2022 in 24 units across three U.S. Midwest hospitals. Data were collected via surveys from 24 managers and 598 staff nurses. Network analysis was used to map and identify central connections among fatigue and recovery measures, intra-class correlations were calculated to assess within-unit variability, and linear mixed models were employed to examine manager–staff relationships.

Results

Physical fatigue emerged as a central element within the network of fatigue and recovery measures, strongly connecting to other measures. Intra-class correlation values indicated that acute and physical fatigue varied meaningfully between units, while mental fatigue showed minimal variation. Unit managers' acute and physical fatigue levels were significantly associated with those of staff nurses.

Conclusions

The findings suggested the importance of physical fatigue as a leverage point for targeted interventions and highlight the need for unit-specific strategies that address both individual and collective sources of fatigue. By integrating a network-based perspective and examining manager–staff relationships, this study offers practical insights to improve nurse well-being and strengthen effective leadership.

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来源期刊

Applied Nursing Research 医学-护理

CiteScore

4.50

自引率

0.00%

发文量

审稿时长

70 days

期刊介绍： Applied Nursing Research presents original, peer-reviewed research findings clearly and directly for clinical applications in all nursing specialties. Regular features include "Ask the Experts," research briefs, clinical methods, book reviews, news and announcements, and an editorial section. Applied Nursing Research covers such areas as pain management, patient education, discharge planning, nursing diagnosis, job stress in nursing, nursing influence on length of hospital stay, and nurse/physician collaboration.