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Effective risk management for work-related fatigue among nurses: a systematic review

Author: 
Mahmoud Al-Masaeed, Muhammad Alqudah, Irniza Binti Rasdi and Albara Alomari
Subject Area: 
Health Sciences
Abstract: 

Aims and Objectives: The literature review aims at examining the most effective risk management strategies to handling nursing fatigue. As such, it seeks to determine the effective methods of managing work-related fatigue among nurses working in a hospital setting. Background: work-related fatigue among nurses has been implicated in decreased performance, concentration, alertness, memory, and decision making. Studies reported excessive workload, unfavourable shift work pattern, inadequate staffing and support from colleague and management as the factors promoting fatigue in nurses. Given different studies reported different contrasting findings about management of fatigue in nurses, an effective method of managing work-related fatigue in nurses need to be investigated. Methods: we conducted a literature search in October 2020 using PUBMED database and manual search from references to find studies related to effective management of work-related fatigue using keywords such Fatigue, Nurses, risk management, intervention, night shift, shift work, circadian rhythm and biological clock without restriction to date of publication. The review quality was checked through the PRISMA tool checklist for conformance with standard systematic review article guidelines. Results: our search yielded 452 articles out of which 16 met our inclusion criteria. we have found that napping for 30-40 minutes during night shift, 8 hours pattern of shift, adequate rest in between shifts, support from co-workers and family, and educational intervention on the fatigue, its effects and management were the effective strategies in managing work-related fatigue among nurse working in hospitals. Conclusion: this review identified napping, adequate spacing in between shift, family, and co-worker support, awareness about fatigue, its management and implications were the effective methods of managing fatigue among hospital nurses. Implementation of these strategies in our hospitals will go a long way in solving the problems related to work-related fatigue in nurses.

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