Abstract：
BACKGROUND:Fatigue in hospital nurses is associated with decreased nurse satisfaction, increased turnover and negative patient outcomes. Addressing fatigue in nurses has been identified as a priority by many organizations worldwide in an effort to promote both a culture of patient safety and a healthy nursing workforce. OBJECTIVES:The overall aim of this study was to explore barriers and facilitators within the hospital nurse work system to nurse coping and fatigue. The purpose of this paper is to describe emergent themes that offer new insight describing the relationships among nurse perceptions of fatigue, nursing professional culture, and implications for the nursing workforce. DESIGN:A qualitative exploratory study was used to explore nurse identified sources, barriers to addressing, and consequences of fatigue. PARTICIPANTS AND SETTING:Twenty-two nurses working in intensive care and medical-surgical units within a large academic medical center in the United States participated in the interviews. METHOD:Interviews with the participants followed a semi-structured interview guide that included questions eliciting participants' views on nurse fatigue levels, consequences of fatigue, and barriers to addressing fatigue. The interview transcripts were analyzed using directed content analysis guided by the Systems Engineering Initiative for Patient Safety (SEIPS) model. Additional themes that did not directly align with the SEIPS model were also identified. RESULTS:All nurses in the current study experienced fatigue; yet they had varying perspectives on the importance of addressing fatigue in relation to other health systems challenges. A new construct related to nursing professional culture was identified and defined as "Supernurse". Identified subthemes of Supernurse include: extraordinary powers used for good; cloak of invulnerability; no sidekick; Kryptonite, and an alterego. These values, beliefs, and behaviors define the specific aspects of nursing professional culture that can act as barriers to fatigue risk management programs and achieving safety culture in hospital organizations. Nurse fatigue and attributes of nurse professional culture also have implications for nurse satisfaction and retention. CONCLUSIONS:Findings from this study further support the role of nursing professional culture as an important barrier to effectively addressing fatigue in nursing work systems. Future work is needed to identify and evaluate innovative culture change models and strategies to target these barriers.
journal_name
Int J Nurs Studjournal_title
International journal of nursing studiesauthors
Steege LM,Rainbow JGdoi
10.1016/j.ijnurstu.2016.11.014subject
Has Abstractpub_date
2017-02-01 00:00:00pages
20-28eissn
0020-7489issn
1873-491Xpii
S0020-7489(16)30227-9journal_volume
67pub_type
杂志文章abstract：:In a number of countries throughout the world attention is being paid to the ways in which health and social care research is undertaken and regulated. In the United Kingdom, new research governance frameworks are intended to promote improvement in research quality. This paper draws on our experiences of seeking resea...
journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/s0020-7489(02)00111-6
更新日期：2003-09-01 00:00:00
abstract：BACKGROUND:Aged long-term residents suffer from a wide range of skin problems. Dry skin associated with severe pruritus, scratching and inflammation is the most prevalent, but exact figures are lacking. Maintaining skin and tissue health as well as enhancing the quality of life are major goals in institutional long-ter...
journal_title：International journal of nursing studies
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.ijnurstu.2014.11.007
更新日期：2015-02-01 00:00:00
abstract：BACKGROUND:Improvements in care and treatment have led to more young adults with life-limiting conditions living beyond childhood, which means they must make the transition from children's to adult services. This has proved a challenging process for both young adults and service providers, with complex transition inter...
journal_title：International journal of nursing studies
pub_type： 杂志文章,评审
doi：10.1016/j.ijnurstu.2017.06.013
更新日期：2017-11-01 00:00:00
abstract：:Attitudes of psychiatric nursing personnel towards patients who had attempted suicide were examined before and after a training program in psychiatric suicide prevention. The attitudinal changes were measured by a newly constructed scale, the understanding of suicide attempt patients scale (USP-scale), and responses t...
journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/s0020-7489(00)00110-3
更新日期：2002-01-01 00:00:00
abstract：BACKGROUND:Since psychosocial issues appear to be common among people with diabetes, addressing these problems may improve outcomes. Specifically, it is important to understand the factors associated with anxiety and depression in patients with diabetes. OBJECTIVE:The purpose of this study was to investigate the relat...
journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/j.ijnurstu.2011.04.008
更新日期：2011-11-01 00:00:00
abstract：:The aim of this study is to evaluate the reliability and validity of the Byron Physical Assessment Framework (BPAF). The BPAF is a systems based checklist of physiological measurements, signs, and symptoms designed to structure and document the assessment of a patients physical condition by nursing staff. Initially th...
journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/s0020-7489(98)00042-x
更新日期：1998-12-01 00:00:00
abstract：:The interview technique is a common method of collecting data in human research. This paper provides an example of the use of the multiple sorting technique for structuring and analysing qualitative interviews. The technique is described around a recently completed study which explored practising nurses' perception of...
journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/0020-7489(93)90022-m
更新日期：1993-12-01 00:00:00
abstract：BACKGROUND:Non-Hodgkin's lymphoma is a heterogeneous group of lymphoproliferative malignancies. Chemotherapy can improve patient survival rates, yet it is also associated with many adverse physical and psychosocial effects. It is suggested that qigong practices may be used to reduce patient distress and side effects. ...
journal_title：International journal of nursing studies
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.ijnurstu.2017.01.004
更新日期：2017-04-01 00:00:00
abstract：OBJECTIVE:The objective of this study was to explore Indigenous people's experiences and perceptions of hospitalisation and acute care. METHODS:Systematic procedures were used for the literature search covering the period from 2000 to 2016. Final search was conducted in early September 2016. Quality of the selected st...
journal_title：International journal of nursing studies
pub_type： 杂志文章,meta分析,评审
doi：10.1016/j.ijnurstu.2017.03.003
更新日期：2017-06-01 00:00:00
abstract：BACKGROUND:Encounters in emergency departments have been described from different perspective and with different research approaches. On reviewing the literature, along with medical skills, interpersonal skills such as the ability to create a relationship with the patient was considered significant. Patients exposed to...
journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/j.ijnurstu.2006.01.014
更新日期：2007-07-01 00:00:00
abstract：BACKGROUND:Canadian foster homes for adults with serious mental illness are operated by non-professional caregivers, usually women, whose mandate is to support residents and reintegrate them into the community. While mental health professionals recognize that adult foster homes are an important service for this populat...
journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/j.ijnurstu.2007.06.001
更新日期：2007-11-01 00:00:00
abstract：BACKGROUND:Descriptive literature exists on the effects of HIV-related stigma on the lives of people living with HIV infection but few empirical studies have measured perceived HIV stigma nor explored its potential relationship to quality of life (QoL) over time in people living with HIV infection. AIM:A cohort study ...
journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/j.ijnurstu.2009.09.008
更新日期：2010-04-01 00:00:00
abstract：BACKGROUND:About 40% of all adverse events in hospital are falls, but only about one in three Belgian hospitals have a fall prevention policy in place. The implementation of a national practice guideline is urgently needed. OBJECTIVE AND DESIGN:This multicentre study aimed to determine the feasibility of a previously ...
journal_title：International journal of nursing studies
pub_type： 杂志文章,多中心研究
doi：10.1016/j.ijnurstu.2012.09.020
更新日期：2013-04-01 00:00:00
abstract：:Meeting patients' fundamental care needs is essential for optimal safety and recovery and positive experiences within any healthcare setting. There is growing international evidence, however, that these fundamentals are often poorly executed in acute care settings, resulting in patient safety threats, poorer and costl...
journal_title：International journal of nursing studies
pub_type： 杂志文章,评审
doi：10.1016/j.ijnurstu.2016.01.006
更新日期：2016-05-01 00:00:00
abstract：BACKGROUND:Sickness absence is high in healthcare and contributes to nursing staff shortages reducing the efficiency and quality of patient care. Assessing the risk of sickness absence in working nurses opens opportunities for preventive strategies. Job satisfaction has attracted much attention in healthcare research a...
journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/j.ijnurstu.2012.09.012
更新日期：2013-03-01 00:00:00
abstract：:A solution to safeguard high quality diabetes care may be to allocate care to the nurse specialist. By using a one group pretest-posttest design with additional comparisons, this study evaluated effects on patient outcomes of a shared care model with the diabetes nurse as main care-provider for patients with type 2 di...
journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/s0020-7489(01)00046-3
更新日期：2002-05-01 00:00:00
abstract：BACKGROUND:Registered nurses are increasingly becoming embedded in primary care teams yet there is a wide variability in nursing roles and responsibilities across organizations. Policy makers are calling for a closer look at how to best utilize registered nurses in primary care teams. Lack of knowledge about effective ...
journal_title：International journal of nursing studies
pub_type： 杂志文章,评审
doi：10.1016/j.ijnurstu.2017.05.013
更新日期：2017-09-01 00:00:00
abstract：BACKGROUND:Post-traumatic stress disorder is one of the most prevalent mental health sequelae of intimate partner violence, and as a result, it has been extensively documented in Western literature. However, whether abused women from non-Western cultures experience similar post-traumatic responses to intimate partner v...
journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/j.ijnurstu.2010.01.003
更新日期：2010-07-01 00:00:00
abstract：:Fatigue is frequently experienced by patients with chronic illnesses, and especially by patients with cancer and chronic obstructive airways disease. However, there is a paucity of qualitative research into the experiences of fatigued individuals and, consequently, definitions of fatigue have, to date, been based sole...
journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/s0020-7489(96)00032-6
更新日期：1997-02-01 00:00:00
abstract：:Some researchers suggest that nurse training does not provide adequate theoretical knowledge to guide mental health nurses' work with carers of people with dementia. In recent years theoretical guidance for working with carers has emerged in the nursing literature. However, little attention has been given to theory pr...
journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/s0020-7489(01)00008-6
更新日期：2002-01-01 00:00:00
abstract：OBJECTIVES:To evaluate the effects of oral health education for caregivers on the oral health status of the elderly. DESIGN:A systematic review and meta-analysis. DATA SOURCES:The Medline, EMBASE, Cochrane Library (CENTRAL), PsycINFO, CINAHL were searched up to September, 2014. REVIEW METHODS:Randomized controlled t...
journal_title：International journal of nursing studies
pub_type： 杂志文章,meta分析,评审
doi：10.1016/j.ijnurstu.2015.01.015
更新日期：2015-06-01 00:00:00
abstract：BACKGROUND:Patients with acute myocardial infarction (AMI) are at high risk for reinfarction and death. Therapies that have been shown to reduce these risks (secondary prevention) continue to be underutilized. Nurse practitioners are well positioned to provide secondary prevention during and following hospitalization. ...
journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/j.ijnurstu.2014.04.004
更新日期：2014-12-01 00:00:00
abstract：BACKGROUND:The significant drop in child mortality due to diarrhea has been primarily attributed to the use of oral rehydration solutions, continuous feeding and zinc supplementation. Nevertheless uptake of these interventions have been slow in developing countries and many children suffering from diarrhea are not rece...
journal_title：International journal of nursing studies
pub_type： 杂志文章,评审
doi：10.1016/j.ijnurstu.2016.08.014
更新日期：2017-01-01 00:00:00
abstract：BACKGROUND:Over the past two decades, several studies have examined the determinants and outcomes of omitted nursing care in hospitals and other settings. These studies have raised several challenges associated with the definition and measurement of this phenomenon which must be addressed to move the field forward. How...
journal_title：International journal of nursing studies
pub_type： 杂志文章,评审
doi：10.1016/j.ijnurstu.2019.103403
更新日期：2019-12-01 00:00:00
abstract：BACKGROUND:A number of health-related quality of life instruments for children and adolescents have been developed and used in European countries during recent years. However, few well-validated instruments have been translated into Norwegian. As part of a larger investigation about pain and health-related quality of l...
journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/j.ijnurstu.2010.10.001
更新日期：2011-05-01 00:00:00
abstract：BACKGROUND:Multiple chronic conditions (MCC) are highly prevalent worldwide, especially among older populations. Patient self-care and care partner (or caregiver) contributions to self-care are recommended to reduce the impact of MCC and improve patients' outcomes. OBJECTIVES:To describe patient self-care and care par...
journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/j.ijnurstu.2020.103574
更新日期：2020-03-14 00:00:00
abstract：:Three maternity hospital practices of post-partum mother-infant contact and breast-feeding promotion on the incidence and continuation of breast-feeding among 375 urban poor healthy Nicaraguan primigravid women were investigated. Infant feeding patterns were evaluated at 1 week and 4 months post-partum. Eighty-seven p...
journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/0020-7489(90)90033-f
更新日期：1990-01-01 00:00:00
abstract：BACKGROUND:Cancer patients often experience psychological distress. Life review has increasingly been used to enhance their mental health and well-being. However, no systematic review has synthesized the evidence, and its effects remain unclear. OBJECTIVE:To examine and synthesize the best available evidence on the ef...
journal_title：International journal of nursing studies
pub_type： 杂志文章,评审
doi：10.1016/j.ijnurstu.2017.06.012
更新日期：2017-09-01 00:00:00
abstract：:The aim of this study was to investigate staff experiences in implementing guidelines for Kangaroo Mother Care in neonatal care. The study was part of a randomized controlled trial, the overall goal of which was to assess the impact of external facilitation. A total of eight focus group interviews were held at two int...
journal_title：International journal of nursing studies
pub_type： 临床试验,杂志文章,多中心研究,随机对照试验
doi：10.1016/j.ijnurstu.2004.05.016
更新日期：2005-01-01 00:00:00
abstract：BACKGROUND AND OBJECTIVE:Clinically, there is an increasing trend in using motivational interviewing as a counseling method to help clients with cardiovascular diseases to modify their unhealthy lifestyle in order to decrease the risk of disease occurrence. As motivational interviewing has gained increased attention, r...
journal_title：International journal of nursing studies
pub_type： 杂志文章,评审
doi：10.1016/j.ijnurstu.2015.09.010
更新日期：2016-01-01 00:00:00
