Nursing Interventions For The Management Of Patient Fatigue

In the recent past, nursing has come to the forefront as a popular career amongst students across the globe. The demand for nurses has kept increasing gradually over the years. In fact, the number of registered nurses does not meet the demand of the private and public health sector. This phenomenon has resulted in a situation where the available registered nurses have to work extra hours in order to meet the patients’ needs. With this in mind, the issue of nurse fatigue has come up as a common problem in nursing. According to the Canadian Nurses Association (CNA), nurse fatigue is “a feeling of tiredness” that penetrates a persons physical, mental and emotional realms limiting their ability to function normally. Fatigue does

Within the recent years, hospitals and medical facilities have been experiencing nursing shortages that necessitate more nurses to be present to compensate for the care needed to be given. This requires nurses to be dealt with imperative extended work hours along with their normal shifts with no denial or excuse accepted. Working extra hours are accompanied with negative effects that have an impact on the nurse, coworkers, and patients. A major concern that occurs with overtime is that nurses become fatigued or burnout. Fatigue that is experienced is a result of sleep deprivation from working overtime that is associated with arduousness neurobehavioral functioning

There are some limitations to this literature review. One limitation is some of these studies may be outdated being that they are from the 1990s (i.e: Dulit et. al, 1990; Miller et. al, 1993; and Dougherty et. al, 1999). Another limitation is some of the studies were not randomized samples (i.e: Miller et. al, 1993 and Tragesser et. al, 2013). If samples are not random this could mean the results are bias.

The critique was clear and easy to understand. I felt like I was in the actual research myself as I read the critique. An advantage to doing the critique on Woodgate et al., (2016) study was that it was well written and clear in regard to the items being analyzed. Qualitative research is a difficult task, especially for those inexperienced. In evaluating a critique one of the main considerations is to evaluate if the one doing the critique supported their conclusions and findings (Polit & Beck, 2017). I feel Milburn (2017) did an excellent job and I enjoyed reading her complete and easy to follow

The founders of nursing acknowledged the need for sleep and rest to aid the body in healing, but with 60% of patients requesting a sedative, this shows the hospital environment is not one that promotes sleep and rest. There is renewed interest in exploring the best nonpharmacological methods of helping achieve sleep and rest while in the hospital to promote healing (Robinson, Weitzel, & Henderson, 2005).

The focus of the red team’s project is Nurse’s Fatigue. Brunt (2017), defines nurse’s fatigue as a cognitive and physical impaired function. The cause of fatigue results from shifts longer than 12 hours or mental exertion with inadequate rest. The significance of the problem is having fatigue nurses work on the floor, endangering patients and increasing hospital errors. MacPhee, Dahinten and Havaei (2017), concluded that 89% of observed performance can potentially interrupt patient safety and diminish the nurse’s true ability in multiple levels. The health outcomes include, low-quality of patient care leading to a loss of a patient’s life, job dissatisfaction and burnout nurses. The ability to care for the patients becomes compromised resulting to an unsatisfied job performance. For instance, higher fall rates and an increase in morbidity or mortality rate. According to the ANA (2017), the statistic documentation included 50% were exhausted, 40% felt powerless with quality patient care and 26 % are frightened for their patients. The purpose of this paper is to interpret the two articles that will benefit the group’s project. This paper will describe the literature, the concept, the methods, the participants involved and the instruments used during the researcher’s study.

This review was very detailed and informative but following the first study they provided other smaller studies which were helpful in backing up their results but it didn 't provide a clear understanding to the reader. It was a cluster of studies with no explanation just information thrown into paragraphs and broken into sections. It seemed to add details to the first study but in all each study provided was essential to support their hypothesis. Overall the article was very helpful in explaining and supporting their hypothesis. It also provided a recommendation section for what future studies should focus on that will help further the knowledge of which treatment is better and why.

The review of this is objective there are no personal biases given in this study as they asked the participants the questions and documented their answers on the survey tool that was standardized for each person’s responses. The review was very detailed and followed the proper qualitative process. There are points in the article where the writers do paraphrase the statements that were found in previous

It appears that once you become a nurse, the world thinks you are immune from fatigue. I have worked with many nurses that work two jobs or pick up an immense amount of overtime. Sometimes these nurses appear to be in a daze and robotically performing their jobs. I worked with one nurse that would average four hours of sleep each day and drink highly caffeinated drinks all night in order to stay awake. But, nursing fatigue is not just from picking up an extra job or shift. Fatigue affects people like me that have worked rotating shifts for so long that my sleep schedule is basically non-existent. I rotate between nights and days every two weeks, which means I never feel like I have had enough sleep. Even when I worked straight nights,

Is the review merely a summary of existing work, or does it critically appraise and compare key studies? Does the review identify important gaps in the literature?

Stressful work environments, long work hours and inadequate sleep all contribute to an increase in physical and mental exhaustion amongst nurses. Typically, people choose nursing as a career to help others and to make a difference in their lives, without realizing the number of duties this career demands. Nurses may suffer in silence when they are experiencing stress. The effects can impact safe and reliable care by decreasing job satisfaction, decreasing productivity, causing poor personal health, and compromising patient care. Many facilities would benefit from implementing evidence-based strategies to address nurse fatigue and burnout.

The problems with their work begins almost immediately in the initial literature review. The literature review is plagued by Ill-defined, or simply

Fatigue, is the state of one being energy deprived to carry out proper activities of daily life (Rogers, 2008). It certainly is evident within the health care system in regards to nursing and how it affects a nurse physically, mentally, and emotionally (Canadian Nurses Association, 2012). This can negatively impact the quality of patient care, as judgment is impaired, increasing risk of injuries to the patient (Scott, Arslanian-Engoren, & Engoren, 2014). This paper will discuss the impact of nursing fatigue on patient care, level of power, policy cycle, barriers to resolution to the issue, potential strategies that can be implemented to promote patient safety, and nursing stance on the topic discussed throughout.

One might query the nature of the method used to collect and conduct the study due to the fact that it is a systematic review and meta-synthesis as a counterpart. LoBiondo-Wood & Haber emphasized, “a researcher who uses any of the systematic review methods of combining evidence does not conduct the original research or analysis, but rather takes the data from already published studies” (p. 229). This method was presented clearly and understandable to the

following the FIT guidelines. The review also showed that the majority of study did not discuss the