More than a thousand nurses occupy a range of roles, from manager to bedside nursing, in all healthcare sectors across the United States. U.S’ nurses are an important voice on the key issues in today’s health care system and the challenges ahead. One of these challenges is the threat to patient safety triggered by unprecedented levels of fatigue among nurses. Another is the threat to the nursing workforce, which is the health of nurses, where unhealthy workplaces and dangerous work scheduling patterns have repercussions. Providing patients with safe, compassionate, competent and ethical care in the health care system is the responsibility of all health professionals, healthcare organizations, and governments. Patient safety has a fundamental place in nursing and healthcare. It’s not just a mandate; it’s a moral and ethical imperative that is part of caring for others. To predict patient safety, a wide range of measures must be taken at the level of the nurse, the profession, and the health care system. A multitude of factors, including the constant lack of personnel in the healthcare sector, and particularly registered nurses, is not the least of these, however, are currently questioning the ability to provide safe care to patients.
The constant lack of staff contributes to nurses’ fatigue, compromising their health and patient safety. This paper follows a general contextual analysis on how nurse fatigue can impact the nurse wellbeing as well as patient safety. Clinical Decision The problem with nurse fatigue is that it’s harmful to the patient and has a negative impact on the nurse. The consequence for nurses are as follow: a loss of motivation, growing fatigue, a teamwork that flap, these disorders can lead to burn out but also cause musculoskeletal disorders. The PICOT question for this nurse question is in fatigue nurse versus non-fatigue nurse how does it affect patient safety during work shifts? However, professional nurses continue to experience moral turmoil with respect to their professional responsibilities to their patients and to themselves. This is particularly evident in today’s health care settings where culture does not usually support the straightforward recognition of fatigue as an element of patient and staff safety and the management of the burden of care. The work requires the use of the staff thoroughly – and often excessively – to meet the needs of patients. It becomes a moral distress problem for nurses who know what to do when it comes to working when they are tired and often feel a greater moral obligation to their patients and colleagues than to themselves. As a result, for the patient, they might administer the wrong dose of medication or missed crucial details from the initial assessment of the patient.
Nurse fatigue as a multidimensional concept involving physical, psychological, emotional and social components that cause a lack of energy, physical exhaustion, feeling overwhelmed and a loss of compassion all these contribute to hinder thinking, decision-making and problem-solving skills which negatively impact the safety of patients.
Levels of Evidence
The PICOT question has the interventions necessary to find a solution to the problems. Furthermore, using qualitative and quantitative also will help determine a way to decrease fatigue in nurses. This writer believes that the main purpose of qualitative research is to provide a complete and detailed description of the research topic. It is usually more exploratory in nature. In this method, the study uses evaluation forms a focus group must perform weekly. These forms consisted of open-ended questions like “How do you relax?”. Quantitative research, on the other hand, focuses more on the accounts and classification of characteristics and the construction of statistical models and figures to explain what is observed. In a study of 23 full-time nurses, participants reported a much lower level of alert and much higher physical exhaustion, mental exhaustion, and stress during working days during the days of leave. They had slept a lot less on days when there was an error or near miss and a lot more on work days then another nurse’s mistake was recorded. Sleep duration was an important predictor of error or a near miss: the probability of an error decreases by 27.3% with each hour of sleep. The highest percentage of error occurred in the morning (14%). The science of nursing does not have to be painful, but by recognition of the existence of stress and burnout, we can take the first steps towards their prevention.
During the search for the topic nurse fatigue and its negative impact on both patient and nurse, this writer used the terms “nurse fatigue”, “nurse burnout” and finally “nurse fatigue and patient safety”. This author desired to search specifically in the United States and also wanted to find journals and articles that were 5 years or less if possible. Using the Chamberlain University website render this even more possible. One of the articles that caught the eye was the “Empowerment and Professional Burnout in Nurses”. Although this as good statistics and explain what this paper tries to convey. This writer needed more data, especially regarding the qualitative and quantitative aspect. Google scholar was a lovely addition and the article “The Effects of Mindfulness-Based Stress Reduction on Nurse Stress and Burnout, Part II A Quantitative and Qualitative Study” was found and convey all there is regarding the subject. Indeed, both articles delivered valuable information through studies, observation, and surveys. Nurse fatigue is a subjective feeling of fatigue (felt by nurses) who enters physically and mentally. It ranges from simple fatigue to exhaustion, causing a persistent general condition that impairs the person’s physical and cognitive ability to function normally.
As mentioned before, it is multidimensional both in its causes and manifestations, and influenced by physiological (circadian rhythms), psychological (stress, wakefulness, somnolence), behavioral (work habits, sleep patterns) and environmental (work demands). Fatigue combines physical (somnolence) and psychological (compassionate wear, emotional exhaustion) characteristics. It can significantly impair functioning and may persist despite periods of rest.
This paper is a warning to the health care system, health care organizations, governments, nursing associations, unions, and regulators – as well as nurses themselves – about the rise of the nurses’ fatigue. This fatigue is due in large part to the inexorable burden of nurses’ workload and the increasing cognitive, psychosocial and physical demands of nurses heavier from their work. Given the urgency of the fatigue, nursing, and patient safety situation, the recommended solutions focus on imperative policies at the system and organizational levels, as well as the role of the nurse. Particularly in the alleviation and management of fatigue in the nursing profession. Evidence shows that the recommended solutions are the key to change.
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