Fatigue and Sleep Quality Among Staff Nurses Working in A Tertiary Care Hospital During COVID-19 Pandemic
Abstract
Introduction: Fatigue, a universal phenomenon, is a suboptimal psychophysiological condition caused by physical and/or mental exertion. Insufficient recovery between work shifts causes accumulated acute fatigue to progress into chronic. As fatigue and sleep quality are related, adequate sleep and inter shift recovery are thus vital to the overall health. The current COVID-19 pandemic has caused added burden to the nursing workforce worldwide. This study aimed to assess fatigue and sleep quality among staff nurses of a tertiary care hospital during the pandemic. Methods: A descriptive cross-sectional study was conducted among 151 staff nurses of Lumbini Medical College and Teaching Hospital (LMCTH) using enumerative sampling method. Valid and reliable instruments i.e., Occupational Fatigue Exhaustion Recovery (OFER) and Pittsburgh Sleep Quality Index (PSQI) were used. Analysis was done using descriptive and inferential statistics. Results: The mean ±SD age of the participants was 26.54±6.93 years. Less than half (39.1%) of them had moderate to high acute fatigue. Nearly half (41.2%) had high chronic fatigue and most (61.6%) had low to moderate inter shift recovery. Poor sleep was found among 60.9% of the participants with mean global PSQI score of 6.74. Sleep quality had moderate positive correlation with chronic (r=0.4, p<0.001) and acute (r=0.39, p<0.001) fatigue whereas had moderate negative correlation with inter shift recovery (r=- 0.41, p<0.001) which were statistically significant. Conclusion: The staff nurses had fatigue and poor sleep during COVID-19 pandemic. Nursing administration should take appropriate measures timely to decrease fatigue and improve sleep to prevent serious consequences.
Downloads
References
MohdFauzi MF, MohdYusoff H, Muhamad Ro¬bat R, Mat Saruan NA, Ismail KI, MohdHaris AF. Doctors’ Mental Health in the Midst of COVID-19 Pandemic: The Roles of Work De¬mands and Recovery Experiences. Int J En¬viron Res Public Health. 2020;17(19):7340. PMID: 33050004 DOI: https://doi.org/10.3390/ijerph17197340
Sagherian K, Clinton ME, Abu-Saad Huijer H, Geiger-Brown J. Fatigue, Work Schedules, and Perceived Performance in Bedside Care Nurs¬es. Workplace Health Saf. 2017;65(7):304- 12. PMID: 27872407 DOI:https://doi.org/10.1177/2165079916665398
Josten EJC, Ng‐A‐Tham JEE, Thierry H. The effects of extended workdays on fatigue, health, performance and satisfaction in nurs¬ing. J Adv Nurs. 2003;44(6):643-52.PMID: 14651687 DOI: https://doi.org/10.1046/j.0309-2402.2003.02854.x
Winwood PC, Lushington K, Winefield AH. Fur¬ther Development and Validation of the Occu-pational Fatigue Exhaustion Recovery (OFER) Scale. J Occup Environ Med. 2006;48(4):381- 9. PMID: 16607192 DOI: https://doi.org/10.1097/01.jom.0000194164.14081.06
Alahmadi BA, Alharbi MF. Work-Related Fa¬tigue Factors among Hospital Nurses: An Inte-grative Literature Review. Nurse Media Journal of Nursing. 2018;8(2):113-133. DOI: https://doi.org/10.14710/nmjn.v8i2.19554
Sim S, Lee SB, Bang M. Relationship among Sleep Quality, Fatigue, Resilience, and Nursing Performance Ability in Shift Work Nurses. Indi¬an Journal of Public Health Research &Devel-opment. 2019;10(11):4659-63. DOI:https://doi.org/10.5958/0976-5506.2019.04341.9
Jahrami H, BaHammam AS, AlGahtani H, Ebra¬him A, Faris M, AlEid K, et al. The examination of sleep quality for frontline healthcare workers during the outbreak of COVID-19. Sleep Breath. 2021;25(1):503-11. PMID: 32592021 DOI: https://doi.org/10.1007/s11325-020-02135-9
Zhang L, Sun DM, Li CB, Tao MF. Influencing Factors for Sleep Quality Among Shift-work-ing Nurses: A Cross-Sectional Study in Chi¬na Using 3-factor Pittsburgh Sleep Quality In¬dex. Asian Nurs Res (Korean Soc Nurs Sci). 2016;10(4):277-82. PMID: 28057314 DOI: https://doi.org/10.1016/j.anr.2016.09.002
Muzio MD, Diella G, Simone ED, Novel¬li L, Alfonsi V, Scarpelli S, et al. Nurses and Night Shifts: Poor Sleep Quality Exacerbates Psychomotor Performance. Front Neurosci. 2020;14(0):579938. PMID: 33154716 DOI: https://doi.org/10.3389/fnins.2020.579938
Rasoulzadeh Y, Bazazan A, Safaiyan A, Dianat I. Fatigue and Psychological Distress: A Case Study Among Shift Workers of an Iranian Pet¬rochemical Plant, During 2013, in Bushehr. Iran Red Crescent Med J. 2015;17(10):e28021. PMID: 26568862 DOI: https://pubmed.ncbi.nlm.nih.gov/26568862/
Chien PL, Su HF, Hsieh PC, Siao RY, Ling PY, Jou HJ. Sleep Quality among Female Hospital Staff Nurses. Sleep Disord. 2013;2013(0):283490. DOI: https://doi.org/10.1155/2013/283490
Shiffer D, Minonzio M, Dipaola F, Bertola M, Zamuner AR, Dalla Vecchia LA, et al. Effects of Clockwise and Counterclockwise Job Shift Work Rotation on Sleep and Work-Life Bal¬ance on Hospital Nurses. Int J Environ Res Pub¬lic Health. 2018;15(9):2038. PMID: 30231514 DOI: https://doi.org/10.3390/ijerph15092038
Sagherian K, Steege LM, Cobb SJ, Cho H. In¬somnia, fatigue and psychosocial well‐being during COVID‐19 pandemic: A cross‐section¬al survey of hospital nursing staff in the United States. J Clin Nurs. 2020;10.1111/jocn.15566. PMID: 33219569 DOI: https://doi.org/10.1111/jocn.15566
Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh sleep quality index: A new instrument for psychiatric practice and research. Psychiatry Research. 1989;28(2):193- 213. DOI: https://doi.org/10.1016/0165-1781(89)90047-4
MohdFauzi MF, MohdYusoff H, Mat Saruan NA, Muhamad Robat R, Abdul Manaf MR, Ghazali M. Fatigue and recovery among Malaysian doc¬tors: the role of work-related activities during non-work time. BMJ Open. 2020;10(9):e036849. PMID: 32978189 DOI: https://doi.org/10.1136/bmjopen-2020-036849
Somantri I, Yuliati M, Winwood P, Adiningsih D. Work-Related Fatigue Among Inpatient Unit Nurses. Journal of Nursing Care. 2020;3(3):199-205. DOI:https://jurnal.unpad.ac.id/jnc/article/view/22286/13871
Yuan SC, Chou MC, Chen CJ, Lin YJ, Chen MC, Liu HH, et al. Influences of shift work on fatigue among nurses. J NursManag. 2011;19(3):339-45. PMID: 21507104 DOI: https://doi.org/10.1111/j.1365-2834.2010.01173.x
Tang C, Liu C, Fang P, Xiang Y, Min R. Work-Re¬lated Accumulated Fatigue among Doctors in Tertiary Hospitals: A Cross-Sectional Survey in Six Provinces of China. Int J Environ Res Pub¬lic Health. 2019;16(17): 3049. PMID: 31443480 DOI: https://doi.org/10.3390/ijerph16173049
Li Y, Fang J, Zhou C. Work-Related Predictors of Sleep Quality in Chinese Nurses: Testing a Path Analysis Model. J Nurs Res. 2019;27(5):e44. PMID: 30933051 DOI: https://doi.org/10.1097/jnr.0000000000000319
Copyright (c) 2021 Sunita Rana
This work is licensed under a Creative Commons Attribution 4.0 International License.
- The Journal of Lumbini Medical College (JLMC) publishes open access articles under the terms of the Creative Commons Attribution (CC BY) License which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
- JLMC requires an exclusive licence to publish the article first in its journal in print and online.
- The corresponding author should read and agree to the following statement before submission of the manuscript for publication,
- License agreement
- In submitting an article to Journal of Lumbini Medical College (JLMC) I certify that:
- I am authorized by my co-authors to enter into these arrangements.
- I warrant, on behalf of myself and my co-authors, that:
- the article is original, has not been formally published in any other peer-reviewed journal, is not under consideration by any other journal and does not infringe any existing copyright or any other third party rights;
- I am/we are the sole author(s) of the article and have full authority to enter into this agreement and in granting rights to JLMC are not in breach of any other obligation;
- the article contains nothing that is unlawful, libellous, or which would, if published, constitute a breach of contract or of confidence or of commitment given to secrecy;
- I/we have taken due care to ensure the integrity of the article. To my/our - and currently accepted scientific - knowledge all statements contained in it purporting to be facts are true and any formula or instruction contained in the article will not, if followed accurately, cause any injury, illness or damage to the user.
- I, and all co-authors, agree that the article, if editorially accepted for publication, shall be licensed under the Creative Commons Attribution License 4.0. If the law requires that the article be published in the public domain, I/we will notify JLMC at the time of submission, and in such cases the article shall be released under the Creative Commons 1.0 Public Domain Dedication waiver. For the avoidance of doubt it is stated that sections 1 and 2 of this license agreement shall apply and prevail regardless of whether the article is published under Creative Commons Attribution License 4.0 or the Creative Commons 1.0 Public Domain Dedication waiver.
- I, and all co-authors, agree that, if the article is editorially accepted for publication in JLMC, data included in the article shall be made available under the Creative Commons 1.0 Public Domain Dedication waiver, unless otherwise stated. For the avoidance of doubt it is stated that sections 1, 2, and 3 of this license agreement shall apply and prevail.
Please visit Creative Commons web page for details of the terms.
