nurse fatigue and patient safety cna-aiic.ca • rnao.org research report

by Candace Kirlin 7 min read

Nurse Fatigue and Patient Safety - Microsoft

3 hours ago The research report, Nurse Fatigue and Patient Safety, was prepared by the Canadian Nurses Association (CNA) and the Registered Nurses’ Association of Ontario (RNAO). In a survey of more than 7,000 registered nurses across all sectors of health care, more than 55 per cent reported feeling almost always fatigued during work, while 80 per cent ... >> Go To The Portal


What is the responsibility of a nurse to report fatigue?

It is the responsibility of the individual nurse to assess and report to their supervisor their inability to practice. Nurses have a professional and ethical responsibility to report and address concerns regarding fatigue and patient safety.75,88Several Preventing and Mitigating Nurse Fatigue in Health Care RECOMMENDATIONS

What is the relationship between fatigue and patient safety?

Nurse fatigue is linked to patient safety risks, performance, er- rors, personal health, and recruitment and retention of nurses.48It is imperative that the critical relationship between nurse fatigue and patient safety be addressed from the perspective of creating healthy work environments for nurses as well as their employers.

Can fatigue lead to the loss of nursing license?

But beyond the safety and ethical implications, fatigue can also lead to legal consequences, including loss of license. Although nurses are accountable for their individual practice, employers also have a responsibility to keep nurses, patients, the facility, and the public safe. 3

Where can I find best practice guidelines for preventing nurse fatigue?

Preventing and Mitigating Nurse Fatigue in Health Care REFERENCES BEST PRACTICE GUIDELINES WWW.RNAO.ORG 43 66. Registered Nurses’ Association of Ontario. (2007). Healthy work environments best practice guidelines.

What effect does nurse fatigue have on patient safety?

Working long shifts, night shifts, and rotating shifts, as well as mandatory or voluntary overtime, contributes to nurse fatigue, which results in accidents, mistakes, and errors. But beyond the safety and ethical implications, fatigue can also lead to legal consequences, including loss of license.

What scheduling strategies can reduce nurse fatigue?

Nurses can:Prioritize sleep, making every effort to get enough despite work schedules.Participate in physical activities outside of work such as jogging, walking, weight training, or swimming.Keep a regular eating schedule and eat healthy foods such as whole grains, fruits, nuts, and lean proteins.More items...

How does fatigue affect patient safety?

Fatigue undermines patient safety From ensuring quality of care to preventing infections, burnout and workplace injuries, safety is the priority for everyone in health care.

What is nurse fatigue?

Nurse fatigue is defined by the American Nurses Association (ANA) as impaired function resulting from physical labor or mental exertion. There are three types of fatigue: physiological (reduced physical capacity), objective (reduced productivity) and subjective (weary or unmotivated feeling).

What are the nursing goals for fatigue?

Aid the patient with developing a schedule for daily activity and rest. Emphasize the importance of frequent rest periods. A plan that balances periods of activity with periods of rest can aid the patient complete preferred activities without contributing to levels of fatigue. Teach energy conservation methods.

How do you prevent nursing burnout?

Tips on Preventing Nurse BurnoutDevelop Strong Interpersonal Relationships. ... Set Boundaries Between Work and Personal Life. ... Get Enough Sleep. ... Care for Your Physical and Mental Health. ... Seek Out Regular Therapy or Assistant Programs.

What are the effects of fatigue?

People who are fatigued are more easily distracted, are less able to concentrate, tend to forget things more easily, take longer to solve problems, make more mistakes, have slower reaction times, and take more risks than they might otherwise. At the extreme, they might fall asleep while operating a vehicle!

How does fatigue impact health?

Fatigue can cause a vast range of other physical, mental and emotional symptoms including: chronic tiredness or sleepiness. headache. dizziness.

How does fatigue affect work?

Fatigue can slow down reaction times, reduce attention or concentration, limit short-term memory and impair judgement. High levels of fatigue can affect any worker in any occupation or industry with serious consequences for worker safety and health.

Why is nurse fatigue a concern?

Lower Quality of Care Mistakes due to exhaustion can lead to patient discomfort, infection, and even (in extreme cases) death. One study found that the patients of nurses experiencing burnout had an increased incidence of urinary tract and surgical site infections.

What causes nurses to burnout?

Nurses may experience burnout due to a variety of causes. Some of the most common reasons for nurse burnout include long work hours, sleep deprivation, a high-stress work environment, lack of support, and emotional strain from patient care.

What happens when nurses are overworked?

There are several important consequences of high nursing workload. Research shows that a heavy nursing workload adversely affects patient safety. Furthermore, it negatively affects nursing job satisfaction and, as a result, contributes to high turnover and the nursing shortage.

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Ana Weighs in

Shifting The “Blame Culture”

  • As professionals, nurses are ethically bound to strive to prevent errors. But many nurses are deterred from reporting an error for the fear of punishment or being viewed negatively by peers. This “blame culture” is counterproductive to preventing mistakes, because a lack of identifying the problem means a lack of fixing it.
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Steps to Ensure Nurse and Patient Safety

  • Key strategies in preventing the costly consequences of fatigue include: The Joint Commission recommends healthcare facilities assess their policies to identify fatigue-related risks, such as off-shift hours and consecutive shift work, and review their staffing to address areas that may be contributing to nurse fatigue.7 Nurses working three consecutive 12-hour shifts suffer from slee…
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Conclusion

  • Patient safety hinges on nurses’ well-being, and it’s important for nurse health to be front-and-ce…
    Nurses can decrease their level of fatigue by working as a team in support of each other during extended shifts, and by encouraging good personal sleep habits. But ultimately, it’s each nurse’s responsibility to refuse an assignment if he or she is impaired by fatigue.1 RNs should consider …
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References

  • 1American Nurses Association. Nurse fatigue. 2Brewer K.How a “just culture” can improve safety in health care. Am Nurse Today. 2011;6(6). 3American Nurses Association. Position statements: assuring patient safety: the employers' role in promoting healthy nursing work hours for registered nurses in all roles and settings. 4American Nurses Association. Position statements: assuring p…
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