Destafney, Stephanie E, BSN, RN

Graetzer, Courtney J, BSN, RN

Maruniak, Lydia, BSN, RN

Nicolai, Elizabeth M, BSN, RN

Rice, Kelly A, BSN, RN

English

Lehigh Valley Health Network: LVHN Scholarly Works

Lehigh Valley Health NetworkLVHN Scholarly WorksPatient Care Services / NursingPrevalence of Stress and Fatigue PerceptionsAmong RNs Working in a Critical Care SettingLydia Maruniak BSN, RNLehigh Valley Health Network, lydia.maruniak@lvhn.orgCourtney J. Graetzer BSN, RNLehigh Valley Health Network, courtney_j.graetzer@lvhn.orgKelly A. Rice BSN, RNLehigh Valley Health Network, kelly_a.rice@lvhn.orgElizabeth M. Nicolai BSN, RNLehigh Valley Health Network, elizabeth_m.nicolai@lvhn.orgStephanie E. Destafney BSN, RNLehigh Valley Health Network, stephani_e.destafney@lvhn.orgFollow this and additional works at: http://scholarlyworks.lvhn.org/patient-care-services-nursingPart of the Nursing CommonsThis Poster is brought to you for free and open access by LVHN Scholarly Works. It has been accepted for inclusion in LVHN Scholarly Works by anauthorized administrator. For more information, please contact LibraryServices@lvhn.org.Published In/Presented AtMaruniak , L. Graetzer, C. Rice, K. Nicolai, E. Destafney, S. (2016, Oct). Prevalence of Stress and Fatigue Perceptions Among RNsWorking in a Critical Care Setting. Posted Presented at: LVHN Vizient/ AACN Nurse Residency Program Graduation, Lehigh ValleyHealth Network, Allentown, PA.© 2014 Lehigh Valley Health NetworkLehigh Valley Health Network, Allentown, PennsylvaniaPREVALENCE OF STRESS AND FATIGUE PERCEPTIONS AMONG RNS WORKING IN A CRITICAL CARE SETTING• Education is necessary to help RNs learn about fatigue management thereby increasing patient safety• Fatigue from working nights decreases nurses’ probability of exercising (Persson & Martinsson, 2006).• Lack of time due to increased sleep needs from fatigue when working nights increases likelihood of eating fast food (Persson & Martinsson, 2006)• Peer pressure (to eat healthily or unhealthily) is a strong factor in night shift nurses’ eating habits (Persson & Martinsson, 2006).• Sleepiness and fatigue are significantly increased for night shift workers (Ozbay, Dieperink, & Tulleken, 2015).• Participants with young children at home had a greater tolerance for night shift (Ozbay, Dieperink, & Tulleken, 2015).• The best way for decrease fatigue is to avoid working extended shifts (>12 hours, >40 hours per week) (Ozbay, Dieperink, & Tulleken, 2015).• The benefits of napping during night shift break is positively linked to patient and nurse safety (Fallis, 2011).• Ability to nap is affected by the demands of patient care and safety, staffing needs, and organizational and environmental factors Fallis, 2011).• Additional strategies, such as Melatonin use and caffienc plus napping, provide various benefit to individuals working night shift (Liira, et. al., 2014).• 13% of nurses working night shift said they always take an uninterrupted lunch break, and 33% said they never take an uninterrupted lunch break.• 19% of nurses working day shift said they always take and uninterrupted lunch break, and 0% said they never do. • 46% of night shift workers reported that night shift negatively impacts their life and they are learning to adjust.• 65% of night shift workers said that night shift is not their preferred shift, as compared to 5% of day shift workers who said that day shift is not their preferred shift.• Administered a survey questionnaire to all RNs working in MICU/SICU. • Compiled date from survey responses to draw conclusions in fatigue study.• Further investigation is needed to determine the reasons why night shift staff does not take an uninterrupted break during the shift. • Increased education of staff on fatigue reduction techniques.Lydia Maruniak, BSN, RN, Courtney Graetzer,  BSN, RN, Kelly Rice,  BSN, RN, Elizabeth Nicolai,  BSN, RN, Stephanie Destafney, BSN, RNBACKGROUNDMETHODSOUTCOMESCONCULSIONSRESULTSREFERENCES:• Fallis, W. (2011). Napping during night shift: practices, preferences,and perceptions of critical care and emergency department nurses. Critical Care Nurse, 2, 1-11.• Persson, M., Martensson, J. (2006). Situations influencing habits in dietand exercise among nurses working night shift. Journal of Nursing Management, 14, 414-423.• Reinke, L., Ozbay, Y., Dieperink, W., & Tulleken, J. (2015). The effect of chronotype on sleepiness, fatigue, and psychomotor vigilance of ICU nurses during the night shift. Intensive Care Med. 41, 657-666. • Liira, J, et. al. (2014) Pharmacological interventions for sleepiness and sleep disturbances caused by shift work. The Cochrane Library. 8.LVHN encourages nurses to take a 30 minute lunch break, but it is not required. Nurses working 12 hour shifts are entitled to one 15‐minute breaks and one 30‐minute break under network policy.02468101214161820YES NO208167Do you experience any physical symptoms of stress/discomfort during your shift (ie. headache, nausea, body pain, etc.)?Day Shift Workers Night Shift WorkersLVHN Nurses working both night and day shifts reported experiences physical symptoms of fatigue.

Prevalence of Stress and Fatigue Perceptions Among RNs Working in a Critical Care Setting

https://scholarlyworks.lvhn.org/cgi/viewcontent.cgi?article=1722&context=patient-care-services-nursing

Prevalence of Stress and Fatigue Perceptions Among RNs Working in a Critical Care Setting

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