Journal article
Examining the Relationship Between Nurse Fatigue, Alertness, and Medication Errors
Western journal of nursing research, Vol.46(4), pp.288-295
04/2024
DOI: 10.1177/01939459241236631
PMID: 38454783
Abstract
Working for extended hours in a physically and mentally demanding profession has subjected nurses to occupational fatigue. Limited evidence exists about nurse fatigue and alertness changes throughout shift work and their relationship with medication errors and near misses.
The purposes of this study were to: (1) assess the relationship between nurses' fatigue and alertness, (2) evaluate nurses' fatigue and alertness changes throughout their shift, and (3) examine the relationship between nurses' fatigue, alertness, and medication errors and near misses.
This prospective study is part of a larger mixed-method study. Fatigue and alertness data from 14 work and non-workdays were collected from a convenience sample of 90 nurses. A wearable actigraph (Readiband
) was used to measure alertness, while ecological momentary assessment (EMA) using text messaging was used to measure nurses' fatigue.
A 1-unit increase in fatigue was associated with a 1.06-unit reduction in nurses' alertness score (β = -1.06, 95% CI: [-1.33, -0.78],
< .01). Night-shift nurses experienced a 31-point reduction in alertness from the start to the end of the work shift. Nurses' fatigue, but not alertness, was associated with medication errors and near misses (OR = 1.26, 95% CI [1.07, 1.48],
= .01).
Initiating fatigue mitigation measures during mid-shift, especially for night-shift nurses, may be a viable option to mitigate fatigue and alertness deterioration among nurses and to maintain patient safety. The multifaceted nature of fatigue, as captured by EMA, is a stronger predictor of medication errors and near misses than device-measured alertness.
Details
- Title: Subtitle
- Examining the Relationship Between Nurse Fatigue, Alertness, and Medication Errors
- Creators
- Amany Farag - College of Nursing, The University of Iowa, Iowa City, IA, USAJacob Gallagher - University of IowaLucas Carr - University of Iowa
- Resource Type
- Journal article
- Publication Details
- Western journal of nursing research, Vol.46(4), pp.288-295
- DOI
- 10.1177/01939459241236631
- PMID
- 38454783
- NLM abbreviation
- West J Nurs Res
- eISSN
- 1552-8456
- Language
- English
- Electronic publication date
- 03/07/2024
- Date published
- 04/2024
- Academic Unit
- Nursing; Fraternal Order of Eagles Diabetes Research Center; Injury Prevention Research Center; Holden Comprehensive Cancer Center; Health, Sport, and Human Physiology
- Record Identifier
- 9984568048802771
Metrics
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