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Occupational Fatigue and Cognitive Performance Among Front-Line Nurse Leaders: The Interplay of Personal and Work Factors
Journal article   Peer reviewed

Occupational Fatigue and Cognitive Performance Among Front-Line Nurse Leaders: The Interplay of Personal and Work Factors

Amany Farag, Carol Watson, Yelena Perkhounkova, Peter Abad, Ansam Bani Younes and Maria Hein
The Journal of nursing administration, Vol.56(7), pp.376-383
07/2026
DOI: 10.1097/NNA.0000000000001751
PMID: 42316410

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Abstract

Objective: This study examined factors associated with front-line nurse leaders (managers and assistant managers) occupational fatigue and its relationship with cognitive performance. Background: Front-line nurse leaders face substantial work demands that can contribute to occupational fatigue. This fatigue can impact their cognitive performance. However, limited research has explored those relationships. Methods: A cross-sectional descriptive correlational study was conducted in a Midwestern academic medical center and a large community hospital. Data were collected from 75 front-line leaders using self-report scales measuring fatigue and cognitive performance. Results: Participants reported high levels of acute, mental, and total fatigue, which were significantly associated with their cognitive performance. Poor sleep quality and long working hours were major contributors to fatigue. Older front-line leaders with tenure in their units reported better intershift recovery and low fatigue levels. Conclusion: The findings underscore the need for targeted interventions to mitigate fatigue and improve front-line nurse leaders' cognitive performance. Hospitals should prioritize fatigue management strategies for novice leaders.

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