Did rest breaks help with acute fatigue among nursing staff on 12‐h shifts during the COVID‐19 pandemic? A cross‐sectional study
Open Access
- 5 July 2021
- journal article
- research article
- Published by Wiley in Journal of Advanced Nursing
- Vol. 77 (12), 4711-4721
- https://doi.org/10.1111/jan.14944
Abstract
Aim This study aimed to explore whether 30-min rest breaks were as effective at lowering acute fatigue among 12-h shift hospital nursing staff who cared for patients with COVID-19 as among those who did not. Design The study was cross-sectional in design. Methods Data from the SAFE-CARE study collected online between May and June 2020 were used. A subsample (N = 338) comprised of nursing staff who reported working 12-h shifts, and providing direct patient care in hospitals was used in this study. Data on socio-demographics, work and rest breaks, and subjective measures of fatigue, psychological distress, sleep and health were used. Hierarchical multiple linear regression followed by stratified analyses was conducted to explore the relationships between rest breaks and acute fatigue among nursing staff groups with and without COVID-19 patient care. Results The sample, on average, had high acute fatigue. Around 72% reported providing care to patients with COVID-19, and 71% reported taking rest breaks ‘sometimes’, ‘often’ or ‘always’. In the group that cared for patients with COVID-19, there was no significant relationship between rest breaks and acute fatigue (p = .507). In the group that cared for patients hospitalized for other reasons, rest breaks were associated with lower acute fatigue (p = .010). Conclusion Our findings showed both the importance and inadequacy of rest breaks in reducing acute fatigue. The process of within-work recovery is complex, and routine rest breaks should be facilitated by nursing management on hospital units during and after the COVID-19 pandemic. Impact Rest breaks may present an effective strategy in lowering fatigue. Although rest breaks were not associated with less fatigue among staff caring for patients with COVID-19, other co-workers experienced some fatigue recovery. For frontline nursing staff, routine rest breaks are encouraged, and a systematic evaluation pertaining the sufficiency of rest breaks during high work demands in future research is needed.Keywords
This publication has 48 references indexed in Scilit:
- Physical and mental fatigue as predictors of sickness absence among Norwegian nursesResearch in Nursing & Health, 2013
- Hospital Staff Nurses' Shift Length Associated With Safety and Quality of CareJournal of Nursing Care Quality, 2013
- The effect of work hours on adverse events and errors in health careJournal of Safety Research, 2010
- A 4-item measure of depression and anxiety: Validation and standardization of the Patient Health Questionnaire-4 (PHQ-4) in the general populationJournal of Affective Disorders, 2010
- An Ultra-Brief Screening Scale for Anxiety and Depression: The PHQ-4Psychosomatics, 2009
- Factor structure of the Maslach burnout inventory: An analysis of data from large scale cross-sectional surveys of nurses from eight countriesInternational Journal of Nursing Studies, 2009
- Similarities, overlap and differences between burnout and prolonged fatigue in the working populationQJM: An International Journal of Medicine, 2007
- Further Development and Validation of the Occupational Fatigue Exhaustion Recovery (OFER) ScaleJournal of Occupational and Environmental Medicine, 2006
- Fatigue, burnout, and chronic fatigue syndrome among employees on sick leave: do attributions make the difference?Occupational and Environmental Medicine, 2003
- The impact of rest breaks upon accident risk, fatigue and performance: A reviewWork & Stress, 2003