Work factors as predictors of persistent fatigue: a prospective study of nurses’ aides

Objectives: To identify work factors that predict persistent fatigue in nurses’ aides. Methods: The sample comprised 5547 Norwegian nurses’ aides, not on leave when they completed a mailed questionnaire in 1999. Of these, 4645 (83.7%) completed a second questionnaire 15 months later. The outcome mea...

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Veröffentlicht in:Occupational and environmental medicine (London, England) England), 2006-06, Vol.63 (6), p.428-434
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description Objectives: To identify work factors that predict persistent fatigue in nurses’ aides. Methods: The sample comprised 5547 Norwegian nurses’ aides, not on leave when they completed a mailed questionnaire in 1999. Of these, 4645 (83.7%) completed a second questionnaire 15 months later. The outcome measure was the occurrence of persistent fatigue, defined as having felt “usually fatigued” or “always fatigued” in daytime during the previous 14 days. Results: In respondents without persistent fatigue at baseline, medium and high work demands, heavy smoking, being single, and having long term health problems were associated with increased risk of persistent fatigue at follow up. Medium and high rewards for well done work, medium levels of leadership fairness, and regular physical exercise were associated with reduced risk of persistent fatigue at follow up. In respondents with persistent fatigue at baseline, medium and high levels of positive challenges at work, high support from immediate superior, medium feedback about quality of one’s work, and changes of work or work tasks that resulted in less heavy work or lower work pace were associated with increased odds of recovery (no persistent fatigue at follow up). Working in a nursing home and being intensely bothered by long term health problems were associated with reduced odds of recovery. Conclusions: High demands and lack of rewards at work may cause persistent fatigue in nurses’ aides. Reduction of demands, adequate feedback, and mental stimulation in the form of support and positive challenges may facilitate recovery in those who have persistent fatigue. Leaders in the health services may be in a position to regulate factors that influence the level of fatigue in nurses’ aides.
doi_str_mv 10.1136/oem.2005.019729
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Methods: The sample comprised 5547 Norwegian nurses’ aides, not on leave when they completed a mailed questionnaire in 1999. Of these, 4645 (83.7%) completed a second questionnaire 15 months later. The outcome measure was the occurrence of persistent fatigue, defined as having felt “usually fatigued” or “always fatigued” in daytime during the previous 14 days. Results: In respondents without persistent fatigue at baseline, medium and high work demands, heavy smoking, being single, and having long term health problems were associated with increased risk of persistent fatigue at follow up. Medium and high rewards for well done work, medium levels of leadership fairness, and regular physical exercise were associated with reduced risk of persistent fatigue at follow up. In respondents with persistent fatigue at baseline, medium and high levels of positive challenges at work, high support from immediate superior, medium feedback about quality of one’s work, and changes of work or work tasks that resulted in less heavy work or lower work pace were associated with increased odds of recovery (no persistent fatigue at follow up). Working in a nursing home and being intensely bothered by long term health problems were associated with reduced odds of recovery. Conclusions: High demands and lack of rewards at work may cause persistent fatigue in nurses’ aides. Reduction of demands, adequate feedback, and mental stimulation in the form of support and positive challenges may facilitate recovery in those who have persistent fatigue. Leaders in the health services may be in a position to regulate factors that influence the level of fatigue in nurses’ aides.</description><identifier>ISSN: 1351-0711</identifier><identifier>EISSN: 1470-7926</identifier><identifier>DOI: 10.1136/oem.2005.019729</identifier><identifier>PMID: 16551763</identifier><language>eng</language><publisher>London: BMJ Publishing Group Ltd</publisher><subject>Adult ; Aged ; Biological and medical sciences ; Chronic Disease ; Fairness ; Fatigue ; Fatigue - etiology ; Female ; Fundamental and applied biological sciences. Psychology ; Health problems ; Humans ; Job Satisfaction ; Leisure time ; Logistic regression ; Male ; Medical conditions ; Middle Aged ; Nurses ; Nurses' Aides - statistics &amp; numerical data ; nurses’ aides ; Nursing ; Occupational Diseases - etiology ; Occupational psychology ; Original ; Positive feedback ; Prospective Studies ; Psychology. Psychoanalysis. Psychiatry ; Psychology. Psychophysiology ; Psychometrics ; Questionnaires ; Regression Analysis ; Risk reduction ; Shift work ; Social support ; Social workers ; Work condition. Job performance. 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Methods: The sample comprised 5547 Norwegian nurses’ aides, not on leave when they completed a mailed questionnaire in 1999. Of these, 4645 (83.7%) completed a second questionnaire 15 months later. The outcome measure was the occurrence of persistent fatigue, defined as having felt “usually fatigued” or “always fatigued” in daytime during the previous 14 days. Results: In respondents without persistent fatigue at baseline, medium and high work demands, heavy smoking, being single, and having long term health problems were associated with increased risk of persistent fatigue at follow up. Medium and high rewards for well done work, medium levels of leadership fairness, and regular physical exercise were associated with reduced risk of persistent fatigue at follow up. In respondents with persistent fatigue at baseline, medium and high levels of positive challenges at work, high support from immediate superior, medium feedback about quality of one’s work, and changes of work or work tasks that resulted in less heavy work or lower work pace were associated with increased odds of recovery (no persistent fatigue at follow up). Working in a nursing home and being intensely bothered by long term health problems were associated with reduced odds of recovery. Conclusions: High demands and lack of rewards at work may cause persistent fatigue in nurses’ aides. Reduction of demands, adequate feedback, and mental stimulation in the form of support and positive challenges may facilitate recovery in those who have persistent fatigue. Leaders in the health services may be in a position to regulate factors that influence the level of fatigue in nurses’ aides.</description><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Chronic Disease</subject><subject>Fairness</subject><subject>Fatigue</subject><subject>Fatigue - etiology</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Health problems</subject><subject>Humans</subject><subject>Job Satisfaction</subject><subject>Leisure time</subject><subject>Logistic regression</subject><subject>Male</subject><subject>Medical conditions</subject><subject>Middle Aged</subject><subject>Nurses</subject><subject>Nurses' Aides - statistics &amp; numerical data</subject><subject>nurses’ aides</subject><subject>Nursing</subject><subject>Occupational Diseases - etiology</subject><subject>Occupational psychology</subject><subject>Original</subject><subject>Positive feedback</subject><subject>Prospective Studies</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychology. Psychophysiology</subject><subject>Psychometrics</subject><subject>Questionnaires</subject><subject>Regression Analysis</subject><subject>Risk reduction</subject><subject>Shift work</subject><subject>Social support</subject><subject>Social workers</subject><subject>Work condition. Job performance. 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Methods: The sample comprised 5547 Norwegian nurses’ aides, not on leave when they completed a mailed questionnaire in 1999. Of these, 4645 (83.7%) completed a second questionnaire 15 months later. The outcome measure was the occurrence of persistent fatigue, defined as having felt “usually fatigued” or “always fatigued” in daytime during the previous 14 days. Results: In respondents without persistent fatigue at baseline, medium and high work demands, heavy smoking, being single, and having long term health problems were associated with increased risk of persistent fatigue at follow up. Medium and high rewards for well done work, medium levels of leadership fairness, and regular physical exercise were associated with reduced risk of persistent fatigue at follow up. In respondents with persistent fatigue at baseline, medium and high levels of positive challenges at work, high support from immediate superior, medium feedback about quality of one’s work, and changes of work or work tasks that resulted in less heavy work or lower work pace were associated with increased odds of recovery (no persistent fatigue at follow up). Working in a nursing home and being intensely bothered by long term health problems were associated with reduced odds of recovery. Conclusions: High demands and lack of rewards at work may cause persistent fatigue in nurses’ aides. Reduction of demands, adequate feedback, and mental stimulation in the form of support and positive challenges may facilitate recovery in those who have persistent fatigue. Leaders in the health services may be in a position to regulate factors that influence the level of fatigue in nurses’ aides.</abstract><cop>London</cop><pub>BMJ Publishing Group Ltd</pub><pmid>16551763</pmid><doi>10.1136/oem.2005.019729</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; BMJ Journals - NESLi2; JSTOR Archive Collection A-Z Listing; EZB-FREE-00999 freely available EZB journals; PubMed Central
subjects Adult
Aged
Biological and medical sciences
Chronic Disease
Fairness
Fatigue
Fatigue - etiology
Female
Fundamental and applied biological sciences. Psychology
Health problems
Humans
Job Satisfaction
Leisure time
Logistic regression
Male
Medical conditions
Middle Aged
Nurses
Nurses' Aides - statistics & numerical data
nurses’ aides
Nursing
Occupational Diseases - etiology
Occupational psychology
Original
Positive feedback
Prospective Studies
Psychology. Psychoanalysis. Psychiatry
Psychology. Psychophysiology
Psychometrics
Questionnaires
Regression Analysis
Risk reduction
Shift work
Social support
Social workers
Work condition. Job performance. Stress
Working conditions
Working hours
Workplace
title Work factors as predictors of persistent fatigue: a prospective study of nurses’ aides
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