Relationships among organizational characteristics, occupational fatigue, and missed care in registered nurses working at night in NJ acute care hospitals
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Crincoli, Suzanne.
Relationships among organizational characteristics, occupational fatigue, and missed care in registered nurses working at night in NJ acute care hospitals. Retrieved from
https://doi.org/doi:10.7282/t3-bsfq-2s23Export
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TitleRelationships among organizational characteristics, occupational fatigue, and missed care in registered nurses working at night in NJ acute care hospitals
Date Created2023
Other Date2022-10 (degree)
Extent169 pages
DescriptionBackground: The Agency for Healthcare Quality and Safety has recognized missed care as a significant threat to healthcare quality and patient safety. The incidence of Missed Care is high internationally. The effect of the synergistic relationships among organizational (i.e., practice environment support, RN workload, patient-to-RN staffing ratios) and nurse characteristics, (i.e., experience level, education level, sleep hours, consecutive work shifts) and occupational fatigue types (i.e., chronic fatigue, acute fatigue, and inter-shift recovery) on the incidence of missed care at night is not well known. Objectives: Guided by the Integrated Model of Abnormal Work Schedules, Organizational and Nurse Characteristics, Occupational Fatigue, and Missed Care the aims of this study were to examine (1) the individual, and independent effects of organizational characteristics, and occupational fatigue types on the incidence of missed care in registered nurses (RN) working in acute care hospitals at night; and (2) the moderating effects of organizational characteristics, and nurse characteristics on the relationship between occupational fatigue types and missed care at night.
Methods: This dissertation employed a quantitative, cross-sectional Design. A publicly available roster of registered nurses was used to recruit participants for this study. The data were analyzed using SPSS software. The Tasks Undone-12 (TU-12) scale, the Practice Environment Scale of Nurse Work Index (PES-NWI), the Individualized Workload Perception Scale-Revised (IPWS_R) subscale, a single-item staffing question, and the Occupational Fatigue and Exhaustion Recovery Scale (OFER-15) were used in this study.
Results: Descriptive statistics, Pearson’s correlation, multiple linear regression, and simple moderation analysis were employed. Individual predictors of missed care at night were practice environment support, RN workload, patient-to-RN staffing ratios, chronic fatigue, and inter-shift recovery. Acute fatigue did not individually predict missed care. Multiple regression analysis revealed patient-to-RN staffing ratios and chronic fatigue to be predictors of missed care at night. Moderation analysis revealed that (1) acute fatigue and missed care were dependent on a nurse's experience level, (2) inter-shift recovery and missed care were dependent on a nurse's experience level, and sleep hours between shifts.
Conclusion: Implications of this study inform policies for safe nursing practice and patient safety at night.
NotePh.D.
NoteIncludes bibliographical references
Genretheses
LanguageEnglish
CollectionGraduate School - Newark Electronic Theses and Dissertations
Organization NameRutgers, The State University of New Jersey
RightsThe author owns the copyright to this work.
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