The Environmental Factors Associated With Fatigue of Frontline Nurses in the Infection Disease Nursing Unit.
The Environmental Factors Associated With Fatigue of Frontline Nurses in the Infection Disease Nursing Unit.
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DOI：
10.3389/fpubh.2021.774553
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发表时间：
2021
影响因子：
5.2
通讯作者：
He B
中科院分区：
文献类型：
--
作者：
Ma M;Adeney M;Long H;He B
由于新冠肺炎疫情，传染病护理科的工作量急剧增加，导致一线护士普遍出现疲劳症状，威胁到她们的健康和安全。从长远来看，建筑环境和设计可以从根本上影响护士的疲劳。本文旨在提取IDNU的环境因素，并探讨护士对这些因素对工作疲劳的看法。为环境干扰素缓解疲劳提供证据。采用焦点小组访谈和书面调查相结合的横断面设计。从医疗保健设计专家处收集IDNU的环境因素（n = 8）。招募IDNU具有COVID-19一线经验的护士（n = 64）对这些因素进行单独评估。环境因素包括护理距离（ND）、空间拥挤度（SC）、自然通风与采光（NVL）和空间私密性（SP）。其中，ND对生理疲劳的影响最大，SP对心理疲劳的影响最大。总体而言，这些环境因素对身体疲劳的影响大于心理疲劳。通过这些环境因素，发现技术职称与护士的疲劳感知相关。护士长助理和实习护士长较高级护士长更容易受到这些因素的影响而产生身体疲劳。结果表明，环境因素与护理人员的疲劳程度有关，尤其是在身体方面。设计中可采取环境干预措施，通过减少ND、提高空间私密性等因素来缓解疲劳。由于护士的技术职称，应根据护士的实际情况采取准确的干预措施。低级别护士占多数，易受环境因素的身体疲劳，应给予更多的关注。
The workload in the Infection Disease Nursing Unit (IDNU) is increasing dramatically due to COVID-19, and leads to the prevalence of fatigue among the frontline nurses, threatening their health, and safety. The built environment and design could fundamentally affect the fatigue of nurses for a long-term perspective. This article aims to extract the environmental factors of IDNU and explore nurses' perceptions of these factors on the work-related fatigue. It would produce evidences for mitigating the fatigue by environmental interferons. A cross-sectional design was employed by combination of focus group interview and written survey. Environmental factors of IDNU were collected from healthcare design experts (n = 8). Nurses (n = 64) with frontline COVID-19 experiences in IDNU were recruited to assess these factors individually. Four environmental factors were identified as: Nursing Distance (ND), Spatial Crowdness (SC), Natural Ventilation, and Light (NVL), and Spatial Privacy (SP). Among them, ND was considered as the most influential factor on the physical fatigue, while SP was on the psychological fatigue. Generally, these environmental factors were found to be more influential on the physical fatigue than the psychological fatigue. Technical titles were found to be associated with the nurses' perceptions of fatigue by these environmental factors. Nurse assistant and practical nurse were more likely to suffer from the physical fatigue by these factors than senior nurse. The result indicated that environmental factors of IDNU were associated with the nurses' fatigue, particularly on the physical aspect. Environmental interventions of design could be adopted to alleviate the fatigue by these factors such as reducing the ND and improving the spatial privacy. The accurate interventional measures should be applied to fit nurses' conditions due to their technical titles. More attention should be given to the low-ranking nurses, who account for the majority and are much vulnerable to the physical fatigue by environmental factors.
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DOI：
10.12968/bjon.2020.29.1.28
发表时间：
2020-01-09
期刊：
British journal of nursing (Mark Allen Publishing)
影响因子：
--
作者：
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通讯作者：
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影响因子：
2.2
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DOI：
10.1177/193758671300600308
发表时间：
2013-03-01
影响因子：
2.2
作者：
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DOI：
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发表时间：
2017-10-01
影响因子：
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作者：
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DOI：
10.1097/nna.0b013e3181e9393b
发表时间：
2010-07
期刊：
The Journal of nursing administration
影响因子：
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作者：
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Robson M