ASPAN FATIGUE CHECKLIST ASPAN recognizes fatigue among nurses as a potentially dangerous factor that can impact safe nursing practice and patient safety. Evidence reports personal and professional contributors to nurse fatigue that can affect patient outcomes, as well as the nurse's health and job performance. Nationally-known nurse researchers in fatigue, Dr.
{"Image DocumentName": "ASPAN FATIGUE CHECKLIST ASPAN recognizes fatigue among nurses as a potentially dangerous factor that can impact safe nursing practice and patient safety. Evidence reports personal and professional contributors to nurse fatigue that can affect patient outcomes, as well as the nurse\u2019s health and job performance. Nationally-known nurse researchers in fatigue, Dr.", "Image ImageDescription": "Trinkoff and Dr. Rogers, presented evidence on fatigue to an ASPAN strategic work team in August From this review, a list of factors related to nurse fatigue, as well as its consequences, was comprised and includes: Professional (scheduling) factors: on-call hours 6,7, required (mandatory) overtime,1,2,3,6, few or no breaks during shift 1,2,6, high number of total hours worked in a week,2,3,6,7 shift length >12.5 hours,1,2,3,6,7 number of weekends worked per month1,7 working non-day shifts,1,5,7 worked when scheduled off, 1,2 inadequate numbers of staff.3 Personal factors: Working more than one job6, voluntary overtime,1,2,3,6 working while sick1, inadequate rest.1,4,6, Job performance: struggle to remain awake,2,5,,fell asleep at work,2 and some effects on decision-making and critical-thinking: decreased vigilance,2 increased risk of errors,2,3 lapses of attention,5 delayed reaction time.2 Nurse health: Musculoskeletal injury (MSD),1,6 injury by needlestick,6,7 psychological strain,4 sleep impairment/deprivation,4,5 spillover of work strain into non-work time,4 unhealthful behaviors (excessive caffeine or alcohol, smoking, inadequate diet, no exercise),6 drowsy driving.9 Purpose: Inquiry into the topic of nurse fatigue and patient outcomes continues. The Nursing Organization Alliance (NOA) recommended that every specialty nursing organization educate their members about nurse fatigue and its effects on nursing practice. The American Nurses Association (ANA) developed a position statement which recommends every nurse, as an ethical responsibility, should carefully consider her/his fatigue level and has the duty to evaluate personal readiness to provide competent care. 11 Selected evidence was reviewed with intention to educate ASPAN members on nurse fatigue and its factors, and the implications of fatigue on the safety of the perianesthesia patient and nurse. Assessment: Factors linked with nurse fatigue were compiled into the following checklist to educate about fatigue risks. ASPAN offers this evidence-based resource to healthcare providers for purposes of personal education and self-assessment. All of the factors listed below can be used in your self-assessment. Some of these fatigue factors can also be assessed by peers and managers and are objective in nature. Those factors are indicated with an (O). Research has shown that a person can recover from sleep deprivation after two consecutive nights of adequate sleep (6-8 hours), even after several days of working 12-hour shifts.10 Consider that evidence as you complete the following checklist..", "Image XResolution": "37", "Image YResolution": "37", "Image ResolutionUnit": "Pixels/Centimeter", "Image Software": "SlidePlayer", "Image YCbCrPositioning": "Centered"}