Reducing Worker Fatigue to Create a Healthy Work Environment

Blake, Nancy; Gilmore, Kay; Dang, Phan; Villareal, Dan

doi:10.4037/NCI.0000000000000052

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Creating a Healthy Workplace| October 01 2014

Reducing Worker Fatigue to Create a Healthy Work Environment

Nancy Blake, RN, PhD, CCRN, NEA-BC;

Nancy Blake, RN, PhD, CCRN, NEA-BC

Nancy Blake is Director, Critical Care Services, Children’s Hospital Los Angeles, 25720 Oak Leaf Court, Valencia, CA 91381 ([email protected]). Kay Gilmore is Manager, Cardiovascular Acute Unit, Children’s Hospital Los Angeles, Valencia, California. Phan Dang is Manager, Acute Rehab, Children’s Hospital Los Angeles, Valencia, California. Dan Villareal is Manager, Respiratory Care, Children’s Hospital Los Angeles, Valencia, California.

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Kay Gilmore, RN, MN;

Kay Gilmore, RN, MN

Nancy Blake is Director, Critical Care Services, Children’s Hospital Los Angeles, 25720 Oak Leaf Court, Valencia, CA 91381 ([email protected]). Kay Gilmore is Manager, Cardiovascular Acute Unit, Children’s Hospital Los Angeles, Valencia, California. Phan Dang is Manager, Acute Rehab, Children’s Hospital Los Angeles, Valencia, California. Dan Villareal is Manager, Respiratory Care, Children’s Hospital Los Angeles, Valencia, California.

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Phan Dang, RN, MN;

Phan Dang, RN, MN

Nancy Blake is Director, Critical Care Services, Children’s Hospital Los Angeles, 25720 Oak Leaf Court, Valencia, CA 91381 ([email protected]). Kay Gilmore is Manager, Cardiovascular Acute Unit, Children’s Hospital Los Angeles, Valencia, California. Phan Dang is Manager, Acute Rehab, Children’s Hospital Los Angeles, Valencia, California. Dan Villareal is Manager, Respiratory Care, Children’s Hospital Los Angeles, Valencia, California.

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Dan Villareal, RRT, MBA

Nancy Blake is Director, Critical Care Services, Children’s Hospital Los Angeles, 25720 Oak Leaf Court, Valencia, CA 91381 ([email protected]). Kay Gilmore is Manager, Cardiovascular Acute Unit, Children’s Hospital Los Angeles, Valencia, California. Phan Dang is Manager, Acute Rehab, Children’s Hospital Los Angeles, Valencia, California. Dan Villareal is Manager, Respiratory Care, Children’s Hospital Los Angeles, Valencia, California.

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AACN Adv Crit Care (2014) 25 (4): 326–329.

https://doi.org/10.4037/NCI.0000000000000052

Recent research about fatigue in health care has motivated nurses and hospital administrators to look at ways to manage the problem. This column examines a few relatively recent studies and alerts about the problem of fatigue.^1–5

Ironically, Ben Franklin, founder of our nation’s first hospital, Pennsylvania Hospital, identified fatigue as a common health complaint.⁶ However, fatigue is one of the most difficult terms to define, and it is a symptom of many different conditions. Fatigue is generally defined as a feeling of lack of energy. It is not the same as sleepiness, but the desire to sleep may accompany fatigue.² The American College of Occupational and Environmental Medicine’s (ACOEM’s) Task Force on Fatigue Risk Management provided us with an extensive review of fatigue and how we can reduce its risk to provide a balanced, healthy work environment.² Evidence suggests that shift work associated with...

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