Show simple item record

dc.contributor.authorHiestand, Stand Fenimore
dc.contributor.authorForthun, Ingeborg
dc.contributor.authorWaage, Siri
dc.contributor.authorPallesen, Ståle
dc.contributor.authorBjorvatn, Bjørn
dc.date.accessioned2024-03-19T12:40:47Z
dc.date.available2024-03-19T12:40:47Z
dc.date.created2023-06-28T08:35:22Z
dc.date.issued2023
dc.identifier.issn1932-6203
dc.identifier.urihttps://hdl.handle.net/11250/3123128
dc.description.abstractAim To investigate whether pain, sleep duration, insomnia, sleepiness, work-related factors, anxiety, and depression associate with excessive fatigue in nurses. Background Fatigue among nurses is a problem in the context of ongoing nursing shortages. While myriad factors are associated with fatigue not all relationships are understood. Prior studies have not examined excessive fatigue in the context of pain, sleep, mental health, and work factors in a working population to determine if associations between excessive fatigue and each of these factors remain when adjusting for each other. Methods A cross-sectional questionnaire study among 1,335 Norwegian nurses. The questionnaire included measures for fatigue (Chalder Fatigue Questionnaire, score ≥4 categorized as excessive fatigue), pain, sleep duration, insomnia (Bergen Insomnia Scale), daytime sleepiness (Epworth Sleepiness Scale), anxiety and depression (Hospital Anxiety and Depression Scale), and work-related factors. Associations between the exposure variables and excessive fatigue were analyzed using chi-square tests and logistic regression analyses. Results In the fully adjusted model, significant associations were found between excessive fatigue and pain severity scores for arms/wrists/hands (adjusted OR (aOR) = 1.09, CI = 1.02–1.17), hips/legs/knees/feet (aOR = 1.11, CI = 1.05–1.18), and headaches/migraines (aOR = 1.16, CI = 1.07–1.27), sleep duration of <6 hours (aOR = 2.02, CI = 1.08–3.77), and total symptom scores for insomnia (aOR = 1.05, CI = 1.03–1.08), sleepiness (aOR = 1.11, CI = 1.06–1.17), anxiety (aOR = 1.09, CI = 1.03–1.16), and depression (aOR = 1.24, CI = 1.16–1.33). The musculoskeletal complaint-severity index score (aOR = 1.27, CI = 1.13–1.42) was associated with excessive fatigue in a separate model adjusted for all variables and demographics. Excessive fatigue was also associated with shift work disorder (OR = 2.25, CI = 1.76–2.89) in a model adjusted for demographics. We found no associations with shift work, number of night shifts and number of quick returns (<11 hours between shifts) in the fully adjusted model. Conclusion Excessive fatigue was associated with pain, sleep- and mental health-factors in a fully adjusted model.en_US
dc.language.isoengen_US
dc.publisherPLoSen_US
dc.rightsNavngivelse 4.0 Internasjonal*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/deed.no*
dc.titleAssociations between excessive fatigue and pain, sleep, mental-health and work factors in Norwegian nursesen_US
dc.typeJournal articleen_US
dc.typePeer revieweden_US
dc.description.versionpublishedVersionen_US
dc.rights.holderCopyright 2023 The Author(s)en_US
dc.source.articlenumbere0282734en_US
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode1
dc.identifier.doi10.1371/journal.pone.0282734
dc.identifier.cristin2158881
dc.source.journalPLOS ONEen_US
dc.identifier.citationPLOS ONE. 2023, 18 (4), e0282734.en_US
dc.source.volume18en_US
dc.source.issue4en_US


Files in this item

Thumbnail

This item appears in the following Collection(s)

Show simple item record

Navngivelse 4.0 Internasjonal
Except where otherwise noted, this item's license is described as Navngivelse 4.0 Internasjonal