Relationship between Work Ability Index and Fatigue among Iranian Critical Care Nurses
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Abstract
Nurses have always been considered as a unique working group because of the physically and mentally demanding tasks they bear at work. Such a working condition exposes them to a high risk of fatigue, which could influence their work ability. Therefore, this study aims to investigate the relationship between work ability index (WAI) and fatigue of critical care nurses in a military hospital. In this descriptive and cross-sectional study, 101 nurses (71 females and 30 males) of critical care units filled out both the Persian version of WAI and nurses’ fatigue questionnaires. The nurses were selected from three general hospitals of Tehran by cluster sampling method. The Pearson correlation test was used for investigating the relationship between two quantitative variables, and all the statistical analyses were performed by SPSS v. 21 software. The nurses’ average age was 24.5 years old (±SD=±3.6), and the mean of work experience was 9 years (±SD=±4.13). The mean work ability of the nurses was 40.01 (±SD=±4.05), indicating “good work ability”. Fatigue was found in 46.19% of the participants, and the nurses’ fatigue was mainly of mental type (29.8%). There was a significant negative correlation (-0.57) between the scores of WAI and total fatigue (p < 0.001). The negative correlation between WAI and fatigue shows that WAI and fatigue score could be a good predictor of health and quality of work life. Identifying the influential factors of nurses’ work ability and fatigue would help to improve the work condition of critical care nurses.
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2. Garosi E, Mazloumi A, Kalantari R, Vahedi Z, Shirzhiyan Z. Design and ergonomic assessment of an infusion set connector tool used in nursing work. Appl Ergon2019;75:91-8.
3. Mealer M, Jones J, Newman J, McFann KK, Rothbaum B, Moss M. The presence of resilience is associated with a healthier psychological profile in intensive care unit (ICU) nurses: results of a national survey. Int J Nurs Stud 2012;49(3):292-9.
4. Dashti E, Rassouli M, Khanali Mojen L, Pour Hoseingholi A, Shirinabady Farahani A, Sarvi F. Nurses' fatigue in neonatal intensive care units and premature infants' readmissions. Iran J Nurs Res 2015;10(2):1-10.
5. Greaves J, Goodall D, Berry A, Shrestha S, Richardson A, Pearson P. Nursing workloads and activity in critical care: A review of the evidence. Intensive Crit Care Nurs 2018;48: 10-20.
6. da Silva FJ, Felli VEA, Martinez MC, Mininel VA, Ratier APP. Association between work ability and fatigue in Brazilian nursing workers. Work 2016;53(1):225-32.
7. Rotenberg L, Griep RH, Fischer FM, Fonseca MdJM, Landsbergis P. Working at night and work ability among nursing personnel: when precarious employment makes the difference. Int Arch Occup Environ Health 2009;82(7):877-85.
8. Smith DR, Mihashi M, Adachi Y, Koga H, Ishitake T. A detailed analysis of musculoskeletal disorder risk factors among Japanese nurses. J Safety Res 2006;37(2):195-200.
9. Ilmarinen J. Towards a longer work career: Ageing and quality of life in the European Union. Finnish Institute of Occupational Health, Ministry of Social Affairs and Health, Helsinki, 2006.
10. Tuomi K, Huuhtanen P, Nykyri E, Ilmarinen J. Promotion of work ability, the quality of work and retirement. Occup Med 2001;51(5):318-24.
11. Ilmarinen J. Work ability—a comprehensive concept for occupational health research and prevention. Scand J Work Environ Health 2009;35(1):1-5.
12. Rostamabadi A, Zamanian Z, Sedaghat Z. Factors associated with work ability index (WAI) among intensive care units'(ICUs') nurses. J Occup Health 2017;59(2):147-55.
13. Samadi S, Golmohammadi A. Study the Relation between Occupational Stress and Work Ability Index among Nurses of Selected Military Hospital. J Police Med 2013;2(4):223-3.
14. Vasconcelos SP, Fischer FM, Reis AOA, Moreno CRdC. Factors associated with work ability and perception of fatigue among nursing personnel from Amazonia. Rev Bras Epidemiol 2011;14(4):688-97.
15.Steege LM, Dykstra JG. A macroergonomic perspective on fatigue and coping in the hospital nurse work system. Appl Ergon. 2016;54:19-26.
16.Bazazan A, Rasoulzadeh Y, Dianat I, Safaiyan A, Mombeini Z. Occupational fatigue and mental health complaints among 8-hour shift workers of petrochemical industries in Iran. Work 2019;62(2):309-17.
17.Barker LM, Nussbaum MA. Fatigue, performance and the work environment: a survey of registered nurses. J Adv Nurs 2011;67(6):1370-82.
18.Lee KA, Dziadkowiec O, Meek P. A systems science approach to fatigue management in research and health care. Nurs Outlook 2014;62(5):313-21.
19.Bae S-H, Fabry D. Assessing the relationships between nurse work hours/overtime and nurse and patient outcomes: a systematic literature review. Nurs Outlook 2014;62(2):138-56.
20.Gould R, Ilmarinen J, Järvisalo J, Koskinen S. Dimensions of work ability-summary and conclusions. Dimensions of work ability: Results of the Health. Helsinki, 2000:165-75.
21.Mazloumi A, Kazemi Z, Eivazlou M. Validation and reliability study of Farsi version of work ability index questionnaire. JSchPublic Health Inst Public Health Res 2014;12(1):61-74.
22. Mazloumi A, Rostamabadi A, Garosi E. Validity and reliability of work ability index (WAI) questionnaire among Iranian workers; a study in petrochemical and car manufacturing industries. J Occup Health 2019;61(2):165-74.
23.De Zwart B, Frings‐Dresen M, Van Duivenbooden J. Test–retest reliability of the Work Ability Index questionnaire. Occup Med 2002;52(4):177-81.
24.Bolandian S. Correlation between medication errors with job conditions, job satisfaction and fatigue of nurses at Shahid Sadughi Hospital. Shahid Beheshti University of Medical Science, Tehran, 2013.
25.Rassouli M, Zandiyeh S, Noorian M, Zayeri F, Yaghmaie F. Oncology Nurses Fatigue Scale: Scale Development. Urmia Nurs Midwifery Fac 2012;10(5): 640-647.
26.Chiu M-C, Wan
g M-JJ, Lu C-W, Pan S-M, Kumashiro M, Ilmarinen J. Evaluating work ability and quality of life for clinical nurses in Taiwan. Nurs Outlook2007;55(6):318-26.
27.Heyam DF, Besher G, Nesreen A-K. Work Ability Index of Shift Working Hospital Nurses in Jordan. Open Nurs J 2018;12:116.
28.Abbasi M, Zakerian A, Kolahdouzi M, Mehri A, Akbarzadeh A, Ebrahimi MH. Relationship between work ability index and cognitive failure among nurses. Electron Physician 2016;8(3):2136.
29.Mazloumi A, Rostamabadi A, Saraji GN, Foroushani AR. Work ability index (WAI) and its association with psychosocial factors in one of the petrochemical industries in Iran. J Occup Health 2012;54(2):112-8.
30.Marqueze EC, Voltz GP, Borges FN, Moreno CR. A 2-year follow-up study of work ability among college educators. Appl Ergon 2008;39(5):640-5.
31.Kloimüller I, Karazman R, Geissler H, Karazman-Morawetz I, Haupt H. The relation of age, work ability index and stress-inducing factors among bus drivers. Int J Ind Ergon2000;25(5):497-502.
32.Carayon P, Hundt AS, Karsh B, Gurses AP, Alvarado C, Smith M, et al. Work system design for patient safety: the SEIPS model. BMJ Qual Saf 2006;15(suppl 1):i50-i8.
33.Zakerian SA, Garosi E, Abdi Z, Bakhshi E, Kamrani M, Kalantari R. Studying the influence of workplace design on productivity of bank clerks. J Health Safe Work 2016;6(2):35-42.
34.Mohammadi Zeidi E, Farmanbar R, Hoseyni S. Assessment of psychometric properties (validity and reliability) of Safety Climate Questionnaire: factor analysis application. J Guilan Univ Med Sci 2012;21(81):12-21.
35.Laitinen J, Näyhä S, Kujala V. Body mass index and weight change from adolescence into adulthood, waist-to-hip ratio and perceived work ability among young adults. Int J Obes 2005;29(6):697.
36.Rostamabadi A, Mazloumi A, Foroushani AR. Work Ability Index (WAI) and its health-related determinants among Iranian farmers working in small farm enterprises. J Occup Health 2014;56(6):478-84.
37.van den Berg T, Elders L, de Zwart B, Burdorf A. The effects of work-related and individual factors on the Work Ability Index: a systematic review. Occup Environ Med 2008; 66(4):211-20.
38.Tuomi K, Ilmarinen J, Martikainen R, Aalto L, Klockars M. Aging, work, life-style and work ability among Finnish municipal workers in 1981—1992. Scand J Work Environ Health 1997; 23(Suppl 1):58-65.
39.Geukes M, van Aalst MP, Nauta MC, Oosterhof H. The impact of menopausal symptoms on work ability. Menopause 2012;19(3):278-82.
40.Garosi E, Mazloumi A, Kalantari R, Hosseini M. Design and ergonomic evaluation of serum set connector device to the medical solution. J Health Safe Work 2017;7(4):307-18.
41. Liu Y, Wu LM, Chou PL, Chen MH, Yang LC, Hsu HT. The influence of work‐related
fatigue, work conditions, and personal characteristics on intent to leave among new nurses. J Nurs Scholarsh 2016;48(1):66-73.
42.Nolte AG, Downing C, Temane A, Hastings‐Tolsma M. Compassion fatigue in nurses: A meta synthesis. J Clin Nurs 2017;26(23-24):4364-78.
43.Abásolo L, Lajas C, León L, Carmona L, Macarrón P, Candelas G, Blanco M, Jover JA Prognostic factors for long-term work disability due to musculoskeletal disorders. Rheumatol Int 2012;32(12):3831-9.
44.Samadi H, Kalantari R, Mostafavi F, Zanjirani Farahani A, Bakhshi E. Using the Need for Recovery Scale to Assess Workload in Mine Workers and Its Relationship With Demographics. J Ergon 2017;4(4):1-7.
45.Kouhnavard B, Halvani G, Najimi MR, Mihanpour H. The Relationship between Fatigue and Work Ability Index (WAI) of Workers in a Ceramic Industry in Yazd Province, 2014. Arch Occup Health 2018;2(1):63-9.
2. Garosi E, Mazloumi A, Kalantari R, Vahedi Z, Shirzhiyan Z. Design and ergonomic assessment of an infusion set connector tool used in nursing work. Appl Ergon2019;75:91-8.
3. Mealer M, Jones J, Newman J, McFann KK, Rothbaum B, Moss M. The presence of resilience is associated with a healthier psychological profile in intensive care unit (ICU) nurses: results of a national survey. Int J Nurs Stud 2012;49(3):292-9.
4. Dashti E, Rassouli M, Khanali Mojen L, Pour Hoseingholi A, Shirinabady Farahani A, Sarvi F. Nurses' fatigue in neonatal intensive care units and premature infants' readmissions. Iran J Nurs Res 2015;10(2):1-10.
5. Greaves J, Goodall D, Berry A, Shrestha S, Richardson A, Pearson P. Nursing workloads and activity in critical care: A review of the evidence. Intensive Crit Care Nurs 2018;48: 10-20.
6. da Silva FJ, Felli VEA, Martinez MC, Mininel VA, Ratier APP. Association between work ability and fatigue in Brazilian nursing workers. Work 2016;53(1):225-32.
7. Rotenberg L, Griep RH, Fischer FM, Fonseca MdJM, Landsbergis P. Working at night and work ability among nursing personnel: when precarious employment makes the difference. Int Arch Occup Environ Health 2009;82(7):877-85.
8. Smith DR, Mihashi M, Adachi Y, Koga H, Ishitake T. A detailed analysis of musculoskeletal disorder risk factors among Japanese nurses. J Safety Res 2006;37(2):195-200.
9. Ilmarinen J. Towards a longer work career: Ageing and quality of life in the European Union. Finnish Institute of Occupational Health, Ministry of Social Affairs and Health, Helsinki, 2006.
10. Tuomi K, Huuhtanen P, Nykyri E, Ilmarinen J. Promotion of work ability, the quality of work and retirement. Occup Med 2001;51(5):318-24.
11. Ilmarinen J. Work ability—a comprehensive concept for occupational health research and prevention. Scand J Work Environ Health 2009;35(1):1-5.
12. Rostamabadi A, Zamanian Z, Sedaghat Z. Factors associated with work ability index (WAI) among intensive care units'(ICUs') nurses. J Occup Health 2017;59(2):147-55.
13. Samadi S, Golmohammadi A. Study the Relation between Occupational Stress and Work Ability Index among Nurses of Selected Military Hospital. J Police Med 2013;2(4):223-3.
14. Vasconcelos SP, Fischer FM, Reis AOA, Moreno CRdC. Factors associated with work ability and perception of fatigue among nursing personnel from Amazonia. Rev Bras Epidemiol 2011;14(4):688-97.
15.Steege LM, Dykstra JG. A macroergonomic perspective on fatigue and coping in the hospital nurse work system. Appl Ergon. 2016;54:19-26.
16.Bazazan A, Rasoulzadeh Y, Dianat I, Safaiyan A, Mombeini Z. Occupational fatigue and mental health complaints among 8-hour shift workers of petrochemical industries in Iran. Work 2019;62(2):309-17.
17.Barker LM, Nussbaum MA. Fatigue, performance and the work environment: a survey of registered nurses. J Adv Nurs 2011;67(6):1370-82.
18.Lee KA, Dziadkowiec O, Meek P. A systems science approach to fatigue management in research and health care. Nurs Outlook 2014;62(5):313-21.
19.Bae S-H, Fabry D. Assessing the relationships between nurse work hours/overtime and nurse and patient outcomes: a systematic literature review. Nurs Outlook 2014;62(2):138-56.
20.Gould R, Ilmarinen J, Järvisalo J, Koskinen S. Dimensions of work ability-summary and conclusions. Dimensions of work ability: Results of the Health. Helsinki, 2000:165-75.
21.Mazloumi A, Kazemi Z, Eivazlou M. Validation and reliability study of Farsi version of work ability index questionnaire. JSchPublic Health Inst Public Health Res 2014;12(1):61-74.
22. Mazloumi A, Rostamabadi A, Garosi E. Validity and reliability of work ability index (WAI) questionnaire among Iranian workers; a study in petrochemical and car manufacturing industries. J Occup Health 2019;61(2):165-74.
23.De Zwart B, Frings‐Dresen M, Van Duivenbooden J. Test–retest reliability of the Work Ability Index questionnaire. Occup Med 2002;52(4):177-81.
24.Bolandian S. Correlation between medication errors with job conditions, job satisfaction and fatigue of nurses at Shahid Sadughi Hospital. Shahid Beheshti University of Medical Science, Tehran, 2013.
25.Rassouli M, Zandiyeh S, Noorian M, Zayeri F, Yaghmaie F. Oncology Nurses Fatigue Scale: Scale Development. Urmia Nurs Midwifery Fac 2012;10(5): 640-647.
26.Chiu M-C, Wan
g M-JJ, Lu C-W, Pan S-M, Kumashiro M, Ilmarinen J. Evaluating work ability and quality of life for clinical nurses in Taiwan. Nurs Outlook2007;55(6):318-26.
27.Heyam DF, Besher G, Nesreen A-K. Work Ability Index of Shift Working Hospital Nurses in Jordan. Open Nurs J 2018;12:116.
28.Abbasi M, Zakerian A, Kolahdouzi M, Mehri A, Akbarzadeh A, Ebrahimi MH. Relationship between work ability index and cognitive failure among nurses. Electron Physician 2016;8(3):2136.
29.Mazloumi A, Rostamabadi A, Saraji GN, Foroushani AR. Work ability index (WAI) and its association with psychosocial factors in one of the petrochemical industries in Iran. J Occup Health 2012;54(2):112-8.
30.Marqueze EC, Voltz GP, Borges FN, Moreno CR. A 2-year follow-up study of work ability among college educators. Appl Ergon 2008;39(5):640-5.
31.Kloimüller I, Karazman R, Geissler H, Karazman-Morawetz I, Haupt H. The relation of age, work ability index and stress-inducing factors among bus drivers. Int J Ind Ergon2000;25(5):497-502.
32.Carayon P, Hundt AS, Karsh B, Gurses AP, Alvarado C, Smith M, et al. Work system design for patient safety: the SEIPS model. BMJ Qual Saf 2006;15(suppl 1):i50-i8.
33.Zakerian SA, Garosi E, Abdi Z, Bakhshi E, Kamrani M, Kalantari R. Studying the influence of workplace design on productivity of bank clerks. J Health Safe Work 2016;6(2):35-42.
34.Mohammadi Zeidi E, Farmanbar R, Hoseyni S. Assessment of psychometric properties (validity and reliability) of Safety Climate Questionnaire: factor analysis application. J Guilan Univ Med Sci 2012;21(81):12-21.
35.Laitinen J, Näyhä S, Kujala V. Body mass index and weight change from adolescence into adulthood, waist-to-hip ratio and perceived work ability among young adults. Int J Obes 2005;29(6):697.
36.Rostamabadi A, Mazloumi A, Foroushani AR. Work Ability Index (WAI) and its health-related determinants among Iranian farmers working in small farm enterprises. J Occup Health 2014;56(6):478-84.
37.van den Berg T, Elders L, de Zwart B, Burdorf A. The effects of work-related and individual factors on the Work Ability Index: a systematic review. Occup Environ Med 2008; 66(4):211-20.
38.Tuomi K, Ilmarinen J, Martikainen R, Aalto L, Klockars M. Aging, work, life-style and work ability among Finnish municipal workers in 1981—1992. Scand J Work Environ Health 1997; 23(Suppl 1):58-65.
39.Geukes M, van Aalst MP, Nauta MC, Oosterhof H. The impact of menopausal symptoms on work ability. Menopause 2012;19(3):278-82.
40.Garosi E, Mazloumi A, Kalantari R, Hosseini M. Design and ergonomic evaluation of serum set connector device to the medical solution. J Health Safe Work 2017;7(4):307-18.
41. Liu Y, Wu LM, Chou PL, Chen MH, Yang LC, Hsu HT. The influence of work‐related
fatigue, work conditions, and personal characteristics on intent to leave among new nurses. J Nurs Scholarsh 2016;48(1):66-73.
42.Nolte AG, Downing C, Temane A, Hastings‐Tolsma M. Compassion fatigue in nurses: A meta synthesis. J Clin Nurs 2017;26(23-24):4364-78.
43.Abásolo L, Lajas C, León L, Carmona L, Macarrón P, Candelas G, Blanco M, Jover JA Prognostic factors for long-term work disability due to musculoskeletal disorders. Rheumatol Int 2012;32(12):3831-9.
44.Samadi H, Kalantari R, Mostafavi F, Zanjirani Farahani A, Bakhshi E. Using the Need for Recovery Scale to Assess Workload in Mine Workers and Its Relationship With Demographics. J Ergon 2017;4(4):1-7.
45.Kouhnavard B, Halvani G, Najimi MR, Mihanpour H. The Relationship between Fatigue and Work Ability Index (WAI) of Workers in a Ceramic Industry in Yazd Province, 2014. Arch Occup Health 2018;2(1):63-9.
| Files | ||
| Issue | Vol 10 No 3 (2018) | |
| Section | Original Article(s) | |
| Published | 2018-08-30 | |
| Keywords | ||
| Ergonomics Fatigue Nursing Work ability | ||
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How to Cite
1.
GAROSI E, NAJAFI S, MAZLOUMI A, DANESH M, ABEDI M. Relationship between Work Ability Index and Fatigue among Iranian Critical Care Nurses. Int J Occup Hyg. 2018;10(3):135-142.
