TABLE 4.
Final models of regression analyses examining factors that influence fatigue in RNs
| General fatigue† | ||||||
|---|---|---|---|---|---|---|
| Variables | Unadjusted B (SE) |
B (SE) | R2 | Cumulative R2 |
t | Bonferroni-adjusted p |
| (Constant) | 5.55 (3.60) | 1.54 | 0.50 | |||
| Role of the nurse‡ | −2.32 (0.69) | −0.83 (0.67) | 0.03 | 0.03 | −1.24 | 0.86 |
| Intershift recovery§ | −0.15 (0.01) | −0.10 (0.02) | 0.31 | 0.34 | −6.61 | < 0.01 |
| Sleep disturbance¶ | 0.35 (0.04) | 0.16 (0.04) | 0.07 | 0.41 | 3.63 | < 0.01 |
| Decision latitude# | −0.16 (0.03) | −0.12 (0.03) | 0.02 | 0.43 | −4.09 | < 0.01 |
| Maladaptive coping†† | 0.38 (0.07) | 0.16 (0.06) | 0.02 | 0.45 | 2.63 | 0.04 |
| Psychologic job demands# | 0.27 (0.06) | 0.13 (0.06) | 0.01 | 0.45 | 2.38 | 0.07 |
| Supervisor social support# | −0.30 (0.09) | 0.19 (0.10) | 0.01 | 0.46 | 1.99 |
0.19 |
| Physical fatigue† | ||||||
| Variables | Unadjusted B (SE) |
B (SE) | R2 | Cumulative R2 |
t | Bonferroni-adjusted p |
| (Constant) | 16.45 (3.23) | 5.10 | < 0.01 | |||
| Role of the nurse | −1.78 (0.53) | −0.81 (0.51) | 0.03 | 0.03 | −1.59 | 0.46 |
| Intershift recovery§ | −0.09 (0.01) | −0.06 (0.01) | 0.20 | 0.23 | −4.77 | < 0.01 |
| Physical health¶ | −0.27 (0.04) | −0.16 (0.04) | 0.08 | 0.31 | −4.56 | < 0.01 |
| Sleep disturbance¶ | 0.21 (0.03) | 0.10 (0.03) | 0.03 | 0.34 | 2.84 | 0.02 |
| Coworker support# | −0.73 (0.13) | −0.35 (0.13) | 0.02 | 0.36 | −2.68 |
0.03 |
| Emotional fatigue† | ||||||
| Variables | Unadjusted B (SE) |
B (SE) | R2 | Cumulative R2 |
t | Bonferroni-adjusted p |
| (Constant) | 1.66 (2.63) | 0.63 | > 0.99 | |||
| Role of the nurse‡ | −0.81 (0.55) | −0.16 (0.48) | 0.01 | 0.01 | −0.33 | > 0.99 |
| Intershift recovery§ | −0.10 (0.01) | −0.05 (0.01) | 0.26 | 0.27 | −4.65 | < 0.01 |
| Maladaptive coping‡‡ | 0.46 (0.05) | 0.29 (0.04) | 0.14 | 0.40 | 6.43 | < 0.01 |
| Coworker support# | −1.01 (0.13) | −0.54 (0.12) | 0.07 | 0.47 | −4.46 | < 0.01 |
| Sleep disturbance†† | 0.27 (0.03) | 0.13 (0.03) | 0.04 | 0.50 | 4.05 |
< 0.01 |
| Mental fatigue† | ||||||
| Variables | Unadjusted B (SE) |
B (SE) | R2 |
Cumulative R2 |
t | Bonferroni-adjusted p |
| (Constant) | −2.14 (2.22) | −0.97 | > 0.99 | |||
| Role of the nurse‡ | −0.39 (0.47) | 1.42 (0.56) | 0.00 | 0.00 | 2.51 | 0.05 |
| Intershift recovery§ | −0.09 (0.01) | −0.06 (0.01) | 0.23 | 0.23 | −5.64 | < 0.01 |
| Maladaptive coping†† | 0.31 (0.04) | 0.19 (0.04) | 0.08 | 0.31 | 4.16 | < 0.01 |
| Long shifts (11+ hours) | 1.40 (0.55) | 2.04 (0.66) | 0.03 | 0.35 | 3.09 | 0.01 |
| Sleep disturbance¶ | 0.18 (0.03) | 0.07 (0.03) | 0.01 | 0.36 | 2.17 | 0.12 |
| Years nursing practice | −0.08 (0.02) | −0.05 (0.02) | 0.01 | 0.37 | −2.13 | 0.14 |
| Total fatigue† | ||||||
| Variables | Unadjusted B (SE) |
B (SE) | R2 | Cumulative R2 |
t | p |
| (Constant) | 4.31 (9.94) | 0.43 | 0.67 | |||
| Role of the nurse‡ | −6.90 (2.25) | −2.89 (1.80) | 0.02 | 0.02 | −1.60 | 0.11 |
| Intershift recovery§ | −0.53 (0.04) | −0.35 (0.04) | 0.41 | 0.43 | −8.32 | < 0.01 |
| Sleep disturbance¶ | 1.26 (0.13) | 0.60 (0.12) | 0.10 | 0.53 | 5.02 | < 0.01 |
| Maladaptive coping†† | 1.69 (0.20) | 0.78 (0.17) | 0.04 | 0.57 | 4.62 | < 0.01 |
| Coworker support# | −3.88 (0.53) | −1.56 (0.46) | 0.02 | 0.59 | −3.42 | < 0.01 |
| Double duty caregiver‡‡ | 7.76 (2.26) | 3.76 (1.76) | 0.01 | 0.59 | 2.13 | 0.03 |
| Chronic fatigue§ | ||||||
| Variables | Unadjusted B (SE) | B (SE) | R2 | Cumulative R2 |
t | p |
| (Constant) | 45.29 (13.09) | 3.46 | < 0.01 | |||
| Role of the nurse‡ | −8.04 (3.39) | 1.87 (2.59) | 0.01 | 0.01 | 0.72 | 0.47 |
| Intershift recovery§ | −0.69 (0.06) | −0.34 (0.06) | 0.32 | 0.33 | −5.85 | < 0.01 |
| Coworker support# | −7.26 (0.71) | −3.01 (0.71) | 0.12 | 0.45 | −4.25 | < 0.01 |
| Maladaptive coping†† | 2.39 (0.29) | 1.42 (0.23) | 0.08 | 0.53 | 6.13 | < 0.01 |
| Psychologic job demands# | 2.10 (0.25) | 1.41 (0.22) | 0.06 | 0.59 | 6.57 | < 0.01 |
| Decision latitude# | −0.83 (0.13) | −0.50 (0.12) | 0.03 | 0.62 | −4.25 | < 0.01 |
Abbreviation: B, unstandardized coefficient; SE, standard error
†
Assessed using the Multidimensional Fatigue Symptom Inventory-Short Form (MFSI-SF).
‡
Role coded 0 = direct care RN, 1 = non-direct care RN.
§
Assessed using the Occupational Fatigue Exhaustion Recovery (OFER).
¶
Assessed using Patient Reported Outcome Measurement Information System (PROMIS).
#
Assessed using the Job Content Questionnaire (JCQ).
††
Assessed using the Brief Coping Orientation to Problems Experienced (COPE).
‡‡
double duty caregiver = providing unpaid care for a dependent child or adult. Coded 0 = not double duty caregiver, 1 = double duty caregiver