The long-term effects of psychological demands on chronic fatigue

J Nurs Manag. 2019 Nov;27(8):1673-1681. doi: 10.1111/jonm.12857. Epub 2019 Oct 21.

Abstract

Aim: Investigate the impact of psychological job demands and resources on chronic fatigue.

Background: Nurse fatigue is a serious problem with negative consequences on patient safety and nurse well-being. Excessive job demands can exacerbate nurse fatigue, which may limit the ability of nurses to engage in professional practice.

Methods: This two-wave study was carried out with a self-report questionnaire administered to nurses in eastern Canada (n = 154). Cross-lagged analysis using structural equation modelling was conducted to examine the interactions between psychological job demands, resources and chronic fatigue over time.

Results: Results showed that psychological job demands predicted chronic fatigue a year later. Nonetheless, job resources (decision latitude, social support) did not buffer the relationship between psychological job demands and chronic fatigue 1 year later.

Conclusions: Psychological demands have a long-term effect on chronic fatigue, thus interventions to mitigate fatigue are needed.

Implications for nursing management: Nurse managers should be aware of the cumulative effects of chronic fatigue and implement strategies to create a better balance between job demands and resources in the workplace.

Keywords: chronic fatigue; job demands-resources model; psychological demands; work environment.

MeSH terms

  • Adult
  • Aged
  • Fatigue Syndrome, Chronic / etiology*
  • Fatigue Syndrome, Chronic / psychology
  • Female
  • Humans
  • Job Satisfaction
  • Male
  • Middle Aged
  • New Brunswick
  • Nurses / psychology*
  • Psychometrics / instrumentation
  • Psychometrics / methods
  • Self Report
  • Stress, Psychological / etiology
  • Stress, Psychological / psychology
  • Surveys and Questionnaires
  • Time*
  • Workload / psychology
  • Workload / standards*
  • Workplace / psychology
  • Workplace / standards

Grants and funding