ArticlePloS one2023
Associations between excessive fatigue and pain, sleep, mental-health and work factors in Norwegian nurses.
Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 40 citations in OpenAlex.
- Sleep hygiene practices and excessive fatigue among nurses working at comprehensive specialized hospitals in Northwest, Ethiopia.Sleep medicine: X · 2026Article
- An explorative cross-sectional study on the association between immunological biomarkers in patients with chronic pain.Brain, behavior, & immunity - health · 2026Article
- Importance ranking and predictive model construction of WMSDs risk factors among shift-working nurses based on multiple machine-learning algorithms.BMC nursing · 2026Article
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- Prevalence of Bodily Distress Syndrome and Prediction of Patient Outcomes: Cohort Study of 3762 Individuals With Persistent Pain.European journal of pain (London, England) · 2026Article
- Adverse childhood experiences and personality traits associate with excessive fatigue in Norwegian nurses.Frontiers in psychology · 2026Article
- Circadian Rhythm Traits Matter More Than Shift Work Demands in the Sleep-Depression-Safety Behavior Pathway Among Shift-Working Nurses.Journal of nursing management · 2026Article
- Correlation between chronic pain, disability, and psychological factors (depression and anxiety) after surgery for acute orthopedic trauma.World journal of psychiatry · 2025Article
- Article
- Quantity and quality of napping to mitigate fatigue and sleepiness among nurses working long night shifts: a prospective observational study.Journal of physiological anthropology · 2025Observational
- The relation between sociodemographic factors and fatigue among urological nurses.Frontiers in public health · 2025Article
- Article
- Associations between pain intensity, psychosocial factors, and pain-related disability in 4285 patients with chronic pain.Scientific reports · 2024Article
- Sleep quality and fatigue among nurses working in high-acuity clinical settings in Saudi Arabia: a cross-sectional study.BMC nursing · 2024Article
- Excessive daytime sleepiness in nursing technicians: association with sleep quality and memory.Revista brasileira de enfermagem · 2024Article
- Can Vitality and Mental Health Influence Upper Extremity Pain? A Prospective Cohort Study of 1185 Female Hospital Nurses.European journal of investigation in health, psychology and education · 2023Article
- Analysis of factors affecting fatigue in emergency medicine residents: A nationwide, cross-sectional, descriptive study.Turkish journal of emergency medicineArticle
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimTo investigate whether pain, sleep duration, insomnia, sleepiness, work-related factors, anxiety, and depression associate with excessive fatigue in nurses.
backgroundFatigue 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.
methodsA 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.
resultsIn 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.
conclusionExcessive fatigue was associated with pain, sleep- and mental health-factors in a fully adjusted model.
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