Published date: Jun 19 2018

Journal Title: KnE Life Sciences

Issue title: International Conference of Occupational Health and Safety (ICOHS 2017)

Pages: 399–406

DOI: 10.18502/kls.v4i5.2570

K Rizky

Hendra .hendra@ui.ac.id

Fatigue is a critical issue for nurses that may lead to medical errors, degradation in performance, decreased mental acuity and social problems. Poor sleep quality is also a contributing factor in fatigue that nurses experience. Shift work and high workloads are two factors that caused poor sleep quality of nurses. The aim of
the present study was to investigate the relationship between sleep quality and perceived fatigue among nurses at the Cibinong Regional Public Hospital, Bogor District. Cross-sectional study was conducted from January 1, 2017 to April 30, 2017 using a self-reported questionnaire of the Pittsburgh Sleep Quality Index (PSQI) and Subjective Self Rating Test from Industrial Fatigue Research Committee (IFRC) of nurses at Cibinong Regional Public Hospital with 179 nurses. The chi-square test was used to analyze the relationship between sleep quality and perceived fatigue. The results showed that 57 percent of nurses had poor sleep quality. Perceived fatigue measured by subjective self-rating test showed that the majority of nurses had low levels of perceived fatigue (47.5%). Only 8.9 percent of nurses had high levels of perceived fatigue. The chi-square test showed a significant relationship between sleep quality and level of perceived fatigue (p-value = 0.001). Analysis of Odd Ratio showed that nurses who had poor sleep quality had a risk about 2.9 times to experience fatigue, compared with nurses who had good sleep quality. It can be concluded that poor sleep quality has a greater risk of causing fatigue in the nurses. So, the effort of setting the time and shift work is very important to improve the sleep quality of nurses and reduce the risk of work fatigue.

Keywords: sleep quality, perceived fatigue, nurse, hospital

[1] Canadian Nurses Association. (2010). Fact Sheet: Nurse fatigue. Ottawa.


[2] Canadian Nurses Association & Regional Nurses Association of Ontario. (2010). Nurse Fatigue and Patient Safety. Ottawa.


[3] Chien, P., Su, H.-F., Hsieh, P.-C., et al. (2013). Sleep quality among female hospital staff nurses.Sleep Disorders, vol. 2013, p.6.


[4] Fajrillah and Nurfitriani (2015). Relationship of work stress and nurse performance in implementing nusing care in the emergency instalation at Anutapura Palu Public Hospital (published in Bahasa: Hubungan Stress Kerja Dengan Kinerja Perawat Pelaksana Dalam Melaksanakan Pelayanan Keperaw). Jurnal Keperawatan Sriwijaya, vol. 3 ( January 2016), pp.16–24.


[5] Idawati, K. (2014). Relationship of Workload, Work Stress, Working Satisfy and Nurse Performance at Abdul Moeloek - Bandar Lampung (published in Bahasa: Hubungan Antara Beban Kerja, Stress Kerja, Kepuasan Kerja, Dengan Kinerja Perawat Pelaksana Di RSUD Abdul Moeloek Bandar. University of Indonesia.


[6] Idris, M. (2014). Relationship of Sleep Quality, Work Shift and Nurse Fatigue In The Inpatient Ward at General Hospital Bekasi (publishediIn Bahasa: Hubungan Kualitas Tidur, Shift Kerja Dengan Kelelahan Perawat di Instalasi Rawat Inap RSUD Kota Bekasi. Depok: University of Indonesia.


[7] Iskandar, J. (2002). Sleep Disorders (published in Bahasa: Gangguan Tidur. Universitas Sumatera Utara.


[8] Kenyon, T., Rebecca, E., White, K. Y., et al. (2007). On call: Alert or unsafe? A report of the AORN on call electronic task force. AORN Journal, vol. 4, p. 9.


[9] Kunert, K. K. M. and Kolkhorst, F. (2007). Fatigue and sleep quality in nurses. Journal of Psychosocial Nursing and Mental Health Services.


[10] Potter and Perry (2005). Nursing fundamental: Concept, process and practice (published in Bahasa: Keperawatan dasar: Konsep, proses dan praktik) R. Komalasari and Dkk (eds.) (4th edition). Jakarta: EGC.


[11] Rogers, A. E. (2008). The effect of fatigue and sleepiness on nurse performance and patient safety. In Rockville (ed.) Patient Safety and Quality An Evidence-Based Handbook for Nurses. Pennsylvania: AHRQ Publication.


[12] Safe Work Australia. 2013. Guide for managing the risk of fatigue at work. Canberra: Safe Work Australia.


[13] Suleiman, R. (2014). Relationship of Work Stress and Fatigue (Controlled by Age and Working Period) Among Nurse at Privete Hospital X In Yogyakarta (published in Bahasa: Hubungan Antara Stres Kerja Dengan Kelelahan Kerja Yang Dikendalikan Umur Dan Masa Kerja Pada Perawat Rum. University of Gajah Mada. Retrieved from http://etd.repository.ugm.ac.id/index.php?mod= penelitian_detail&sub=PenelitianDetail&act=view&typ=html&buku_id=68078.


[14] Tarwaka, Bakri, S. H. and Sudiajeng, L. (2004). Ergonomi Untuk Keselamatan, Kesehatan Kerja dan Produktivitas (1st edition). Surakarta: Uniba Press.


[15] Trisnawati, E. (2012). Sleep quality, nutritional status, work fatigue among female worker with duble role (published in bahasa: Kualitas tidur, status gizi dan kelelahan kerja pada pekerja wanita dengan peran ganda), in Seminar Nasional Kesehatan. Purwokerto: Jurusan Kesehatan Masyarakat - FKIK - Unsoed, pp. 1–16.


[16] Workplace Safety and Health Council. 2010. Workplace Safety & Health Guidelines, Fatigue Management. Singapura: Workplace Safety and Health Council.


[17] Zhang, L., M, S.D. and F, T.M. (2016). Influencing factors for sleep quality among shift-working nurses: A cross-sectional study in China using 3-factor pittsburgh sleep quality index. ASIAN Nursing Research, (September 2016).