Fatigue And The SEIPS Model Of The Work System

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The population used in this journal article is clearly described and involved the recruitment of registered nurses from a large academic medical center. Differences in fatigue levels have been demonstrated based on the RN’s years of experience (Barker and Nussbaum, 2011b). Nurses with more work experience may have a distinctive outlook and perspective on coping with fatigue versus a nurse with limited experience. Thus, RNs who were recruited involved nurses with less than two years of experience or nurses with more than five years of experience in practice. The experience levels selected for this study were based on Benner’s Novice to Expert framework that recommends a nurse is “competent” after two to three years of practice and becomes …show more content…
The two authors created a semi-structured interview guide that was based on previous research on fatigue and the SEIPS model of the work system. Questions from the guide included personal experiences, sources, and barriers and facilitators of fatigue. The guide also addressed questions pertaining to coping within the nursing work system, nurse-identified consequences and potential solutions to fatigue. Interviews were conducted by the second author during the fall of 2014 in a private interview room. Each interview lasted about 30-66 minutes and were audio recorded and transcribed word-for-word by a HIPPA-certified transcriptionist. The instruments used were appropriate for collecting data for the research purpose. Researchers use themselves as tools or instruments to gain information from key informants to obtain the most accurate and beneficial data for the study (Schmidt and Brown, 2015). In qualitative inquiry, the researcher is the instrument (Patton, 1990, p.14). The term trustworthiness relates to the degree of trust, or confidence that the readers have in the results of the study (Schmidt and Brown, 2015). The trustworthiness of the data discussed is evident within the research article. The two authors each independently coded the interviews while they met weekly to ensure that the coding match throughout the entirety of each transcript. After the initial analysis was complete, …show more content…
The policies or aspects of the organization’s culture are exclusive to this organization and may not reflect the experiences in other working environments. Recommendations for nursing practice and future work were clearly identified and stated in the article. One recommendation to future work is the need to identify advanced culture change models and strategies that target the barriers discussed in the article and to develop instruments that will further facilitate a culture of safety in relation to nurse fatigue and the accompanying consequences. To further clarify the themes that are identified in this study, future work is needed to design new measures of the nursing professional

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