@article{ref1,
title="Workplace aggression as cause and effect: emergency nurses' experiences of working fatigued",
journal="International emergency nursing",
year="2016",
author="Wolf, Lisa A. and Perhats, Cydne and Delao, Altair M. and Clark, Paul R.",
volume="33",
number="",
pages="48-52",
abstract="INTRODUCTION: Emergency nursing requires acute attention to detail to provide safe and effective care to potentially unstable or critically ill patients; this requirement may be significantly impaired by physical and mental fatigue. There is a lack of evidence regarding the effects of fatigue caused by factors other than a sleep deficit (e.g., emotional exhaustion). Fatigue affects nurses' ability to work safely in the emergency care setting and potentially impacts their health and quality of life outside of work. <br><br>METHODS: This was the qualitative arm of a mixed methods study; we used a qualitative exploratory design with focus group data from a sample of 16 emergency nurses. Themes were identified using an inductive approach to content analysis. <br><br>RESULTS/DISCUSSION: The following themes were identified: &quot;It's a weight on your back;&quot; &quot;Competitive nursing;&quot; &quot;It's never enough;&quot; &quot;You have to get away;&quot; and &quot;Engagement as a solution.&quot; CONCLUSIONS: Our participants reported high levels of fatigue, which compromised patient care, had a negative effect on their personal lives, and created a toxic unit environment. They reported lateral violence as both the cause and effect of mental and emotional fatigue, suggesting that unit culture affects nurses and the patients they care for.<br><br>Copyright © 2016 Elsevier Ltd. All rights reserved.<p /> <p>Language: en</p>",
language="en",
issn="1755-599X",
doi="10.1016/j.ienj.2016.10.006",
url="http://dx.doi.org/10.1016/j.ienj.2016.10.006"
}