Fatigue and Resilience among Nursing Officers Working in Health-care Institutions in Jammu and Kashmir, India

Background: Fatigue, in its simplest terms, is a state of extreme tiredness or exhaustion, both physically and mentally. Fatigue is a significant issue in the nursing profession globally and in India. Nursing officers often work long hours and irregular shifts, are deprived of sleep and rest, overbu...

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Main Authors: Noorul Amin, Ajaz Ahmad Bhat, Sajad Hussain Naik, Mohd Rafiq Wani
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-01-01
Series:Indian Journal of Psychiatric Nursing
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Online Access:https://journals.lww.com/10.4103/iopn.iopn_3_24
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Summary:Background: Fatigue, in its simplest terms, is a state of extreme tiredness or exhaustion, both physically and mentally. Fatigue is a significant issue in the nursing profession globally and in India. Nursing officers often work long hours and irregular shifts, are deprived of sleep and rest, overburdened, and face high-stress situations such as irregular nurse–patient ratio, multilevel supervision, limited professional autonomy, and hospital policies, which can lead to physical, mental, and emotional exhaustion of a nursing professional being himself/herself a human being. On the other hand, whenever we see such conditions that we feel drained or low, there are some motives or factors that motivate us to bounce back; thus, resilience comes like a superhero to let us face these challenges, adapt to adversity, and keep moving forward despite difficulties. It is not about avoiding hardships; however, rather about facing them, learning from them, and becoming stronger as a result. Building resilience involves developing coping strategies, cultivating a positive mindset, fostering strong relationships, and finding meaning and purpose in difficult situations. It is the inner strength that helps us navigate life’s ups and downs with courage and determination. These things are the basic characteristics of the nursing professional as well. Aim: The aim of the study was to assess the level of fatigue and resilience among nursing officers working in different health-care institutions in Jammu and Kashmir. Methodology: The study was conducted through online mode, in which the fatigue and resilience tools were prepared through Google Forms and link for the same was prepared and forwarded to different nursing professional groups. The nursing officers were advised to provide feedback and required help. The data were collected using the Fatigue Assessment Scale (FAS) and Nicholson McBride Resilience Questionnaire (NMRQ). The FAS had 10 items and NMRQ had 12 items. Both of the scales were statistically analyzed in SPSS software and the results obtained were communicated through this research paper. The study was exempted from IEC clearance as per IEC-SKIMS as the studies that are descriptive in nature are placed in such category. Results: The study revealed that a maximum number of the study participants 30 (48.40%) were in the age group of 26–30 years, a maximum number of the study participants 24 (38.70%) were working in SKIMS Soura, and maximum 44 (70.96%) of the study participants were posted in emergency/casualty/triage areas of the hospitals. The study revealed that the majority of the study participants 48 (77.40%) were married. The study depicted that the majority 50 (80.60%) had no children. The study further revealed that the majority 52 (83.90%) of the study participants were serving indefinite patients. The study found that a maximum of 40 (64.50%) the study participants reported that they were supervised by only one supervisor. The study found that 32 (51.60%) were suffering from moderate fatigue, 32 (25.80%) were suffering from severe fatigue, and 14 (22.60%) were not suffering from fatigue at all. The study explored that maximum 31 (50%) had strong resilience followed by 20 (32.30%) with exceptional resilience, followed by 10 (16.10%) had developing resilience, whereas just 1 (1.60%) had established resilience. The study found that there was a significant association between fatigue levels with selected demographic variables vis-à-vis place of posting experience (P = 0.04), marital status (P = 0.01), and nurse–patient ratio (P = 0.03) except age (P = 0.20), working hospital (P = 0.10), number of children (P = 0.10), and number of supervisors at work (P = 0.29). The study also found that there was a significant association between resilience levels with selected demographic variables vis-à-vis to nurse–patient ratio (P = 0.000), number of children (P = 0.03), and working hospital (P = 0.02) except age (P = 0.12), place of posting (P = 0.21), marital status (P = 0.14), and number of supervisors at work (P = 0.74). Conclusion: The study concluded that although the nursing officers are suffering from fatigue at different levels in the health-care settings, their resilience is also high or developing so by accepting the conditions that they are working in. This proves that nurses have the capability to separate the fatigue from caregiving and have found some ways to develop resilience or coping strategies.
ISSN:2231-1505
2666-528X