6d45f52dbcf6152acfaf17acc40361c8 ijenvrespubhea_a2020v17n19p7277.pdf 7fc78f954ba2758bd91c8fa07357fd0e0f7d5136 ijenvrespubhea_a2020v17n19p7277.pdf 7cdd626290daaafd26a5f106831442915a174d8901ed156a6163d048aedad812 ijenvrespubhea_a2020v17n19p7277.pdf Title: How the Lagged and Accumulated Effects of Stress, Coping, and Tasks Affect Mood and Fatigue during Nurses’ Shifts Subject: Nurses experience significant stress and emotional exhaustion, leading to burnout and fatigue. This study assessed how the nurses’ mood and fatigue evolves during their shifts, and the temporal factors that influence these phenomena. Performing a two-level design with repeated measures with moments nested into a person level, a random sample of 96 nurses was recruited. The ecological momentary assessment of demand, control, effort, reward, coping, and nursing tasks were measured in order to predict mood and fatigue, studying their current, lagged, and accumulated effects. The results show that: (1) Mood appeared to be explained by effort, by the negative lagged effect of reward, and by the accumulated effort, each following a quadratic trend, and it was influenced by previously executing a direct care task. By contrast, fatigue was explained by the current and lagged effect of effort, by the lagged effect of reward, and by the accumulated effort, again following quadratic trends. (2) Mood was also explained by problem-focused and emotion-focused coping strategies, indicative of negative mood, and by support-seeking and refusal coping strategies. (3) Fatigue was also associated with direct care and the prior effect of documentation and communication tasks. We can conclude that mood and fatigue do not depend on a single factor, such as workload, but rather on the evolution and distribution of the nursing tasks, as well as on the stress during a shift and how it is handled. The evening and night shifts seem to provoke more fatigue than the other work shifts when approaching the last third of the shift. These data show the need to plan the tasks within a shift to avoid unfinished or delayed care during the shift, and to minimize accumulated negative effects. Keywords: stress; nurses; coping; mood; fatigue; burnout; ecological momentary assessment; lagged effects; accumulated effects Author: Fermín Martínez-Zaragoza, Jordi Fernández-Castro, Gemma Benavides-Gil and Rosa García-Sierra Creator: LaTeX with hyperref package Producer: pdfTeX-1.40.18 CreationDate: Mon Oct 5 14:36:19 2020 CEST ModDate: Mon Oct 5 14:36:19 2020 CEST Custom Metadata: yes Metadata Stream: no Tagged: no UserProperties: no Suspects: no Form: none JavaScript: no Pages: 15 Encrypted: no Page size: 595.276 x 841.89 pts (A4) Page rot: 0 File size: 1774542 bytes Optimized: no PDF version: 1.5 name type encoding emb sub uni object ID ------------------------------------ ----------------- ---------------- --- --- --- --------- HIIJRG+URWPalladioL-Ital Type 1 Custom yes yes no 131 0 KQCMDY+URWPalladioL-Bold Type 1 Custom yes yes no 132 0 WOZBHT+Rpxb Type 1 Builtin yes yes no 133 0 SSNIUI+VnURWPalladioL-Bold Type 1 Custom yes yes no 134 0 DLCUWX+URWPalladioL-Roma Type 1 Custom 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