1. Steege, Linsey M. PhD
  2. Pinekenstein, Barbara J. DNP, RN-BC, CPHIMS
  3. Rainbow, Jessica G. BSN, RN
  4. Arsenault Knudsen, Elise MS, RN, ACNS-BC


OBJECTIVE: The aim of this study was to describe the current state of fatigue risk management systems (FRMS) to address nurse fatigue in hospitals.


BACKGROUND: Although multiple studies have examined sources and consequences of fatigue, little is known about the current state of FRMS.


METHODS: This study used a sequential exploratory mixed-method design including a survey of nurse leaders from across the United States.


FINDINGS: Although healthcare organizations have implemented strategies to address fatigue, most participants' organizations did not have a formal FRMS in place. Monitoring individual nurses' levels of fatigue and using tools to predict fatigue risk were rare.


CONCLUSIONS: Significant opportunities exist to implement formal FRMS in healthcare. Nursing leaders, in partnership with other organizational leaders, should develop a formal plan to monitor fatigue and implement multiple levels of interventions to prevent fatigue and mitigate its consequences.