Evidence map›Paper›PMID 42052019›Full record

ReviewFrontiers in public health2026

Injury prevention in fatigue-prone nursing environments: a comprehensive review of strategies centered on work design, human factors engineering, and safety culture.

Lishan Hu, Jinling Ding, Xiao Shen

Abstract readReview
In one paragraph

Review in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Lishan HuDepartment of Emergency Medicine, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Jinling DingDepartment of Emergency Medicine, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Xiao ShenDepartment of Emergency Medicine, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Nurse fatigue is a prevalent and multifactorial occupational health risk that increases the likelihood of work-related injuries and safety incidents, with implications for both workforce well-being and patient care. In fatigue-prone nursing environments, injuries such as slips, sharps injuries, and musculoskeletal disorders related to patient handling represent critical yet often underrecognized consequences of sustained physical and cognitive overload. This review synthesizes findings from occupational health, human factors engineering, sleep medicine, and healthcare quality improvement to examine injury prevention strategies targeting nurse fatigue. Shifting beyond individual-level resilience, the review focuses on system-oriented interventions embedded within work design and care delivery processes. Three interrelated domains are examined: (1) organizational and scheduling strategies, including fatigue risk management systems, shift optimization, protected rest, and acuity-responsive staffing; (2) engineering and ergonomic solutions, such as safe patient handling programs, assistive technologies, environmental optimization, and alarm management; and (3) behavioral and team-based practices, including microbreaks, fatigue-aware communication, training for high-risk tasks, and non-punitive fatigue-related reporting. Across healthcare contexts, implementation is constrained by resource limitations, alarm burden, and deficiencies in safety culture. Evaluation commonly relies on injury incidence, near-miss reporting, sleep quality, and workforce retention, though data standardization remains challenging. Overall, preventing fatigue-related injuries in nursing requires integrated, multidisciplinary, and context-sensitive strategies that align organizational design, engineering controls, and behavioral practices. Embedding fatigue management within healthcare safety culture and policy frameworks is essential to protecting nurses' health, sustaining workforce stability, and improving patient safety.

Indexed as

ErgonomicsFatigueOccupational InjuriesSafety ManagementHumansOccupational HealthRisk ManagementWorking Conditionsfatigue risk managementhuman factors engineeringinjury preventionnurse fatigueoccupational healthpatient handlingsafety culturework design

Identifiers

PMID42052019
PMCPMC13111325

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.