Fatigue in Nursing Survey Set
 

1. Background Information

 
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The following survey consists of several sets of questions intended to measure your perceptions about your work environment, fatigue, and work performance. The results will be used in a research study being conducted in the Grado Department of Industrial and Systems Engineering at Virginia Tech. Participating in this study is completely voluntary. By completing the survey and submitting your responses, you are implying consent to participate in this research. All of your responses are anonymous and will be viewed only by the research team. The entire survey should require approximately 20 minutes to complete.

Please complete the survey as close to the completion of a nursing work shift as possible.

1. Gender:

2. Age:

3. Please choose the race, ethnicity, or national group you most identify with:

4. Marital status:

5. Number of dependents (e.g. children, elderly relatives, etc.):

6. How many hours of sleep do you get, on average, per night?

7. What is your highest educational degree?

8. Years working as a registered nurse:

9. Which of the following best describes the type of setting in which you currently work?

10. Years working in current setting:

11. How much of your work time is spent on direct patient care activities?

12. On average, how many hours do you work per week in nursing jobs?

13. Do you have any other jobs besides your main nursing job, or do you do any other work for pay?

14. On average, how many hours do you work per week in all jobs combined?

15. Which of the following best describes the schedule you USUALLY work at your main nursing job? (Please select only one.)

16. What is the usual length of your shift at your main nursing job?