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Nursing issues
Good nursing teamwork reduces fatigue but cannot offset the strain of excessive workloads
  1. Gillian Colville
  1. Paediatric Psychology Service, St George’s University Hospitals NHS Foundation Trust, London, UK
  1. Correspondence to Dr Gillian Colville, St George’s University Hospitals NHS Foundation Trust, London SW17 0QT, UK; gcolvill{at}

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Commentary on: Cho H, Sagherian K, Scott LD, et al. Occupational fatigue, workload and nursing teamwork in hospital nurses. J Adv Nurs. 2022. doi: 10.1111/jan.15246.

Implications for practice and research

  • Efforts to improve teamworking may lead to reduced long-term fatigue in staff.

  • However, careful attention to the size of workloads remains an essential part of managing staff well-being.

  • Further studies could determine whether the quality of teamwork predicts fatigue prospectively.

  • Interventions that target improved teamworking, such as simulation training with a focus on team communication, could usefully be evaluated with regard to impact on staff fatigue and resilience.


Internationally, there has been growing concern about fatigue and burnout in health professionals given their association with increased staff sickness and turnover, poorer quality of care and the greater likelihood of error. …

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  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.