The result indicated that environmental factors of IDNU were associated with the nurses' fatigue, particularly on the physical aspect. Nurse assistant and practical nurse were more likely to suffer from the physical fatigue by these factors than senior nurse. Technical titles were found to be associated with the nurses' perceptions of fatigue by these environmental factors. Generally, these environmental factors were found to be more influential on the physical fatigue than the psychological fatigue. Among them, ND was considered as the most influential factor on the physical fatigue, while SP was on the psychological fatigue. Four environmental factors were identified as: Nursing Distance (ND), Spatial Crowdness (SC), Natural Ventilation, and Light (NVL), and Spatial Privacy (SP). Nurses ( n = 64) with frontline COVID-19 experiences in IDNU were recruited to assess these factors individually. Environmental factors of IDNU were collected from healthcare design experts ( n = 8). A cross-sectional design was employed by combination of focus group interview and written survey. It would produce evidences for mitigating the fatigue by environmental interferons. This article aims to extract the environmental factors of IDNU and explore nurses' perceptions of these factors on the work-related fatigue. The built environment and design could fundamentally affect the fatigue of nurses for a long-term perspective.
The workload in the Infection Disease Nursing Unit (IDNU) is increasing dramatically due to COVID-19, and leads to the prevalence of fatigue among the frontline nurses, threatening their health, and safety. 3School of Public Health, University of Washington, Seattle, WA, United States.2Key Laboratory of Technology for Construction of Cities in Mountain Area of Ministry of Education, Chongqing University, Chongqing, China.1School of Architecture and Urban Planning, Chongqing University, Chongqing, China.Ming Ma 1,2 *, Michael Adeney 3, Hao Long 1,2 and Baojie He 1,2
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