Fatigue Assessment and Workplace Decision-Making: A Scoping Review

Authors

• Tamio Papilika, Health Safety Environment Department, Medco E&P IndonesiaFollow
• Rony Catur Wibowo, Health Safety Environment Department, Medco E&P IndonesiaFollow
• Famelia Famelia, Palembang Class I Health Quarantine Center, Indonesia

Abstract

Background Fatigue is a recognized contributor to impaired performance and increased occupational risk in safety-critical industries. Although various assessment tools are available, their real-world implementation and role in operational decision-making remain unclear.

Methods This scoping review mapped fatigue assessment methods in workplace settings and evaluated their application in operational contexts. A systematic search of PubMed and Google Scholar identified 693 records, of which 21 studies met the inclusion criteria for real-world occupational settings.

Results All included studies utilized combined subjective and objective fatigue assessment approaches; however, this finding should be interpreted in light of the search strategy. Administrative applications were consistently reported for observational purposes, with no included studies explicitly reporting formal screening or operational decision-making use, such as predefined thresholds or fitness-for-duty criteria.

Discussion/Conclusion Fatigue assessment in occupational settings remains primarily observational. This suggests a gap between measurement and decision-making, although such practices may exist outside published literature. Further research is needed to develop practical frameworks and validated thresholds for decision-oriented fatigue management.

References

1. Dawson D, McCulloch K. Managing fatigue: It's about sleep. Sleep Med Rev. 2005;9(5):365–380. https://doi.org/10.1016/j.smrv.2005.03.002
2. Lockley SW, Barger LK, Ayas NT, et al. Effects of health care provider work hours and sleep deprivation on safety and performance. Jt Comm J Qual Patient Saf. 2007;33(11 Suppl):7–18. https://doi.org/10.1016/S1553-7250(07)33109-7
3. Williamson A, Lombardi DA, Folkard S, et al. The link between fatigue and safety. Accid Anal Prev. 2011;43(2):498–515. https://doi.org/10.1016/j.aap.2009.11.011
4. Basner M, Dinges DF. Maximizing sensitivity of the psychomotor vigilance test (PVT) to sleep loss. Sleep. 2011;34(5):581–591. https://doi.org/10.1093/sleep/34.5.581
5. Lim J, Dinges DF. Sleep deprivation and vigilant attention. Ann N Y Acad Sci. 2008;1129:305–322. https://doi.org/10.1196/annals.1417.002
6. Dawson D, Noy YI, Härmä M, et al. Modelling fatigue and the use of fatigue models in work settings. Accid Anal Prev. 2011;43(2):549–564. https://doi.org/10.1016/j.aap.2009.12.030
7. Tricco AC, Lillie E, Zarin W, et al. PRISMA extension for scoping reviews (PRISMA-ScR): Checklist and explanation. Ann Intern Med. 2018;169(7):467–473. https://doi.org/10.7326/M18-0850
8. Anund A, Fors C, Ihlström J, Kecklund G. An on-road study of sleepiness in split shifts among city bus drivers. Accid Anal Prev. 2018;114:71–76. https://doi.org/10.1016/j.aap.2017.05.005
9. Di Muzio M, Diella G, Di Simone E, et al. Comparison of sleep and attention metrics among nurses working shifts on a forward- vs backward-rotating schedule. JAMA Netw Open. 2021;4(10):e2129906. https://doi.org/10.1001/jamanetworkopen.2021.29906
10. Fernandes SdA, Antonietti LS, de Faria AP, et al. The impact of shift work on Brazilian train drivers with different chronotypes: A comparative analysis through objective and subjective criteria. Med Princ Pract. 2013;22(4):390–396. https://doi.org/10.1159/000345978
11. Ganesan S, Magee M, Stone JE, et al. The impact of shift work on sleep, alertness and performance in healthcare workers. Sci Rep. 2019;9(1):4635. https://doi.org/10.1038/s41598-019-40914-x
12. Geiger-Brown J, Rogers VE, Trinkoff AM, et al. Sleep, sleepiness, fatigue, and performance of 12-hour-shift nurses. Chronobiol Int. 2012;29(2):211–219. https://doi.org/10.3109/07420528.2011.645752
13. Haidarimoghadam R, Kazemi R, Motamedzadeh M, et al. The effects of consecutive night shifts and shift length on cognitive performance and sleepiness: a field study. Int J Occup Saf Ergon. 2017;23(2):251–258. https://doi.org/10.1080/10803548.2016.1244422
14. Hansen JH, Geving IH, Reinertsen RE. Adaptation rate of 6-sulfatoxymelatonin and cognitive performance in offshore fleet shift workers: a field study. Int Arch Occup Environ Health. 2010;83(6):607–615. https://doi.org/10.1007/s00420-010-0547-x
15. Jeklin AT, Davies HW, Bredin SSD, et al. Fatigue and sleep patterns among Canadian wildland firefighters during a 17-day fire line deployment. J Occup Environ Hyg. 2020;17(7–8):364–371. https://doi.org/10.1080/15459624.2020.1759809
16. Jeklin AT, Perrotta AS, Davies HW, et al. The association between heart rate variability, reaction time, and indicators of workplace fatigue in wildland firefighters. Int Arch Occup Environ Health. 2021;94(5):823–831. https://doi.org/10.1007/s00420-020-01641-3
17. Kameda Y, Wada H, Zhu Q, et al. Association between impaired objective alertness and poor subjective health: a study on physicians’ work-style reform surveillance in Japan. Ind Health. 2025;Advance publication. https://doi.org/10.2486/indhealth.2025-0113
18. Karhula K, Härmä M, Sallinen M, et al. Job strain, sleep and alertness in shift working health care professionals-a field study. Ind Health. 2013;51(3):406–416. https://doi.org/10.2486/indhealth.2013-0015
19. Kubo T, Takahashi M, Sato T, et al. Weekend sleep intervention for workers with habitually short sleep periods. Scand J Work Environ Health. 2011;37(5):418–426. https://doi.org/10.5271/sjweh.3162
20. Kubo T, Izawa S, Tsuchiya M, et al. Day-to-day variations in daily rest periods between working days and recovery from fatigue among information technology workers: One-month observational study using a fatigue app. J Occup Health. 2018;60(6):467–474. https://doi.org/10.1539/joh.2018-0073-OA
21. Rahman SA, Shapiro CM, Wang F, et al. Effects of filtering visual short wavelengths during nocturnal shiftwork on sleep and performance. Chronobiol Int. 2013;30(8):951–962. https://doi.org/10.3109/07420528.2013.789894
22. Sakai S, Nagata M, Nagata T, Mori K. Improved sleep quality and work performance among shift workers consuming a “foods with function claims” containing asparagus extract. J UOEH. 2021;43(1):15–23. https://doi.org/10.7888/juoeh.43.15
23. Tadakuma K, Maruyama T, Mori K, Fujiki N. Subjective and objective assessments after a change from a 4-crew, 12-h shift to a 3-crew, 12-h shift schedule: an observational study. Int Arch Occup Environ Health. 2021;94(1):77–83. https://doi.org/10.1007/s00420-020-01561-2
24. Tanaka K, Takahashi M, Tanaka M, et al. Brief morning exposure to bright light improves subjective symptoms and performance in nurses with rapidly rotating shifts. J Occup Health. 2011;53(4):258–266. https://doi.org/10.1539/joh.L10118
25. Thompson BJ, Stock MS, Banuelas VK, Akalonu CC. The impact of a rigorous multiple work shift schedule and day versus night shift work on reaction time and balance performance in female nurses: a repeated measures study. J Occup Environ Med. 2016;58(7):737–743. https://doi.org/10.1097/JOM.0000000000000766
26. Vanttola P, Härmä M, Viitasalo K, et al. Sleep and alertness in shift work disorder: findings of a field study. Int Arch Occup Environ Health. 2019;92(4):523–533. https://doi.org/10.1007/s00420-018-1386-4
27. Völker I, Kirchner C, Bock OL. On the relationship between subjective and objective measures of fatigue. Ergonomics. 2016;59(9):1259–1263. https://doi.org/10.1080/00140139.2015.1110622
28. Wilson A, McDonald K, Cooper MN, et al. Psychomotor vigilance testing on neonatal transport: A Western Australian experience. Air Med J. 2024;43(5):401–405. https://doi.org/10.1016/j.amj.2024.05.003
29. Gander P, Hartley L, Powell D, et al. Fatigue risk management: Organizational factors at the regulatory and industry/company level. Accid Anal Prev. 2011;43(2):573–590. https://doi.org/10.1016/j.aap.2009.11.007
30. Sugiarta I, Fitriani DY, Mansyur M. Vigilance screening tools in the workplace: scoping review. Occup Environ Med J Indones. 2023;1(2):1016. https://doi.org/10.7454/oemji.v1i2.1016

Recommended Citation

Papilika, Tamio; Wibowo, Rony Catur; and Famelia, Famelia (2026) "Fatigue Assessment and Workplace Decision-Making: A Scoping Review," Occupational and Environmental Medicine Journal of Indonesia: Vol. 4: No. 1, Article 3.
DOI: 10.7454/oemji.v4i1.1207
Available at: https://scholarhub.ui.ac.id/oemji/vol4/iss1/3