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Global Health Economics and
                                                                                        Sustainability





                                        ORIGINAL RESEARCH ARTICLE
                                        Fatigue, quality of life, and social support in

                                        Greek health staff: Public versus private kidney
                                        units



                                                                1†
                                                                                      2
                                        Gesthimani Chatzimanolaki , Vassiliki Nikolopoulou , and
                                                         1†
                                        Paraskevi Theofilou *
                                        1 School of Social Sciences, Hellenic Open University, Patra, Greece
                                        2 Department of Social Administration, Program of Health Services Administration, National School
                                        of Public Administration and Local Government, Athens, Greece



                                        Abstract

                                        Healthcare professionals often experience fatigue and a diminished quality of life
                                        due to demanding hours and challenges in balancing work and personal life. Social
                                        support plays a critical role in influencing these factors. This study focused on nurses
                                        and  healthcare  workers in  the artificial  kidney unit, a  specialized  area requiring
            † These authors contributed equally
            to this work.               significant expertise to operate complex machinery for seriously ill patients.  We
                                        assessed levels of fatigue, social support, and quality of life among 159 doctors and
            Academic editor:            nurses in public and private facilities across Greece using the Fatigue Assessment
            Mihajlo Jakovljevic M.D. Ph.D. MAE
                                        Scale, Multidimensional Scale of Perceived Social Support, and General Health
            *Corresponding author:      Questionnaire-28. Participants reported moderate fatigue (mean = 2.63, standard
            Paraskevi Theofilou
            (theofilou.paraskevi@ac.eap.gr)  deviation [SD] = 0.57 for doctors; mean = 2.42, SD = 0.49 for nurses) and moderate-
                                        to-high  levels  of  social  support  (mean  = 5.66,  SD  =  1.35).  Factors  negatively
            Citation: Chatzimanolaki, G.,
            Nikolopoulou, V., & Theofilou, P.   impacting quality of life, such as physical symptoms, anxiety, social dysfunction, and
            (2025). Fatigue, quality of life, and   severe depression, yielded low scores. Notably, fatigue and quality of life differed
            social support in Greek health staff:   significantly  between  public  and private sectors (p <  0.05),  with public  sector
            Public versus private kidney units.
            Global Health Econ Sustain,    professionals reporting higher fatigue levels and lower quality of life. These findings
            3(1):207-221.               highlight the need for healthcare authorities to address the unique challenges faced
            https://doi.org/10.36922/ghes.4574  by staff in artificial kidney units, particularly in public hospitals, to improve working
            Received: August 19, 2024   conditions and overall well-being.
            Revised: September 15, 2024
            Accepted: October 8, 2024   Keywords: Fatigue; Social support; Quality of life; Artificial kidney unit; Dialysis unit
            Published online: November 8,
            2024
            Copyright: © 2024 Author(s).   1. Introduction
            This is an Open-Access article
            distributed under the terms of the   Studies on healthcare professionals working in artificial kidney units emphasize an
            Creative Commons Attribution   important area of research interest. These units are critical reception centers for patients
            License, permitting distribution,
            and reproduction in any medium,   with kidney failure, but they also present challenges for the doctors and nurses working
            provided the original work is   in them. Research in this area can provide valuable insights for improving working
            properly cited.             conditions and protecting the health of workers in the sector. In this context, social
            Publisher’s Note: AccScience   support plays a key role. Social support is defined as help from others that a person can
            Publishing remains neutral with   sense, understand, observe, or accept. This environmental resource serves as a protective
            regard to jurisdictional claims in
            published maps and institutional   factor for individuals experiencing stressful life events and promotes their physical and
            affiliations.               mental health. For instance, a supportive network mitigates the possibility of depression

            Volume 3 Issue 1 (2025)                        207                       https://doi.org/10.36922/ghes.4574
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