This article presents a systematic review conducted according to the PRISMA standards, considering Scopus, Web of Science, PubMed, and APA PsycArticles databases. The aim of the review was to systematize recent scientific evidence regarding relationships emerged in the literature between the different dimensions of the Occupational Fatigue Exhaustion Recovery Scale (OFER) and measures of health/well-being/burnout. From 524 records, 13 papers were included. Acute fatigue and Chronic fatigue were inversely associated with well-being and health outcomes: life and job satisfaction, meaning in work, quality of life, physical and mental health, and directly associated with job dissatisfaction and burnout. Conversely, Intershift Recovery was positively associated with life and job satisfaction, meaning in work, quality of life, physical and mental health, and inversely with job dissatisfaction and burnout. These findings open future perspectives for research and intervention for sustainable development, answering to the challenges of Sustainable Development Goal 3 “Good Health and Well-being”.
*AriaM.KhazimI.IlyasM.KekalihA.FuadyA. (2024). Work-related fatigue among Indonesian offshore oil and gas workers. Occupational Medicine, 74(5), 364–369. https://doi.org/10.1093/occmed/kqae040
2.
AyasF. Y.ÖzcebeL. H. (2025). The relationship between fatigue, sleep quality, and sleep deprivation. Sleep and Breathing, 29, 73. https://doi.org/10.1007/s11325-024-03231-w
BuysseD. J.Reynolds IIIC. F.MonkT. H.BermanS. R.KupferD. J. (1989). The Pittsburgh sleep quality Index: A new instrument for psychiatric practice and research. Psychiatry Research, 28(2), 193–213. https://doi.org/10.1016/0165-1781(89)90047-4
5.
*Caboral-StevensM.Raymond IIID.EvangelistaS. L. (2023). Well-being, occupational fatigue, and sleep quality among Filipino nurses working during COVID-19. Asian Journal of Nursing Education and Research, 13(1), 67–72. https://doi.org/10.52711/2349-2996.2023.00016
6.
CarrS.HopnerV.MeyerI.Di FabioA.ScottJ.MatuschekI.BlakeD.SaxenaM.SanerR.Lichia Saner-YiuL.MassolaG.AtkinsS. G.ReichmanW.SaltzmanJ.McWha-HermannI.TchagnenoC.SearleR.MukerjeeJ.BlusteinD.HaarJ. (2025). The wheel of work and the sustainable livelihoods Index (SL-I). Sustainability, 17(14), 6295. https://doi.org/10.3390/su17146295
7.
ChaiardJ.DeelueaJ.SuksatitB.SongkhamW.IntaN. (2018). Short sleep duration among Thai nurses: Influences on fatigue, daytime sleepiness, and occupational errors. Journal of Occupational Health, 60(5), 348–355. https://doi.org/10.1539/joh.2017-0258-OA
8.
CunninghamT. R.GuerinR. J.FergusonJ.CavallariJ. (2022). Work-related fatigue: A hazard for workers experiencing disproportionate occupational risks. American Journal of Industrial Medicine, 65(11), 913–925. https://doi.org/10.1002/ajim.23325
9.
DaroueiM.DelanoeijeJ.VerbruggenM. (2024). When daily home-to-work transitions are not all bad: A multi-study design on the role of appraisals. Work & Stress, 38(1), 24–43. https://doi.org/10.1080/02678373.2023.2226619
10.
De VosA.Van der HeijdenB. I. J. M.AkkermansJ. (2020). Sustainable careers: Towards a conceptual model. Journal of Vocational Behavior, 117, Article 103196. https://doi.org/10.1016/j.jvb.2018.06.011
11.
DienerE.WirtzD.TovW.Kim-PrietoC.ChoiD. W.OishiS.Biswas-DienerR. (2010). New well-being measures: Short scales to assess flourishing and positive and negative feelings. Social Indicators Research, 97(2), 143–156. https://doi.org/10.1007/s11205-009-9493-y
12.
Di FabioA. (2017a). Positive healthy organizations: Promoting well-being, meaningfulness, and sustainability in organizations. Frontiers in Psychology, 8, 1938. https://doi.org/10.3389/fpsyg.2017.01938
13.
Di FabioA. (2017b). The psychology of sustainability and sustainable development for well-being in organizations. Frontiers in Psychology, 8, 1534. https://doi.org/10.3389/fpsyg.2017.01534
14.
Di FabioA. (2018a). Job Satisfaction Scale: Primo contributo alla validazione della versione italiana [Job Satisfaction Scale: First contribution to the Italian version]. International Journal of Research and Intervention, 11(2), 1–8. https://doi.org/10.14605/CS1121807
15.
Di FabioA. (2025). An Integrated Perspective in Space and Time: Sustainable Decent Work. In McWha-HermannI.YaoC.DonnellyN. (Eds.), The Research Handbook on Decent Work. Elgar.
16.
Di FabioA.CooperC. L. (Eds.). (2023). Psychology of sustainability and sustainable development in organizations. Routledge Taylor & Francis Group. https://doi.org/10.4324/9781003212157
17.
Di FabioA.PeiróJ. M. (2018). Human capital sustainability leadership to promote sustainable development and healthy organizations: A new scale. Sustainability, 10(7), 2413. https://doi.org/10.3390/su10072413
18.
Di FabioA.PeiróJ. M. (2023). Human capital sustainability leadership and healthy organizations: Its contribution to sustainable development. In Di FabioA.CooperC. L. (Eds.), Psychology of sustainability and sustainable development in organizations (pp. 93–103). Routledge Taylor & Francis.
19.
Di FabioA.RosenM. A. (2018). Opening the Black Box of Psychological Processes in the Science of Sustainable Development: A New Frontier. European Journal of Sustainable Development Research, 2(2), 1–5. https://doi.org/10.20897/ejosdr/3933
20.
Di FabioA.RosenM. A. (2020). An exploratory study of a new psychological instrument for evaluating sustainability: The sustainable development goals psychological inventory. Sustainability MDPI, 12, 7617. https://doi.org/10.3390/su12187617
21.
*Di FabioA. (2018b). Occupational fatigue exhaustion recovery (OFER) scale: Primo contributo alla validazione della versione italiana [occupational fatigue exhaustion recovery (OFER) scale: First contribution to the validation of the Italian version]. Counseling. Giornale Italiano di Ricerca e Applicazioni, 11(1), 1–3. https://doi.org/10.14605/CS1111807
22.
DoiY.MinowaM.OkawaM.UchiyamaM. (1998). Development of the Japanese version of the Pittsburgh sleep quality index. Jpn J Psychiatry Treatment, 13, 755–763.
23.
DonaldW. E.Van der HeijdenB. I.BaruchY. (2024). Introducing a sustainable career ecosystem: Theoretical perspectives, conceptualization, and future research agenda. Journal of Vocational Behavior, 151, 103989. https://doi.org/10.1016/j.jvb.2024.103989
24.
FanJ.SmithA. P. (2020). Effects of occupational fatigue on cognitive performance of staff from a train operating company: A field study. Frontiers in Psychology, 11, Article 558520. https://doi.org/10.3389/fpsyg.2020.558520
25.
*FangJ.KunaviktikulW.OlsonK.ChontawanR.KaewthummanukulT. (2008). Factors influencing fatigue in Chinese nurses. Nursing & Health Sciences, 10(4), 291–299. https://doi.org/10.1111/j.1442-2018.2008.00407.x
26.
*FangJ. B.ZhouC. F.HuangJ.QiuC. J. (2018). Psychometric properties of the Chinese version of the occupational fatigue exhaustion/ recovery scale: A test in a nursing population. Journal of Nursing Research, 26(3), 191–198. https://doi.org/10.1097/jnr.0000000000000247
27.
FukuharaS.BitoS.GreenJ.HsiaoA.KurokawaK. (1998). Translation, adaptation, and validation of the SF-36 health survey for use in Japan. Journal of Clinical Epidemiology, 51(11), 1037–1044. https://doi.org/10.1016/S0895-4356(98)00095-X
28.
GüngörS.SönmezB. (2025). Work intensification and occupational fatigue on nurses: A cross-sectional and correlational study. BMC Health Services Research, 25(1), 163. https://doi.org/10.1186/s12913-025-12325-4
29.
HartungP.Di FabioA. (2024). Sustainable development: A fourth paradigm for 21st century careers. Australian Journal of Career Development, 3(33), 203–211. https://doi.org/10.1177/10384162241287739
30.
*HiaqS. S. M.TabriziF. J.ParvanK.SarbakhshP.DickensG. (2024). Relationship between burnout and occupational fatigue exhaustion and recovery among orthopaedic nurses in Tabriz, Iran: A cross-sectional survey. BMJ Open, 14(8), e084522. https://doi.org/10.1136/bmjopen-2024-084522
31.
*HongJ.KimM.SuhE. E.ChoS.JangS. (2021). Comparison of fatigue, quality of life, turnover intention, and safety incident frequency between 2-shift and 3-shift Korean nurses. International Journal of Environmental Research and Public Health, 18(15), 7953. https://doi.org/10.3390/ ijerph18157953
32.
HuntS. M.McEwenJ.McKennaS. P. (1985). Measuring health status: A new tool for clinicians and epidemiologists. The Journal of the Royal College of General Practitioners, 35(273), 185–188.
33.
KarasekR. (1985). Job Content Questionnaire and Uses Guide. Department of Industrial and Systems Engineering, University of Southern California.
34.
KennyM. E.Di FabioA.CarrS. C. (2024). Editorial special issue “sustainable working, sustainable livelihoods, sustainable career: Fostering decent work, decent lives, and healthy lives”. Australian Journal of Career Development, 33(3), 201–293. https://doi.org/10.1177/10384162241288667
LimaJ.RohreggerB.BrownC. (2019). SDG 8: Health, decent work and the economy: policy brief. World Health Organization. Regional Office for Europe.
37.
MarshE.Perez VallejosE.SpenceA. (2024). Digital workplace technology intensity: Qualitative insights on employee wellbeing impacts of digital workplace job demands. Frontiers in Organizational Psychology, 2, 1392997. https://doi.org/10.3389/forgp.2024.1392997
38.
MaslachC.JacksonS. E.LeiterM. P. (2018). Maslach Burnout Inventory Manual (4th ed). Mind Garden.
39.
MileaA.MoraruR. I.CiocaL. I. (2025). Occupational risk management through the Lens of the sustainable development goals (SDGs): An integrated approach to promoting sustainability in the workplace. Sustainability, 17(5), 1864. https://doi.org/10.3390/su17051864
40.
PageM. J.McKenzieJ. E.BossuytP. M.BoutronI.HoffmannT. C.MulrowC. D., … MoherD. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ, 372, 160. https://doi.org/10.1136/bmj.n71
41.
ParkY. M. (2005). Interrelation of living habits and living quality of shift nurses. Master’s Dissertation. University of Kyonggi.
42.
PavotW.DienerE. (2008). The satisfaction with life scale and the emerging construct of life satisfaction. The Journal of Positive Psychology, 3(2), 137–152. https://doi.org/10.1080/17439760701756946
43.
RosenM. A.Di FabioA. (2023). Psychology of sustainability and sustainable development in organizations: Empirical evidence from environment to safety to innovation and future research. In Di FabioA.CooperC. L. (Eds.), Psychology of sustainability and sustainable development in organizations (pp. 20–41). Routledge Taylor & Francis.
44.
RutledgeD. N.WickmanM.WinokurE. J. (2018). Instrument validation: Hospital nurse perceptions of meaning and joy in work. Journal of Nursing Measurement, 26(3), 579–588. https://doi.org/10.1891/1061-3749.26.3.579
45.
*RutledgeD. N.DouvilleS.WinokurE.DrakeD.NiedzielaD. (2021). Impact of engagement factors on nurses’ intention to leave hospital employment. Journal of Nursing Management, 29(6), 1554–1564. https://doi.org/10.1111/jonm.13287
46.
*RutledgeD. N.DouvilleS.WinokurE. J. (2022). Chronic fatigue predicts hospital nurse turnover intentions. JONA: The Journal of Nursing Administration, 52(4), 241–247. https://doi.org/10.1097/NNA.0000000000001139
47.
SagherianK.ChoH.SteegeL. M. (2022). The insomnia, fatigue, and psychological well-being of hospital nurses 18 months after the COVID-19 pandemic began: A cross-sectional study. Journal of Clinical Nursing, 33(1), 273–287. https://doi.org/10.1111/jocn.16451
SextonJ. B.HelmreichR. L.NeilandsT. B.RowanK.VellaK.BoydenJ.RobertsP. R.ThomasE. J. (2006). The safety attitudes questionnaire: Psychometric properties, benchmarking data, and emerging research. BMC Health Services Research, 6, 44. https://doi.org/10.1186/1472-6963-6-44
50.
SonnentagS.BinnewiesC.MojzaE. J. (2010). Staying well and engaged when demands are high: The role of psychological detachment. Journal of Applied Psychology, 95(5), 965–976. https://doi.org/10.1037/a0020032
51.
TakeuchiK.OsamuS.LahotiS.GondorD. (2017). Growing up: 10 years of publishing sustainability science research. Sustainability Science, 12, 849–854. https://doi.org/10.1007/s11625-017-0484-7
52.
United Nations. (2015). Transforming our world: The 2030 Agenda for Sustainable Development. United Nations. https://sdgs.un.org/2030agenda
Van der HeijdenB. I. J. M.De VosA. (2015). Sustainable careers: Introductory chapter. In De VosA.Van Der HeijdenB. I. J. M. (Eds.), Handbook of research on sustainable careers (pp. 1–19). Edward Elgar Publishing.
55.
WatsonD.ClarkL. A.TellegenA. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54(6), 1063–1070. https://doi.org/10.1037//0022-3514.54.6.1063
56.
WeeksW. B.WeinsteinJ. N.LavistaJ. M. (2023). All sustainable development goals support good health and well-being. International Journal of Public Health, 68, 1606901. https://doi.org/10.3389/ijph.2023.1606901
57.
*WinwoodP. C.LushingtonK.WinefieldA. H. (2006). Further development and validation of the occupational fatigue exhaustion/recovery scale (OFER). Journal of Occupational and Environmental Medicine, 48(4), 381–389. https://doi.org/10.1097/01.jom.0000194164.14081.06
58.
*WinwoodP. C.WinefieldA. H.DawsonD.LushingtonK. (2005). Development and validation of a scale to measure work-related fatigue and recovery: The occupational fatigue exhaustion/recovery scale (OFER). Journal of Occupational and Environmental Medicine, 47(6), 594–606. https://doi.org/10.1097/01.jom.0000161740.71049.c4
59.
*YamaguchiS.SatoM.SumiN.ItoY. M.WinwoodP. C.YanoR. (2022). Psychometric properties of the Japanese version of the occupational fatigue exhaustion recovery scale among shift-work nurses. Journal of Occupational Health, 64(1), e12325. https://doi.org/10.1002/1348-9585.12325
60.
*YanE.WanD.ToL.NgH. K.LaiD. W.ChengS. T., … LachsM. (2024). Staff turnover intention at long-term care facilities: Implications of resident aggression, burnout, and fatigue. Journal of the American Medical Directors Association, 25(3), 396–402. https://doi.org/10.1016/j.jamda.2023.10.008
