PONE-D-24-45547Nurses’ occupational fatigue level and risk factors: a Meta analysis and Systematic ReviewPLOS ONE

Dear Dr. Li,

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Fatma Refaat Ahmed, Ph.D.

Academic Editor

PLOS ONE

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Reviewers' comments:

Reviewer's Responses to Questions

Comments to the Author

1. Is the manuscript technically sound, and do the data support the conclusions?

The manuscript must describe a technically sound piece of scientific research with data that supports the conclusions. Experiments must have been conducted rigorously, with appropriate controls, replication, and sample sizes. The conclusions must be drawn appropriately based on the data presented.

Reviewer #1: Yes

Reviewer #2: Partly

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2. Has the statistical analysis been performed appropriately and rigorously?

Reviewer #1: Yes

Reviewer #2: Yes

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3. Have the authors made all data underlying the findings in their manuscript fully available?

The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception (please refer to the Data Availability Statement in the manuscript PDF file). The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified.

Reviewer #1: Yes

Reviewer #2: Yes

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4. Is the manuscript presented in an intelligible fashion and written in standard English?

PLOS ONE does not copyedit accepted manuscripts, so the language in submitted articles must be clear, correct, and unambiguous. Any typographical or grammatical errors should be corrected at revision, so please note any specific errors here.

Reviewer #1: Yes

Reviewer #2: Yes

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5. Review Comments to the Author

Please use the space provided to explain your answers to the questions above. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. (Please upload your review as an attachment if it exceeds 20,000 characters)

Reviewer #1: REVIEWER SUGGETIONS AND COMMENT

Generally congratulation for the interesting paper which informed the good health of the Nurses due to their duties and responsibility. However minor issue should be improving.

Adhere to journals guideline

TITILE

When I read the title, I was wondering if it was a systematic review or a meta-analysis, Please be specific.

ABSTRACT

The authors should update and make it scientific sound when reading part of the background. Additionally, the purpose needs to be revised.

Method: The authors should explain the study period (start and finish dates). Design sample size and analysis used.

METHODS

On part of study design the authors should make it clear. Will make the confusion to the reader.

Reporting bias assessment: The author should mention any procedures used to assess the likelihood of bias in a synthesis due to missing results (caused by reporting biases).Also, identify any methodologies used to determine certainty (or confidence) in the body of evidence supporting an outcome.

RESULT

On study selection the authors should use the flow chart diagram

The authors should arrange the section of the result well, as the same figure and table are not seen. Review and improve.

Discussion

On part of limitations the authors should improve and make it clear

Discuss implications of the results for practice, policy, and future research.

References

Several references do not fit the requirements of Vancouver style. Revise and improve them

Reviewer #2: Dear Author,

Your study is very valuable, and I have some comments that may help improve your research:

1. The abstract does not clearly articulate the necessity of the work. Please make this more explicit.

2. Include a comprehensive list of your inclusion and exclusion criteria.

3. Specify the keywords used in your search and the types of studies that were included.

4. Were there no studies published before 2009?

5. Indicate how many authors contributed to the search and quality assessment of the studies.

6. In Table 1, please add the data collection instrument used for each study.

7. At the end of the discussion, summarize the strengths of your study and provide suggestions for future research.

Thank you for considering these points.

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Reviewer #1: No

Reviewer #2: No

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Nurses' occupational fatigue level and risk factors: a Systematic Review and Meta- analysis

PONE-D-24-45547R1

Dear Dr. Li,

We’re pleased to inform you that your manuscript has been judged scientifically suitable for publication and will be formally accepted for publication once it meets all outstanding technical requirements.

Within one week, you’ll receive an e-mail detailing the required amendments. When these have been addressed, you’ll receive a formal acceptance letter and your manuscript will be scheduled for publication.

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If your institution or institutions have a press office, please notify them about your upcoming paper to help maximize its impact. If they’ll be preparing press materials, please inform our press team as soon as possible -- no later than 48 hours after receiving the formal acceptance. Your manuscript will remain under strict press embargo until 2 pm Eastern Time on the date of publication. For more information, please contact onepress@plos.org.

Kind regards,

Fatma Refaat Ahmed, Ph.D.

Academic Editor

PLOS ONE

Additional Editor Comments (optional):

Reviewers' comments:

Reviewer's Responses to Questions

Comments to the Author

1. If the authors have adequately addressed your comments raised in a previous round of review and you feel that this manuscript is now acceptable for publication, you may indicate that here to bypass the “Comments to the Author” section, enter your conflict of interest statement in the “Confidential to Editor” section, and submit your "Accept" recommendation.

Reviewer #1: All comments have been addressed

Reviewer #3: All comments have been addressed

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2. Is the manuscript technically sound, and do the data support the conclusions?

The manuscript must describe a technically sound piece of scientific research with data that supports the conclusions. Experiments must have been conducted rigorously, with appropriate controls, replication, and sample sizes. The conclusions must be drawn appropriately based on the data presented.

Reviewer #1: Yes

Reviewer #3: Yes

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3. Has the statistical analysis been performed appropriately and rigorously?

Reviewer #1: Yes

Reviewer #3: Yes

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4. Have the authors made all data underlying the findings in their manuscript fully available?

The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception (please refer to the Data Availability Statement in the manuscript PDF file). The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified.

Reviewer #1: Yes

Reviewer #3: Yes

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5. Is the manuscript presented in an intelligible fashion and written in standard English?

PLOS ONE does not copyedit accepted manuscripts, so the language in submitted articles must be clear, correct, and unambiguous. Any typographical or grammatical errors should be corrected at revision, so please note any specific errors here.

Reviewer #1: Yes

Reviewer #3: Yes

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6. Review Comments to the Author

Please use the space provided to explain your answers to the questions above. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. (Please upload your review as an attachment if it exceeds 20,000 characters)

Reviewer #1: REVIEWER COMMENT AND SUGGESTIONS

I was able to examine closely and realize that the author has been able to give paths for each step of writing the procedures in manuscript; however there are a few things authors need to make it clear. On part of discussion and limitation to the first paragraph the authors should revise and use correct English used in research. Also I noted line no 201,227,228,229 FIGURE are not seen.

Thank you

Reviewer #3: Congratulations for this valuable paper. The comments have been addressed thoroughly and effectively incorporated into the manuscript.

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7. PLOS authors have the option to publish the peer review history of their article (what does this mean? ). If published, this will include your full peer review and any attached files.

If you choose “no”, your identity will remain anonymous but your review may still be made public.

Do you want your identity to be public for this peer review? For information about this choice, including consent withdrawal, please see our Privacy Policy .

Reviewer #1: Yes:  rehema abdallah

Reviewer #3: No

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