Article

The Longer The Shifts For Hospital Nurses, The Higher The Levels Of Burnout And Patient Dissatisfaction

Health Affairs (Impact Factor: 4.97). 11/2012; 31(11):2501-9. DOI: 10.1377/hlthaff.2011.1377
Source: PubMed

ABSTRACT

Extended work shifts of twelve hours or longer are common and even popular with hospital staff nurses, but little is known about how such extended hours affect the care that patients receive or the well-being of nurses. Survey data from nurses in four states showed that more than 80 percent of the nurses were satisfied with scheduling practices at their hospital. However, as the proportion of hospital nurses working shifts of more than thirteen hours increased, patients' dissatisfaction with care increased. Furthermore, nurses working shifts of ten hours or longer were up to two and a half times more likely than nurses working shorter shifts to experience burnout and job dissatisfaction and to intend to leave the job. Extended shifts undermine nurses' well-being, may result in expensive job turnover, and can negatively affect patient care. Policies regulating work hours for nurses, similar to those set for resident physicians, may be warranted. Nursing leaders should also encourage workplace cultures that respect nurses' days off and vacation time, promote nurses' prompt departure at the end of a shift, and allow nurses to refuse to work overtime without retribution.

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    • "Older research like Jarnal & Jarnal[46]found that nurses on rotating shifts scored higher for depression than other nurses. Jarnal's findings consistently indicate that shift work does exert a negative impact on nurses' mental health, in line with Stimpfel et al.'s[26]claims. Two recent reviews further find that a reduction in shift work rotations improves patient outcomes, patient safety and patients' quality of life[47,48]. "
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    Full-text · Article · Jan 2016 · International Journal of Environmental Research and Public Health
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    • "While findings from the Polish RN4CAST study are currently helping to inform this committee's work, few changes have been seen to date. Thus, despite what the international evidence has demonstrated about the relationships between staffing, patient outcomes and nurses' care (Klopper et al. 2012; McHugh et al. 2013; Rogers et al. 2004; Stimpfel et al. 2012; You et al. 2013), overall domestic nursing workforce policies in Poland do not reflect the research findings nor account for the domestic nursing labour market realities. The combination of the aforementioned factors meant that in 2009, Poland was ripe for a national nursing workforce study that would create the evidence needed to make better national and organizational policy for nurses. "
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    ABSTRACT: National nursing workforce studies are important for evidence-based policymaking to improve nursing human resources globally. Survey instrument translation and contextual adaptation along with level of experience of the research team are key factors that will influence study implementation and results in countries new to health workforce studies. This study's aim was to describe the pre-data collection instrument adaptation challenges when designing the first national nursing workforce study in Poland while participating in the Nurse Forecasting: Human Resources Planning in Nursing project. A descriptive analysis of the pre-data collection phase of the study. Instrument adaptation was conducted through a two-phase content validity indexing process and pilot testing from 2009 to September 2010 in preparation for primary study implementation in December 2010. Means of both content validation phases were compared with pilot study results to assess for significant patterns in the data. The initial review demonstrated that the instrument had poor level of cross-cultural relevance and multiple translation issues. After revising the translation and re-evaluating using the same process, instrument scores improved significantly. Pilot study results showed floor and ceiling effects on relevance score correlations in each phase of the study. The cross-cultural adaptation process was developed specifically for this study and is, therefore, new. It may require additional replication to further enhance the method. The approach used by the Polish team helped identify potential problems early in the study. The critical step improved the rigour of the results and improved comparability for between countries analyses, conserving both money and resources. This approach is advised for cross-cultural adaptation of instruments to be used in national nursing workforce studies. Countries seeking to conduct national nursing workforce surveys to improve nursing human resources policies may find the insights provided by this paper useful to guide national level nursing workforce study implementation. © 2015 International Council of Nurses.
    Full-text · Article · Apr 2015 · International Nursing Review
    • ", McGillick (1983), Simunic and Gregov (2012), Estryn- Behar and Van der Heijden (2012), Fitzpatrick et al. (1999), and Rossen and Fegan (2009) National Survey secondary analysis 5 Trinkoff et al. (2011), Stimpfel et al. (2012, 2013 "
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    No preview · Article · Nov 2014 · International Journal of Nursing Studies
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