Effects of 12-hour shifts on nurses and patients
by Emily Fier
1. Effects on nurse
1.1. burnout, Stiefel, Solange, and Aiken (2012)
1.2. sleep deprivation Estryn-Behar, Van Der Heijden, and NEXT Study Group (2012)
1.3. intent on leaving current position Stimpfel, Sloane, and Aiken (2012).
1.4. decreased vigilance with long shifts Scott, Rogers, Hwang, and Zhang (2006)
1.5. increased risk of making errors and near errors Scott, Rogers, Hwang, and Zhang (2006).
1.5.1. All the studies took into account the potential negative effects of 12 hour shifts on the nurse.
1.6. increased safety risk
1.7. less time to sleep Rheaume and Mullen (2017).
2. setting of study
2.1. hospitals
2.2. older adult unit
2.3. tertiary unit
2.4. critical care unit
2.5. 24 hour in home care
2.5.1. The settings of the studies were mostly hospitals, but one study did use 24 hour in home care.
3. shift length
3.1. 8 hours becoming obsolete
3.2. 12 hours becoming more popular
3.2.1. All studies stated that 8 hour shifts are being used less and less often and that 12 hour rotating shifts have become the norm.
3.3. rotating shifts, rotating from days to nights but still working 12 hour shifts
4. sample of study
4.1. RNs
4.2. CNAs
4.2.1. All studies used "nursing staff" a mixture of RNs and CNAs
5. Explore 12 hour shifts and examine the association between shift length, job satisfaction, care quality, patient safety, and care left undone Ball, Day, Murrells, Dall'Ora, Rafferty, Griffiths, and Maben (2017).
5.1. all of the studies I found had the purpose of determining whether or not working 12 hour shifts are safe for both the patient and the nurse.
6. Examine the levels of burnout and patient dissatisfaction related to 12 hour shifts Stimpfel, Sloane, and Aiken (2012).
7. Effects on Patients
7.1. communication breakdown Rheaume and Mullen (2017).
7.2. dissatisfaction with hospital stay and nursing care, Stimpfel, Sloane, and Aiken (2012).
7.2.1. All studies focused on possible adverse outcomes for the patient.