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

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 n...

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Vydané v:Health Affairs Ročník 31; číslo 11; s. 2501 - 2509
Hlavní autori: Stimpfel, Amy Witkoski, Sloane, Douglas M., Aiken, Linda H.
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: United States The People to People Health Foundation, Inc., Project HOPE 01.11.2012
Predmet:
Adult
Burnout
Burnout, Professional - epidemiology
Correlation analysis
Cross-Sectional Studies
Discontent
Female
Humans
Job satisfaction
Male
Medical personnel
Middle Aged
Nurses
Nursing
Nursing care
Nursing Staff, Hospital - statistics & numerical data
Occupational Health
Overtime
Patient Safety
Patient satisfaction
Patient Satisfaction - statistics & numerical data
Patients
Physicians
Professional Competence
Resident physicians
Risk Assessment
Staff nurses
Studies
Surveys and Questionnaires
Time Factors
United States
Well being
Work
Work Schedule Tolerance - psychology
Workforce planning
Working conditions
Working hours
Workload
Workplaces
United States
United States > US
ISSN:0278-2715, 2694-233X, 1544-5208, 2694-233X
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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.
AbstractList 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 wellbeing 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. [PUBLICATION 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.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.
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.
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. 36 references
Author Sloane, Douglas M.
Aiken, Linda H.
Stimpfel, Amy Witkoski
Author_xml – sequence: 1
  givenname: Amy Witkoski
  surname: Stimpfel
  fullname: Stimpfel, Amy Witkoski
  organization: Amy Witkoski Stimpfel is a research fellow at the Center for Health Outcomes and Policy Research at the University of Pennsylvania School of Nursing, in Philadelphia
– sequence: 2
  givenname: Douglas M.
  surname: Sloane
  fullname: Sloane, Douglas M.
  organization: Douglas M. Sloane is an adjunct professor at the University of Pennsylvania School of Nursing
– sequence: 3
  givenname: Linda H.
  surname: Aiken
  fullname: Aiken, Linda H.
  organization: Linda H. Aiken is the Claire M. Fagin Leadership Professor of Nursing, a professor of sociology, and director of the Center for Health Outcomes and Policy Research at the University of Pennsylvania School of Nursing
BackLink https://www.ncbi.nlm.nih.gov/pubmed/23129681$$D View this record in MEDLINE/PubMed
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ContentType Journal Article
Copyright Copyright The People to People Health Foundation, Inc., Project HOPE Nov 2012
2012 Project HOPE—The People-to-People Health Foundation, Inc. 2012
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– notice: 2012 Project HOPE—The People-to-People Health Foundation, Inc. 2012
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Snippet 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...
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StartPage 2501
SubjectTerms Adult
Burnout
Burnout, Professional - epidemiology
Correlation analysis
Cross-Sectional Studies
Discontent
Female
Humans
Job satisfaction
Male
Medical personnel
Middle Aged
Nurses
Nursing
Nursing care
Nursing Staff, Hospital - statistics & numerical data
Occupational Health
Overtime
Patient Safety
Patient satisfaction
Patient Satisfaction - statistics & numerical data
Patients
Physicians
Professional Competence
Resident physicians
Risk Assessment
Staff nurses
Studies
Surveys and Questionnaires
Time Factors
United States
Well being
Work
Work Schedule Tolerance - psychology
Workforce planning
Working conditions
Working hours
Workload
Workplaces
Title The Longer The Shifts For Hospital Nurses, The Higher The Levels Of Burnout And Patient Dissatisfaction
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https://pubmed.ncbi.nlm.nih.gov/PMC3608421
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