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Nurses' Work Hours

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Nurses' Work Hours
Nurses’ Work Hours

I have been a staff nurse in the emergency room for fourteen years. I have worked a variety of 8, 10, 12, and even 16 hour shifts. I currently am working 8 and 12-hour shifts on nights. Previously, I also worked some 12-hour day shifts. I personally have been struggling with working the 12-hour shifts. My commute to work is 1 hour one way and I have fallen asleep several times driving home from work. The last four hours of my shift I experience great fatigue and even have had trouble staying awake. I have come close to having medication errors and feel that my quality of care is less during the last four hours. When working 12-hour shifts I average around 5-6 hours of sleep before returning to do another 12-hour shift. During an interview with another colleague also working 12-hour shifts she states she also experiences feeling very tired and less alert. She actually admits to having a medication error that she feels was associated with the long hours and fatigue. With these concerns I ask, “Are nurses work hours a concern for nurses and patient safety”?

Introduction

As demands for flexible work hours and a balance between home and work life have increased for nurses, twelve hour shifts are more common. The nursing shortage has also contributed to nurses’ working longer hours to cover shifts. Nurses must remain alert to provide safe care and prevent errors in medications and procedures. Nurse work hours are a concern to me regarding patient safety. I am also concerned with the health risk of nurses working long hours so I decided to do a search on how long hours affect nurses and their patients. I searched evidenced based research articles available from a variety of trustworthy healthcare sites like CINHAL, ANA, and Nursing Journals. I organized this literature review in three categories. These categories are: Positive and negative effects of long hours, effects of long



References: Chen, J., Davis, S., Davis, K., Pan, W., & Daraiseh, N. (2010). Physiological and behavioural response patterns at work among hospital nurses. Journal of Nursing Management, 19(1), 57-68. Ede, M., Davis, W., & Sirois, W. (2007). Advantages and Disadvantages of Twelve-Hour Shifts: A Balanced Perspective. Circadian, 3(1), 1-14. Fallis, W., McMilan, D., & Edwards, M. (2011). Napping During Night Shift: Practices, Preferences, and Perceptions of Critical Care and Emergency Department Nurses. American Association of Critical Care Nurses, 31(2), 1-11. Folkard, S., & Tucker, P. (2003). Shift work, safety and productivity. Occupational Medicine, 53, 95-101. Geiger-Brown, J., & Trinkoff, A. (2010). Is It Time to Pull the Plug on 12-Hour Shifts?. JONA, 40(3,4,9), 100-102, 147-149, 357-359. Hofmeister, N., Scott, L., Rogness, N., & Rogers, A. (2010). An Interventional Approach for Patient and Nurse Safety. Nursing Research, 59(4), 204-211. Institute of Medicine (2006), Keeping patients safe: transforming the work environment of nurses. Avaiable online: www.iom.edu/report.asp?id=16178 Keller, S Richardson, A,, Turnock, C., Finley, A., Harris, L., & Carson, S. (2007). A study examining the impact of 12-hour shifts on critical care staff. Journal of Nursing Management, 15(1), 838-846. Rogers, A., Hwang, W., Scott, L., Aiken, L., & Dinges, D. (2004, August 1). Health Affairs. Health Affairs. Retrieved April 16, 2012, from http://content.healthaffairs.org Scott, L., Rogers, A., Hwang, W., & Zhang, Y Smith, L., Folkard, S., Tucker, P., & Macdonald, I. (1998). Work shift duration: a review comparing eight hour and 12 hour shift systems White, Jill (1995). Patterns of Knowing: Review, Critique, and Update. Advance Nursing Science, 17(4), 73-86.

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