Changing from 12-hr to 8-hr day shifts: A qualitative exploration of effects on organising nursing care and staffing.
J Clin Nurs
; 28(1-2): 148-158, 2019 Jan.
Article
em En
| MEDLINE
| ID: mdl-30230087
ABSTRACT
AIMS AND OBJECTIVES:
To investigate (a) How nursing care is organised on wards where nursing staff work different lengths of day shifts, and (b) How length of day shift affects the staffing of wards.BACKGROUND:
Twelve-hour shifts have become increasingly common worldwide but there are concerns about impact on care quality and safety. Eight-hour shifts, and how day shift length affects how nurses organise their work, and staffing, have been little studied.DESIGN:
Case study.METHODS:
The setting was two older people's wards in an acute hospital in England. Nursing staff on one ward continued to work 12-hr day shifts; staff on the other ward worked 8 hr late and early day shifts, with an afternoon overlap, for 6 months. Qualitative interviews were conducted with 22 nursing staff. Semi-structured observations were conducted from 12-15.00 (5 × 3 hr episodes on each ward). Data analysis was conducted using the Framework approach.RESULTS:
Theme 1 Organising nursing care and staff activities, (sub-themes Care delivery across a 12 hr shift; Care delivery on early and late 8 hr shifts; Staff communication and documentation; Staff breaks; Teaching, supervision and staff development); Theme 2 Staffing wards with different length of day shift (sub-themes Adequacy of staffing and use of temporary staff; Recruitment and retention of staff after introducing 8 hr shifts).CONCLUSION:
Nursing staff organised care on 8-hr shifts similarly to 12-hr shifts but then felt dissatisfied with their care delivery and handovers. Nursing staff on both wards approached care in a task-focused way. There were concerns that adopting an 8-hr shift pattern negatively affected recruitment and retention. RELEVANCE TO CLINICAL PRACTICE Changing from 12 hr to 8 hr day shifts may affect nursing staff satisfaction with their care delivery and handovers, and have a negative effect on staffing wards.Palavras-chave
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Admissão e Escalonamento de Pessoal
/
Qualidade da Assistência à Saúde
/
Tolerância ao Trabalho Programado
/
Continuidade da Assistência ao Paciente
/
Recursos Humanos de Enfermagem Hospitalar
Tipo de estudo:
Qualitative_research
Limite:
Humans
País/Região como assunto:
Europa
Idioma:
En
Revista:
J Clin Nurs
Assunto da revista:
ENFERMAGEM
Ano de publicação:
2019
Tipo de documento:
Article
País de afiliação:
Reino Unido