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Lim, Uhm, Chang, Kim, Ha, Lee, Kim, and Kim: Impact of 12-hour Shifts on Job Satisfaction, Quality of Life, Hospital Incident Reporting, and Overtime Hours in a Pediatric Intensive Care Unit
Original Article

Journal of Korean Academy of Nursing Administration 2014; 20(4): 353-361.

Published online: 30 September 2014

DOI: https://doi.org/10.11111/jkana.2014.20.4.353

Impact of 12-hour Shifts on Job Satisfaction, Quality of Life, Hospital Incident Reporting, and Overtime Hours in a Pediatric Intensive Care Unit

Eun Young Lim, Ju-Yeon Uhm, Eun Ji Chang, Na Yeon Kim, Eun Joo Ha, Sun Hee Lee, Hee Kyung Kim, Yeon Hee Kim

Department of Nursing, Asan Medical Center, Korea.

Corresponding author: Uhm, Ju-Yeon. Department of Nursing, Asan Medical Center, Olympic-ro 43-gil, Sonpa-gu, Seoul 138-736, Korea. Tel: +82-10-2571-2137, Fax: +82-2-3010-6108, jyuhm@amc.seoul.kr

Received 3 March 2014       Revised 20 April 2014       Accepted 4 July 2014

Copyright © 2014 Korean Academy of Nursing Administration

(open-access):

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

The aim of this study was to compare job satisfaction, quality of life (QOL), incident report rate and overtime hours for 12-hour shifts and for 8-hour shifts in a pediatric intensive care unit (PICU).

Methods

A descriptive survey was conducted with a convenience sample of 36 staff nurses from a PICU in a regional hospital in Korea. Data were collected using self-administrated questionnaires regarding job satisfaction and QOL at 6 months before and after the beginning of 12-hour shifts. Incident report rate and overtime hours for both 12-hour and 8-hour shifts were compared. Comparisons were made using χ2-test, paired t-test and Mann-Whitney U test.

Results

After 12-hour shifts were initiated, job satisfaction significantly increased (t=3.93, p<.001) and QOL was higher for nurses on 12-hour shifts compared to 8-hour (t=7.83, p<.001). There was no statistically significant change in incident report rate (χ2=0.15, p=.720). The overtimes decreased from 36.3±34.7 to 17.3±34.9 minutes (Z=-8.91, p<.001).

Conclusion

These results provide evidence that 12-hour shifts can be an effective ways of scheduling for staff nurses to increase job satisfaction and quality of life without increasing patient safety incidents or prolonged overtime work hours.

Keywords: 12-hour shifts, Job satisfaction, Quality of life, Incident report rate, Overtime hour

Figures and Tables

Table 1
General Characteristics (N=36)
jkana-20-353-i001
Table 2
Comparison of Subscales of Job Satisfaction and Quality of Life (N=36)
jkana-20-353-i002
Table 3
Comparison of Job Satisfaction and Quality of Life according to Marital Status and Total Clinical Experience (N=36)
jkana-20-353-i003
Table 4
Comparison of Overtime Hours and Incident Report Rate (N=36)
jkana-20-353-i004

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