Journal List > J Korean Acad Nurs Adm > v.20(4) > 1051755

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

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.

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

References

1. Hospital Nurses Association. 2012 Annual Report. Seoul: Hospital Nurses Association;2013.
2. Jones CB. The costs of nurse turnover, part 2: Application of the nursing turnover cost calculation methodology. J Nurs Adm. 2005; 35(1):41–49.
3. MacPhee M, Borra LS. Flexible work practices in nursing. Geneva: The International Centre for Human Resources in Nursing, International Council of Nurses;2012.
4. Richardson A, Turnock C, Harris L, Finley A, Carson S. A study examining the impact of 12-hour shifts on critical care staff. J Nurs Manag. 2007; 15(8):838–846. http://dx.doi.org/10.1111/j.1365-2934.2007.00767.x.
5. Dwyer T, Jamieson L, Moxham L, Austen D, Smith K. Evaluation of the 12-hour shift trial in a regional intensive care unit. J Nurs Manag. 2007; 15(7):711–720. http://dx.doi.org/10.1111/j.1365-2934.2006.00737.x.
6. Stimpfel AW, Lake ET, Barton S, Gorman KC, Aiken LH. How differing shift lengths relate to quality outcomes in pediatrics. J Nurs Adm. 2013; 43(2):95–100. http://dx.doi.org/10.1097/NNA.0b013e31827f2244.
7. Stone PW, Du Y, Cowell R, Amsterdam N, Helfrich TA, Glance LG, et al. Comparison of nurse, system and quality patient care outcomes in 8-hour and 12-hour shifts. Med Care. 2006; 44(12):1099–1106. http://dx.doi.org/10.1097/01.mlr.0000237180.72275.82.
8. Tanaka K, Takahashi M, Hiro H, Kakinuma M, Tanaka M, Kamata N, et al. Differences in medical error risk among nurses working two- and three-shift systmes at teaching hospitals: A six-month prosepctive study. Ind Health. 2010; 48:357–364.
9. McGettrick KS, O'Neill MA. Critical care nurses--perceptions of 12-h shifts. Nurs Crit Care. 2006; 11(4):188–197.
10. Ruggiero JS. Correlates of fatigue in critical care nurses. Res Nurs Health. 2003; 26(6):434–444. http://dx.doi.org/10.1002/nur.10106.
11. Fitzpatrick JM, While AE, Roberts JD. Shift work and its impact upon nurse performance: current knowledge and research issues. J Adv Nurs. 1999; 29(1):18–27.
12. Scott LD, Rogers AE, Hwang WT, Zhang Y. Effects of critical care nurses' work hours on vigilance and patients' safety. Am J Crit Care. 2006; 15(1):30–37.
13. Tucker P, Barton J, Folkard S. Comparison of eight and 12 hour shifts: impacts on health, wellbeing, and alertness during the shift. Occup Environ Med. 1996; 53(11):767–772.
14. Stimpfel AW. The impact of hospital staff nurse shift length on nurse and patient outcomes[dissertation]. Pennsylvania: University of Pennsylvania;2011.
15. Geiger-Brown J, Lipscomb J. The health care work environment and adverse health and safety consequences for nurses. Annu Rev Nurs Res. 2010; 28:191–231.
16. Stone PW, Mooney-Kane C, Larson EL, Horan T, Glance LG, Zwanziger J, et al. Nurse working conditions and patient safety outcomes. Med Care. 2007; 45(6):571–578. http://dx.doi.org/10.1097/MLR.0b013e3180383667.
17. Oh DS, Kim HY, Han HM, Choi HJ, Kang JO, Kang SL, et al. Comparison between job satisfaction and direct/indirect care time of the nurses in two and three shifts in a neonatal intensive care unit. Clin Nurs Res. 2001; 7(1):113–129.
18. Slavitt DB, Stamps PL, Piedmont EB, Haase AM. Nurses' satisfaction with their work situation. Nurs Res. 1979; 27(2):114–120.
19. Shin JS. Study on the correlation of the perception of personnel management system to job satisfaction among hospital employees [master's thesis]. Cheonan: Dankook University;2006.
20. Park YM. Interrelation of living habits and living quality of shift nurses [master's thesis]. Kyeonggi: Kyeonggi University;2006.
21. Johnson AL, Jung L, Brown KC, Weaver MT, Richards KC. Sleep deprivation and error in nurses who work the night shift. J Nurs Adm. 2014; 44(1):17–22. http://dx.doi.org/10.1097/NNA.0000000000000016.
22. Benner P, Sheets V, Uris P, Malloch K, Schwed K, Jamison D. Individual, practice, and system causes of errors in nursing: a taxonomy. J Nurs Adm. 2002; 32(10):509–523.
23. Trinkoff AM, Johantgen M, Storr CL, Gurses AP, Liang Y, Han K. Nurses' work schedule characteristics, nurse staffing, and patient mortality. Nurs Res. 2011; 60(1):1–8. http://dx.doi.org/10.1097/NNR.0b013e3181fff15d.
24. Lee YW, Dai YT, Park CG, McCreary LL. Predicting quality of work life on nurses' intention to leave. J Nurs Scholarsh. 2013; 45(2):160–168. http://dx.doi.org/10.1111/jnu.12017.
25. Tanaka S, Maruyama Y, Ooshima S, Ito H. Working condition of nurses in Japan: awareness of work-life balance among nursing personnel at a university hospital. J Clin Nurs. 2011; 20(1-2):12–22. http://dx.doi.org/10.1111/j.1365-2702.2010.03354.x.
26. Cimete G, Gencalp NS, Keskin G. Quality of life and job satisfaction of nurses. J Nurs Care Qual. 2003; 18(2):151–158.
27. Chen YM, Johantgen ME. Magnet Hospital attributes in European hospitals: A multilevel model of job satisfaction. Int J Nurs Stud. 2010; 47(8):1001–1012. http://dx.doi.org/10.1016/j.ijnurstu.2009.12.016.
28. Bloodworth C, Lea A, Lane S, Ginn R. Challenging the myth of the 12-hour shift: A pilot evaluation. Nurs Stand. 2001; 15(29):33–36. http://dx.doi.org/10.7748/ns 2001.04.15.29.33.c3006.
29. Scott ES, Engelke MK, Swanson M. New graduate nurse transition: Necessary or nice? Appl Nurs Res. 2008; 21:75–83. http://dx.doi.org/10.1016/j.apnr.2006.12.002.
30. The Joint Commission. Sentinel Event Alert: Issue 48 [Internet] . Oakbrook Terrace, IL: Joint Commission;2011. cite 2013 October 13. Available from http://www.jointcommission.org/assets/1/18/SEA_48.pdf.
TOOLS
Similar articles