Preview

12 Hour Shifts in Nursing Essay Example

Good Essays
Open Document
Open Document
1433 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
12 Hour Shifts in Nursing Essay Example
7 October 2011
Effects on Nurses Working Long Hours
Patients in a hospital and/or healthcare facilities have to be cared for all day and all night, everyday of the week by nurses. The usual way to fulfill this need is to divide up the day into three 8-hour shifts. Different shifts have been put into place to help improve nurse satisfaction, decrease the nursing shortage and save the hospital money. The 24-hour day is made up of two 12-hour shifts; 12 hours in the day and 12 hours at night. There has been quite an ongoing debate over the years regarding this issue of nurses working over 8 hours in a single day. Many people, such as hospital nursing administrators, have reason to believe that working long hour shifts causes more errors in the workplace due to fatigue and irregular sleep schedules. Along with these reasons and other beliefs, 12-hour shifts in nursing should be revoked. The risks outweigh the benefits for extended hour shifts in hospitals and/or healthcare facilities, for both the patients and nurses.
Nurses who work 12 or more hours in a single shift put at risk the health of themselves along with the health of the patients who they are treating. Working extended shifts causes fatigue, stress and lack of productivity. Errors are most common in nurses who are fatigued from working long and grueling hours. It is estimated 1.3 million health care errors occur each year and of those errors 48,000 to 98,000 result in patient deaths. Many of these errors lead to malpractice suits and thousands of dollars lost (Keller, 497). This proves that working long hours in a health care environment will make nurses more prone to making error that may lead to patient death. Patient death is what the hospital and faculty members are trying to avoid, revoking long hour shifts seems like a proper way to start.
As for the health of the nurse, nurses who work long hours are affecting their health in many ways. Some health problems that may occur in nurses are sleep

You May Also Find These Documents Helpful

  • Good Essays

    The Zion family was outraged to learn about the understaffing, overworking, and lack of supervision (Lerner, 2006). New York then adapted the Bell Regulations in 1987, limiting residents to no more than 84 hours a week, no more than 12 continuous hours of emergency room, 8 hours off in between shifts, and at least one day off a week (McLean, 2005). Furthermore, the American Nurses Association (n.d.) discusses research that does indicate a noted increase of medical errors with working shifts over 12 hours or more than 40 hours a…

    • 379 Words
    • 2 Pages
    Good Essays
  • Best Essays

    MHA 601 Final

    • 2998 Words
    • 9 Pages

    Nurses are the backbone to all hospitals. They pick up the extra load that physicians pass along to them. Within Renfrey Memorial Hospital one would understand why the work is becoming too physically demanding. Registered nurses (RNs) deliver and manage patient care. They teach them along with the public about the countless health conditions and supply guidance and emotional support to them and their families on how to care and treat themselves. Without the use of registered nurses a shift in performance feedback is sure to happen. Back in the day, meaning 100 plus years ago, women were responsible for nurturing and delivering care to children and those family members who were ill. It wasn’t until the 17th century that men became nurses and tended to the sick as well. However, in the 19th century the definition of nursing was stretched to not only tend to those who were sick and ill but also work under physicians to support them.…

    • 2998 Words
    • 9 Pages
    Best Essays
  • Better Essays

    NRS 451V Assig

    • 1288 Words
    • 4 Pages

    When nurses are forced to work with high nurse to patient ratios, patients can develop a variety of infections, get injured, and can lead to death. Often at times patients are discharged home too soon without adequate education about how to manage their illness or injury (Raquel & Sean, 2011). Because of patients being discharged to soon, this causes them to return back to the hospital often sicker than they were before. Increase in rate of admissions, transfers, and discharges on hospital unit’s raises nurses’ workload. When nurses have fewer patients, they are able to provide high quality care (Raquel & Sean, 2011). A quantitative research was done based on knowledge of unit’s attribute and shift by shift nurse staffing levels. The researchers inspected 43 units of medical and surgical patient’s mortality in an infamous magnet hospital here in United States. The units and shifts staffing data from 2003 to 2006 were obtained and consolidated with patient data resulting in 3.2 million unit shifts for 197961 patients. The outcome of two staffing variables were scrutinize using a shift unit level: understaffing actual registered nurses staffing eight hours or more below target staffing levels generated by a patient classification system and high turnover which means unit admissions, transfers and discharges exceeds mean day shift by one standard deviation. Patient survival rate was analyzed using Cox proportional hazard regression models with adjustment for clients, unit and shifts risk covariates was practiced. The risk adjust mortality was evaluated to staffing and turnover within the first 5 to 30 days after admission and during previous shifts. The result was dangerous ratios (Raquel & Sean, 2011).…

    • 1288 Words
    • 4 Pages
    Better Essays
  • Good Essays

    Nurse Staffing Case Study

    • 1392 Words
    • 6 Pages

    These shifts still need to be filled because of the ever increasing patient amount within the hospital. These extra hours will play a toll on our current employees who are expected to step up and take these extra shifts. “Long work hours can lead to fatigue, restlessness, inadequate sleep, pain and deficits in performance and reaction time as a result of increased exposure to physical demands and insufficient recovery time (Bae, Nursing Overtime: Why, How Much, and Under What Working Conditions?). Continuing, “Reduced rest and recovery time leads to physiologic depletion or exhaustion that continues into the next workday. The Institute of Medicine recommended nurses work no more than 12 hours in a 24-hour period and no more than 60 hours in a 7-day period to avoid error-producing fatigue” (Bae, Nursing Overtime: Why, How Much, and Under What Working Conditions?). Nurses will not be able to abide by this recommendation from the IOM due to the need for overtime of nurses on the ICU from missing three nursing positions. This will prove to be unsafe and unhealthy for the patients and the individual nurse working so many overtime hours alike. “Excessive use of overtime increases nurse injuries, including needle stick and musculoskeletal problems” (Bae, Nursing Overtime: Why, How Much, and Under What Working…

    • 1392 Words
    • 6 Pages
    Good Essays
  • Satisfactory Essays

    12 Hour Shifts

    • 225 Words
    • 1 Page

    Hello Monique, great contribution to this delicate topic in discussion. It must have been very difficult for you to argue for a topic that you personally oppose. From your personal point of view, I truly agree with all your argument about the negative consequences for nurses working 12 hour shifts. On the other hand the article you posted in favor of 12 hour shift did not do a good job supporting its arguments with other evidence based facts. I was also a little confused about the scenario you shared and its correlation to working extended long hours. I will be glad if you can enlighten me further on that correlation. I am currently working on an inpatient psychiatric unit and I will testify that working only 32 hours a week for 4 days even…

    • 225 Words
    • 1 Page
    Satisfactory Essays
  • Best Essays

    Alarm fatigue in health care has grown to be an ever-growing concern in the health care arena, especially when looking at patient safety concerns. There must be an understanding of the problem before we can develop policies and effective strategies to counter this problem. The concept of alarm fatigue in health care will be evaluated utilizing the method developed by Walker and Avant (2010) that identifies and gives the significance of the attributes, antecedents, and end-consequences of alarm fatigue in health care. This will be developed based off of literature review, along with the use of model and contradictory cases to emphasize the data discovered in the review stage. Key words utilized during the search include alarm, fatigue, alarm fatigue, nursing, interruptions, & distractions.…

    • 2641 Words
    • 8 Pages
    Best Essays
  • Better Essays

    monitor alarm fatigue

    • 1244 Words
    • 4 Pages

    In Christensen et al. (2014) article, a descriptive pilot survey consisting of a 10 piece open-ended multiple choice questionnaire was conducted. The sample population consisted of 48 well trained, bachelor degrees and a few with master degrees, nurses on a 13 bed unit. The questionnaire was developed by the researchers' observations on problem areas associated with alarm fatigue. The…

    • 1244 Words
    • 4 Pages
    Better Essays
  • Good Essays

    Restorative Nap Break

    • 707 Words
    • 3 Pages

    (2006): Even though there was only 43.7% nurses’ response from the survey study, the high percentage of drowsiness and errors are convincing enough to warrant the use of nap. With the remaining percentage of nurses not surveyed, one can only expect the numerous errors unreported. The suggestion of reduced work hours sounds feasible given the facts by Scott et al. (2006) that inattentiveness from working more than 12 hours is similar to being intoxicated by alcohol. From personal experience, symptoms of dizziness, absent-mindedness, and near-driving accidents were common occurrences after working 12-hours night shift.…

    • 707 Words
    • 3 Pages
    Good Essays
  • Powerful Essays

    The nursing profession requires an individual to be alert, watchful, and prepared. They must monitor patients closely. Concentration and attentiveness declines when a nurse is overloaded with work. Nurses who become fatigued from the work overload can become a danger to themselves and their patients. Medication errors and pressure ulcers are common results from fatigued nurses. Medication errors happen a lot when a nurse loses the ability to concentrate and focus. Pressure ulcers are a result of poor nursing care which can be caused by fatigue. A nurse may be so fatigued by the end of her shift that she does not properly position a patient. Basic care is sometimes put on the back burner, or is delegated to less qualified staff. As well as providing basic nursing care, a nurse must also give report, check patients orders, medications, and labs, all in one shift! This leaves little time to create or maintain a relationship with a patient. Often times, nurses are assigned five or more patients to take care of in one shift. Nurses become stressed from the pressures of the job, and decide to leave the profession all…

    • 1504 Words
    • 7 Pages
    Powerful Essays
  • Satisfactory Essays

    I am adjusting well to 12 hours and I am feeling more confident with my presence as a student nurse. I also try to find moments to make a patient feel that he/she is a human being with feelings. It is important to me that every patient feel…

    • 244 Words
    • 1 Page
    Satisfactory Essays
  • Satisfactory Essays

    Job Burnout In Nursing

    • 361 Words
    • 2 Pages

    Nurses are the largest group of health care professionals providing direct care in hospitals. However, they suffer from job burnout…

    • 361 Words
    • 2 Pages
    Satisfactory Essays
  • Best Essays

    Nurse Staffing

    • 1995 Words
    • 8 Pages

    What is the one conversation that usually gets heated when talking to nurses? Bring up the subject of staffing levels on their unit. As a nurse assistant, staff nurse, charge nurse or nursing administrator, inadequate staffing creates tension and stress. When staffing is inadequate patient safety, infection rates, patient satisfaction and staff satisfaction are only a few of the areas affected. Many hospital administrators and lawmakers want to make patient care a numbers game. The Joint Commission on Accreditation of Healthcare Organizations requires hospitals to create a staffing plan that defines staffing effectiveness as the skill mix, competence, and effectiveness related to the services needed. (Morgan, 2004) When it comes to staffing, one size does not always fit all. Patients are individuals with individual needs and one patient with a certain diagnosis can take much less attention and time from the nurse than a patient of the same age with the same diagnosis. For good nurses the main goals during their shift is giving exception patient care and providing a safe environment. “The notion of high-quality care in hospitals is essential to public safety isn’t new. In 1751 Benjamin Franklin founded America’s first hospital-Pennsylvania Hospital-and commented that patients ultimately suffer and die without sound nursing care.” (Clarke, 2003) Nursing leaders are under tremendous pressure to lower costs while improving quality. (Carter, 2004) It is often found that…

    • 1995 Words
    • 8 Pages
    Best Essays
  • Good Essays

    In many hospitals in Canada Nurses are getting tired of their heavy workloads. Mandatory overtime results in costly charges to organizations. Many organizations monitor their staffs working hours to protect the safety of their patients. The challenge to fix this issue is becoming more and more difficult as the shortage of nurses keeps on growing. There is several ways the government is trying to fix the shortage for example; the government will be investing more money into nursing programs and…

    • 761 Words
    • 4 Pages
    Good Essays
  • Good Essays

    The familiar phrase of overworked and under appreciated has rang through the nursing field. As health care reform and insurances make critical changes, nurses are forced to keep up. Nursing managers are in a bind to meet the new budget cuts and criteria set forth by these changes, which includes higher patient to nurse ratios. Low staffing can lead to nurse burnout, job dissatisfaction and poor staff retention (International Journal of Nursing Practice, 2014). This article will outline some issues at hand with unsafe staffing ratios and the legislative actions regarding this matter.…

    • 1153 Words
    • 5 Pages
    Good Essays
  • Better Essays

    In the United States, Registered Nurses (R.N.) make up the largest recorded working population of the health care profession, and the Bureau of Labor Statistics estimates that 2.7 percent of the workforce comprises of nurses compared to 3.6 percent in the last 6 years (A.A.C.N., 2013). This decrease is attributed to the current shortage and high turnover of nurses. This current trend in the nursing profession has a great effect on the provision of health care because it has reduced the quality of care of patients, increased accidents amongst patients, absenteeism rates and staffing among others.…

    • 1122 Words
    • 5 Pages
    Better Essays