Attitudes of nurses towards 8-h and 12-h shift systems

Abstract

Twelve-hour shift schedules are becoming increasingly popular. The present study was designed to investigate the attitudes of nurses, their priorities with respect to working time and other aspects of the working conditions, and to analyse the conditions leading to a diminished satisfaction with the shift schedule and to aspirations for a change of schedule. Questionnaires were returned by 880 nurses (78% return rate) from 12 hospitals. A total of 65% worked 12-h shifts and 35% worked 8-h shifts. A considerable proportion of both groups showed a low satisfaction with their schedule and a desire to change the schedule (44% of those working 12-h shifts, 47% of those working 8-h shifts). Concerning effects of the shift schedule on work strain, continuity of service, health, family and leisure time, 8-h shifts were rated more favourably, especially by those working these shifts, but also by nurses working 12-h systems, with the exception of effects on leisure time and to some extent also on continuity of service and on family. Effects of the shift schedule on social responsibilities and leisure time activities turned out to be a major moderating variable in both groups with respect to schedule satisfaction and attitudes towards a change of schedule. Apparently neither type of shift system, traditional 12-h shift rosters or rotating 8-h shifts, is very appealing to the nurses. A stronger relationship between social consequences and health state in nurses working 12-h shifts indicates that in this group negative effects on family and leisure time might be due to an increased need for recuperation, which reduces effective leisure time.     

12-h workdays: current knowledge and future directions

Work schedules other than those based on the traditional 8-h workday duration have become much more common in recent years. Many such schedules compress the work week into three or four longer workdays and include an increased number of days off. In particular, rosters based on 12-h workdays have gained in popularity, and such rosters have been the focus of considerable research. The literature on 12-h workdays is, however, full of inconsistencies. Not surprisingly, there is considerable evidence from some of these studies that 12-h shifts tend to cause more fatigue than 8-h shifts. This extra fatigue may be associated with lower work efficiency, and with more errors and accidents. There is also strong evidence that workers prefer 12-h shifts due to some perceived advantages. The present paper reviews and examines these studies and their findings and discusses some possible reasons for the apparent contradictions in reported findings. Directions for decision makers and future research are suggested.     

12-h workdays: current knowledge and future directions

Work schedules other than those based on the traditional 8-h workday duration have become much more common in recent years. Many such schedules compress the work week into three or four longer workdays and include an increased number of days off. In particular, rosters based on 12-h workdays have gained in popularity, and such rosters have been the focus of considerable research. The literature on 12-h workdays is, however, full of inconsistencies. Not surprisingly, there is considerable evidence from some of these studies that 12-h shifts tend to cause more fatigue than 8-h shifts. This extra fatigue may be associated with lower work efficiency, and with more errors and accidents. There is also strong evidence that workers prefer 12-h shifts due to some perceived advantages. The present paper reviews and examines these studies and their findings and discusses some possible reasons for the apparent contradictions in reported findings. Directions for decision makers and future research are suggested.     

Health, well-being and burnout of ICU nurses on 12- and 8-h shifts

It is generally agreed that some features of shift systems can influence the extent of well-being and health problems experienced by the workers involved. Extended working days (9-12 h) have been found to aggravate some problems associated with shiftwork, especially when the work is mentally and emotionally demanding. The aim of the study was to compare measures of health, sleep, psychological and social well-being, job satisfaction and burnout of ICU nurses on 12- and 8-h shifts. The groups of subjects were matced for age, length of shiftwork experience, marital status and number of hours worked. the 12-h shift nurses, when compared to their 8-h shift colleagues, experienced more chronic fatigue, cognitive anxiety, sleep disturbance and emotional exhaustion. Job satisfaction seems to be independent of the shift duration. The nurses on 12-h shifts reported less social and domestic disruption than those on 8-h shifts. The 12-h shift nurses showed worse indices of health, well-being and burnout tan the 8-h shift nurses. It is suggested that this may be associated with their longer daily exposure to the stress of work. The increased number of rest days of 12-h shift nurses seems tobe insufficient to dissipate the adverse health and well-being effects that built up over their longer shifts.