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Nursing overtime: why, how much, and under what working conditions?
1School of Nursing, University at Buffalo, State University of New York, Buffalo, NY, USA.
Summary
Long nurse work hours negatively impact patient care. This study found overtime isn't used to fix shortages, but rather understaffing is the core issue, necessitating solutions for nurse retention.
Area of Science:
- Nursing
- Healthcare Management
- Occupational Health
Background:
- The physical wellness of nursing staff is crucial for optimal patient care.
- Extended work hours for nurses are linked to negative outcomes for both staff and patients.
- Recognizing the detrimental effects of mandatory and voluntary overtime is vital for quality healthcare.
Purpose of the Study:
- To investigate the relationship between nursing shortages and the use of overtime.
- To identify underlying factors contributing to long working hours in nursing.
- To inform strategies for improving nurse retention and well-being.
Main Methods:
- Analysis of nursing practice data to examine overtime patterns.
- Investigation into the correlation between reported nursing shortages and overtime hours.
- Assessment of understaffing as a potential root cause for extended nurse work hours.
Main Results:
- Overtime utilization did not increase proportionally with reported nursing shortages.
- Understaffing was identified as a prevalent condition within the studied nursing environments.
- The study sample indicated overtime was not a primary tool for managing staffing level fluctuations.
Conclusions:
- Addressing nurse understaffing is critical, not just preventing long hours.
- Strategies to retain qualified nurses must tackle the root cause of understaffing.
- Improving nurse retention requires systemic changes beyond managing overtime.
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