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Related Concept Videos

Ethical Issues01:27

Ethical Issues

Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Current Trends in Nursing II01:30

Current Trends in Nursing II

Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
Current Trends in Nursing I01:28

Current Trends in Nursing I

Current trends in nursing include:
Ethical Dilemmas I01:17

Ethical Dilemmas I

Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
Chronopharmacokinetics: Circadian Rhythms and Influence on Drug Response01:15

Chronopharmacokinetics: Circadian Rhythms and Influence on Drug Response

Circadian rhythms are cyclic changes that are crucial in plasma drug concentrations. Various standard circadian parameters, including core body temperature, heart rate, and other cardiovascular factors, directly impact disease states and the therapeutic response to drug therapy.
The time of drug administration is an important factor to consider, as it can influence the toxic dose of a drug. For example, a study conducted by Prins et al. in 1997 examined the effects of the timing of...
Obedience01:08

Obedience

According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation, obedience...

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Related Experiment Video

Updated: May 17, 2026

Collecting Sleep, Circadian, Fatigue, and Performance Data in Complex Operational Environments
08:36

Collecting Sleep, Circadian, Fatigue, and Performance Data in Complex Operational Environments

Published on: August 8, 2019

Changes in nurses' decision making during a 12-h day shift.

L E McClelland1, F S Switzer, J J Pilcher

  • 1Department of Psychology, Clemson University, Clemson, SC 29634-1355, USA.

Occupational Medicine (Oxford, England)
|November 3, 2012
PubMed
Summary
This summary is machine-generated.

Registered nurses showed significant changes in medical decision-making and decreased alertness by the end of a 12-hour day shift. These findings highlight the negative impacts of shift work on healthcare providers.

Related Experiment Videos

Last Updated: May 17, 2026

Collecting Sleep, Circadian, Fatigue, and Performance Data in Complex Operational Environments
08:36

Collecting Sleep, Circadian, Fatigue, and Performance Data in Complex Operational Environments

Published on: August 8, 2019

Area of Science:

  • Healthcare Management
  • Nursing Practice
  • Human Factors in Medicine

Background:

  • Shift work is prevalent in healthcare settings.
  • Research indicates potential negative impacts of shift work on healthcare provider performance.
  • Understanding these effects is crucial for patient safety and provider well-being.

Purpose of the Study:

  • To investigate changes in registered nurses' decision-making during a 12-hour day shift.
  • To assess the relationship between shift duration and clinical judgment.
  • To evaluate nurses' self-reported alertness and stress levels across the shift.

Main Methods:

  • A cohort of registered nurses working a 12-hour day shift participated.
  • A policy-capturing questionnaire assessed physician call decision-making at shift start and end.
  • Self-report surveys measured alertness, stress, and sleepiness.

Main Results:

  • Sixty-five nurses completed the study (41% response rate).
  • Significant changes in decision-making policies were observed from the beginning to the end of the shift.
  • Nurses reported decreased alertness and increased stress, with no correlation to decision-making changes.

Conclusions:

  • Medical judgment in registered nurses is altered by the end of a 12-hour day shift.
  • The Controlled Attention Model may explain changes in attention and decision-making.
  • These findings underscore the multifaceted negative outcomes associated with shift work in healthcare.