Longer shift, better care?

Twelve-hour shifts are highly contentious in nursing, with mixed opinions about whether there are any real benefits for patients, staff or management. Research has highlighted issues such as tiredness, reduced teaching opportunities and even the possibility of a negative effect on staff recruitment ( Todd et al 1993, Turner et al 1987 ). However, our recent pilot study demonstrated potential benefits ( Bloodworth et al 2001 ). This article aims to take the debate a step further and suggests that 12-hour shifts can actually improve the implementation of the newNational Service Framework for Older People in a hospital setting ( DoH 2001 ). We are aware that these are controversial arguments and hope to provoke thought and discussion.