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Concerns exist regarding nurse fatigue and patient safety with 12-hour shifts. This study questions if wiser scheduling, not necessarily elimination, could mitigate negative outcomes of extended nursing shifts.

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Area of Science:

  • Nursing
  • Occupational Health
  • Patient Safety

Background:

  • 12-hour nursing shifts are common despite concerns about nurse fatigue, neurobehavioral effects, and patient safety.
  • The prevailing use of 12-hour shifts raises questions about when nurse well-being should influence staffing decisions.

Purpose of the Study:

  • To explore whether optimizing the implementation of 12-hour shifts could address negative outcomes.
  • To investigate the potential need for changes in nursing shift models.

Main Methods:

  • This study is a conceptual analysis and discussion of existing literature and practices.
  • It examines the relationship between shift length, nurse well-being, and patient safety outcomes.

Main Results:

  • The current 12-hour shift model is widespread, but associated with significant risks to nurses and patients.
  • Potential exists to mitigate adverse effects through more judicious application of the 12-hour shift model.

Conclusions:

  • Further research and practical strategies are needed to address the negative consequences of 12-hour nursing shifts.
  • Optimizing current staffing models may be a viable alternative to complete elimination of 12-hour shifts.