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Nurses often face challenging shift patterns impacting their well-being and patient care. Incorporating nurse preferences and autonomy in scheduling can improve experiences and mitigate negative effects.

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Area of Science:

  • Nursing Research
  • Healthcare Management
  • Occupational Health

Background:

  • Shift work is prevalent in nursing, significantly influencing healthcare delivery.
  • Understanding nurses' subjective experiences and preferences regarding shift patterns is crucial for optimizing workforce well-being and patient outcomes.

Purpose of the Study:

  • To systematically review and synthesize international literature on nurses' experiences and preferences concerning various shift work patterns.

Main Methods:

  • A comprehensive search of electronic databases (CINAHL, MEDLINE, Scopus) was conducted up to April 2021.
  • Included qualitative and quantitative studies exploring nurses' subjective experiences and preferences related to shift work.
  • Findings were thematically organized based on key features of shift work.

Main Results:

  • Thirty papers published between 1993 and 2021 revealed nurses' struggles with intense working conditions, fatigue, and exhaustion.
  • Nurses prioritize high-quality care despite adverse shift work conditions.
  • Consultation and autonomy in scheduling, along with adequate days off, improve adaptation and mitigate negative impacts.
  • Individual nurse characteristics influence experiences and preferences.

Conclusions:

  • Current shift patterns frequently compromise nurses' health, job performance, and patient care.
  • There is a need to investigate the extent to which nurse preferences are considered in shift scheduling.
  • Further research should address the constraints nurses face in having choices regarding their shift patterns.