Shift work characteristics and burnout among nurses: cross-sectional survey
C Dall'Ora1,2, O-Z Ejebu1,2, J Ball1
1School of Health Sciences, University of Southampton, Southampton, UK.
Occupational Medicine (Oxford, England)
|May 2, 2023
Summary
Nurses reporting less choice over shift length experienced higher burnout. While long shifts are linked to less choice, this lack of autonomy, not shift length itself, may drive burnout.
Area of Science:
- Occupational Health
- Nursing Practice
- Workplace Well-being
Background:
- Long working hours (≥12 hours) are linked to increased nurse burnout.
- Other shift characteristics like night work, weekly hours, and breaks require investigation.
- The moderating effect of shift length choice on burnout is untested.
Purpose of the Study:
- To investigate the association between shift work characteristics and burnout/exhaustion in nurses.
- To determine if nurse autonomy in choosing shift length influences burnout and exhaustion.
Main Methods:
- A cross-sectional online survey was conducted with nursing staff in the UK and Ireland.
- Participants were recruited through National Health Service Trusts, nursing publications, and social media.
- Associations were analyzed using univariable and multivariable generalized linear models.
Main Results:
- Inadequate staffing and less choice over shift length were significantly associated with higher burnout.
- Rarely or never taking breaks predicted higher exhaustion.
- Nurses on 12-hour shifts reported less choice than those on 8-hour shifts, but choice did not moderate the shift length-burnout relationship.
Conclusions:
- The link between long shifts and burnout may stem from reduced staff autonomy.
- It remains unclear if limited staff choice is inherently tied to long shift durations.
- Further research is needed to understand the interplay between shift work, autonomy, and nurse well-being.
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