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The relationship between quick return shift schedules and burnout among nurses: A prospective repeated measures

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Quick return schedules reduce nurse sleep duration, potentially increasing burnout. However, nurse motivation can mitigate this effect, highlighting the need for supportive work structures and motivation-enhancing strategies.

Keywords:
Quick return“Burnout, professional” [mesh]“Motivation” [mesh]“Nurses” [mesh]“Shift work schedule” [mesh]“Sleep duration” [mesh]

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Area of Science:

  • Occupational Health
  • Nursing Research
  • Sleep Science

Background:

  • Healthcare demands 24/7 services, necessitating shift work for nurses.
  • Quick return schedules (<11h rest) are common and linked to reduced sleep and potential burnout.
  • Nurse motivation may influence the relationship between quick return schedules and burnout.

Purpose of the Study:

  • To investigate the moderated-mediation model of sleep duration and nurse motivation on burnout.
  • To examine how quick return schedules impact sleep duration and subsequent burnout.
  • To assess the moderating role of nurse motivation in this relationship.

Main Methods:

  • Prospective, repeated measures study with 79 registered nurses across 369 shifts.
  • Objective sleep duration measured via accelerometers; self-report questionnaires for motivation and burnout.
  • Multi-source data collection in Israeli teaching hospitals.

Main Results:

  • Quick return schedules significantly reduced sleep duration (p < 0.001).
  • No direct link found between sleep duration and burnout (p = 0.171).
  • A significant interaction between sleep duration and motivation predicted burnout (p < 0.001), with lower motivation exacerbating burnout risk.

Conclusions:

  • Sleep duration, moderated by motivation, mediates the link between quick return schedules and burnout.
  • Nurses can maintain motivation to mitigate burnout despite quick return schedules.
  • Organizations should minimize quick return schedules and enhance nurse motivation to support well-being.