Shift work and its impact upon nurse performance: current knowledge and research issues

Abstract

Previous research investigating shift work and its impact upon the quality of registered nurse performance and outcomes (including biological, psychosocial and organizational) is reviewed. The present study, which involved non-participant observation of staff nurses (n = 34) within their first year of practice (Part 1 or Part 12 of the United Kingdom Professional Register), is described. The findings demonstrated support for earlier research which suggested that 12 1/2 hour shifts are associated with less effective performance. This study, together with previous research, highlights important indicators for the design and management of future empirical work which is required to investigate the influence of shift work upon process as well as outcomes for nurses, service users and the employing organization. This is particularly pertinent in the light of recent changes in work patterns. The well-being and effectiveness of the nursing workforce requires enhancement, and the effective management of shift-work is a key strategy in achieving this.

Role Stress and Career Satisfaction Among Registered Nurses by Work Shift Patterns

“…In fact, nursing literature reports ambivalence about the benefits of this work shift pattern (Todd, Robinson, & Reid, 1993, p. 215). For example, Fitzpatrick, While, and Roberts (1999), Gillespie and Curzio (1996), and Northcott and Facey (1995) found that there was limited empirical evidence available to examine the impact this change has had on a myriad of variables.…”

Qualidade de vida de caminhoneiros

“…Häkkänen e Summala (2000) constataram prevalência de 13% e shift workers entre os caminhoneiros que faziam viagens de longa duração, sendo que 40% desses referiram problemas em permanecer alerta. Outras profissões sofrem, da mesma forma e em demasia, com as mudanças do horário de trabalho, principalmente quando os turnos são alternados, como, por exemplo, policiais (Garbarino, 2002) e enfermeiros (Ferreira, 1985;Fitzpatrick et al, 1999;Gupta e Pati, 1994;Matsumoto et al, 1996). Outros pesquisadores comprovam o mesmo fato (Akerstedt e Torsvall, 1978;Bobko, 1994;Campbell, 1995;D'Alonzo Krachman, 2000;Gordon et al, 1986;Guimarães e Teixeira, 2003;Kan e Kupriianov, 1989;Mazzetti di Pietralata et al, 1990 …”

Review of studies concerning job performance of nursing staff

“…Udowodniono w licznych badaniach zwią-zek wydajności pracy z cechami osobowymi pracownika, pracą zmianową, poziomem stresu, wsparciem społecznym, relacjami interpersonalnymi, przywództwem, a także kulturą organizacyjną [18,20,21,22].…”

“…Wyniki badania wykazały, że wyższe wartości sprawności fizycznej, a także sprawowania profesjonalnej opieki uzyskały pielęgniarki zatrudnione w systemie 8-godzinnym. Badacze wykazali, że 12-12,5-godzinne zmiany robocze związane są z obniżeniem poziomu wydajności pracy pielęgniarek [20]. Japońcy naukowcy Y. Fujino i R. Kawamoto podjęli próbę badawczą mającą na celu ocenę wpływu wykorzystywanej technologii informacyjnej i komunikacyjnej (ICT) na wydajność pracy pielęgniarek.…”