Assessing the relationships between nurse work hours/overtime and nurse and patient outcomes: Systematic literature review

Bae, Sung Heui; Fabry, Donna

doi:10.1016/j.outlook.2013.10.009

Cited by 164 publications

(188 citation statements)

References 36 publications

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“…11 This study has found that overtime is a significant issue in the NICU, and that it does not only depend on non-modifiable factors. Overtime is also dependent upon the available workforce which itself depends upon paid hours not at the bedside.…”

Section: Resultsmentioning

confidence: 77%

“…[6][7][8] It is also associated with adverse patient events like increased nosocomial infections and medication errors. [9][10][11] Also, RN overtime hours represent a significant cost for the Canadian health care system, estimated between $252.30 million and $430.78 million 12 per year. A better understanding of factors that influence RN overtime in the NICU from shift-to-shift is required to address this issue.…”

Section: Introductionmentioning

confidence: 99%

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Factors and Costs Associated With the Use of Registered Nurse Overtime in the Neonatal Intensive Care Unit

Beltempo¹,

Lacroix²,

Cabot³

2017

Pediatr Neonatal Nurs Open J

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Background: Planning the number of registered nurses (RN) per shift in the neonatal intensive care unit (NICU) is a constant stressor and overtime is often used to assure adequate nurse to patient ratios at high costs. Aim: To identify the factors associated with shift-to-shift variations in the use of RN overtime in the NICU and assess the economic impacts of reducing overtime. Methods: We developed a two-year retrospective study in a NICU (CHU de Québec, Level 3 unit, capacity of 51 beds). Detailed administrative data for each shift of the day (night, day, evening) was collected. Non-modifiable organizational factors included patient volume, patient acuity, number of admissions, season, days of the week and work shift. The modifiable factors included the paid hours not at the bedside and the implementation of a bundle to reduce RN overtime (increase in full-time nurse positions and conversion of 10% of RN to regular 12-hour shifts). Multivariate linear regression models were used to assess the association between organizational factors and RN overtime per shift. Results: A total of 2184 shifts were included. Mean RN overtime per shift was 9.5±10.4 h corresponding to 4.7±5.2% of total hours worked per shift. RN overtime use was influenced by non-modifiable factors including unit occupancy, season and the number of acute patients. Paid hours not at the bedside were associated with overtime. Also, the implementation of a bundle to reduce RN overtime brought the mean RN overtime from 11.7±11.2 h to 6.5±8.5 h (p<0.001). This was associated with a reduction in nursing costs per patient day [386±10 $ vs. 381±7 $ (p<0.001)]. That corresponded to a yearly 102,948$ cost reduction. Conclusion: Reducing RN overtime in the NICU is associated with cost reduction.

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Section: Resultsmentioning

confidence: 77%

Section: Introductionmentioning

confidence: 99%

Factors and Costs Associated With the Use of Registered Nurse Overtime in the Neonatal Intensive Care Unit

Beltempo¹,

Lacroix²,

Cabot³

2017

Pediatr Neonatal Nurs Open J

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“…Ser man til andre land, er det svaert mange forskjellige turnusordninger som benyttes i helsesektoren. 1 Eksempelvis er langturnus, det vil si at ansatte arbeider 12 timer eller mer i strekk, vanlig i land som USA, Canada og Storbritannia. 1,2,3 Mye tyder pa˚at det er behov for innovasjon i ma˚ten man organiserer turnusen pa˚i Norge.…”

Section: Innledningunclassified

“…18 To litteraturstudier som oppsummerer eksisterende forskning pa˚feltet, konkluderer med at det per i dag ikke foreligger tilstrekkelig forskning til at man kan si om 8-timers eller 12-timers vakter er af oretrekke foran det andre, hverken med tanke pa˚effekter for pasienter eller ansatte. 1,19 Mye av forskningen omkring langturnus, er basert pas tudier av sykehus. Det er behov for kunnskap om hvordan langvakter innvirker pa˚ansattes arbeidssituasjon i sykehjem.…”

Section: Langvakterunclassified

“…Kvalitative dybdeintervju er derfor en egnet metode for finne ut hvordan ansatte erfarer og opplever at langturnus pa˚virker deres arbeidssituasjon. Pa˚en annen side er det [1][2][3][4][5][6][7] //blrnas3.glyph.com/cenpro/ApplicationFiles/Journals/SAGE/3B2/NJNJ/Vol00000/150014/APPFile/SG-NJNJ150014.3d (NJN) [PREPRINTER stage] relativt fa˚helsearbeidere som har anledning til a˚arbeide langvakter. Alle informantene i denne studien hadde søkt pa˚stillinger de visste innebar langturnus, og de kunne ha valgt a˚jobbe pa˚avdelinger med tradisjonell turnus.…”

Section: Metodediskusjonunclassified

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En ny ro med langturnus

Amble

2015

Nordic Journal of Nursing Research

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Extended work shifts of 12 hours or more have become a common scheduling strategy for nurses in several countries, though this is not the case in Norway. There, many managers, nurses, and union representatives have expressed concerns about whether nurses can function effectively while working long shifts. This study thus aimed to examine how long shifts influence nursing outcomes such as stress, continuity, and responsibility in Norwegian nursing homes. Data were collected during in-depth interviews with 16 nurses employed at four different nursing homes who have worked 12–14-hour shifts. Results suggest that long shifts actually reduce stress and increase both work continuity and accountability, though these positive impacts of long shifts occur primarily when all departmental staff work long shifts. Furthermore, fewer shift changes mean more time spent with patients and better communication.

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24‐hour care: Work and sleep conditions of migrant Filipino live‐in caregivers in Los Angeles

Riley

Nazareno

Malish

2016

American J Industrial Med

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Assessing the relationships between nurse work hours/overtime and nurse and patient outcomes: Systematic literature review

Cited by 164 publications

References 36 publications

Factors and Costs Associated With the Use of Registered Nurse Overtime in the Neonatal Intensive Care Unit

Factors and Costs Associated With the Use of Registered Nurse Overtime in the Neonatal Intensive Care Unit

En ny ro med langturnus

24‐hour care: Work and sleep conditions of migrant Filipino live‐in caregivers in Los Angeles

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