Factors Associated with Hospital Staff Nurses Working on-Call Hours

Bae, Sung‐Heui; Trinkoff, Alison M.; Jing, Hongjuan; Brewer, Carol S.

doi:10.1177/216507991306100504

Cited by 4 publications

(4 citation statements)

References 20 publications

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“…Thus, early ERCP within 72 h may be helpful for decompressing the biliary obstruction, although our study demonstrated that urgent biliary intervention within 24 h would not lead to the additive benefit of reduced total hospital stay and complication rates. In particular, the cost-effectiveness of urgent ERCP should also be considered [ 23 ].…”

Section: Discussionmentioning

confidence: 99%

Urgent endoscopic retrograde cholangiopancreatography is not superior to early ERCP in acute biliary pancreatitis with biliary obstruction without cholangitis

et al. 2018

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Acute pancreatitis is a common diagnosis worldwide, with gallstone disease being the most prevalent cause (50%). The American College of Gastroenterology recommends urgent endoscopic retrograde cholangiopancreatography (ERCP) (within 24 h) for patients with biliary pancreatitis accompanied by cholangitis. Most international guidelines recommend that ERCP be performed within 72 h in patients with biliary pancreatitis and a bile duct obstruction without cholangitis, but the optimal timing for endoscopy is controversial. We investigated the optimal timing for ERCP in patients with biliary pancreatitis and a bile duct obstruction without cholangitis, and whether performing endoscopy within 24 h is superior to performing it after 24 h. We analyzed the clinical data of 505 patients with newly diagnosed acute pancreatitis, from January 1, 2005 to December 31, 2014. We divided the patients into two groups according to the timing of ERCP: < 24 h (urgent) and 24–72 h (early).Among the 505 patients, 73 were diagnosed with biliary pancreatitis and a bile duct obstruction without cholangitis. The mean age of the patients was 55 years (range: 26–90 years). Bile duct stones and biliary sludge were identified on endoscopy in 45 (61.6%) and 11 (15.0%) patients, respectively. The timing of ERCP within 72 h was not associated with ERCP-related complications (P = 0.113), and the total length of hospital stay was not different between urgent and early ERCP (5.9 vs. 5.7 days, P = 0.174). No significant differences were found in total length of hospitalization or procedural-related complications, in patients with biliary pancreatitis and a bile duct obstruction without cholangitis, according to the timing of ERCP (< 24 h vs. 24–72 h).

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Section: Discussionmentioning

confidence: 99%

Urgent endoscopic retrograde cholangiopancreatography is not superior to early ERCP in acute biliary pancreatitis with biliary obstruction without cholangitis

et al. 2018

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“…18 Evidence found in research on the relationship between organizational characteristics and the work hours of other hospital professionals might warrant further research on their physician colleagues. 19 , 20 As healthcare resources are a type of public good, health authorities might assign different care responsibilities to healthcare providers in order to maximize the effectiveness of healthcare resources in regional planning, for example by assigning isolation and responding hospitals for communicable diseases, drug addiction treatment and alternative treatment institutions, and children’s preventive healthcare institutions.…”

Section: Introductionmentioning

confidence: 99%

Exploring Factors Associated With the Work Hours of Attending Physicians Working in Hospitals

Hou

Hsu

et al. 2022

Int J Health Policy Manag

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Background: Long work hours for physicians not only harm the health of physicians, but also endanger patient safety. Compared with resident physicians, attending physicians—especially hospital-employed attending physicians—assume more responsibilities but has not gotten enough attention. The purpose of this study was to explore whether a hospital’s geographic location and emergency care responsibility might influence the number of hours worked. Methods: The respondents of 2,365 attending physicians from 152 hospitals in the 2018 survey of Taiwan physician work hours were used as the data source. The total work hour per week and its components, the regular scheduled shift and three types of on-call shifts, were used as outcome variables. Hospital geographic location and emergency care responsibility were the independent variables. The multilevel random effect model was employed to examine the study objective after adjusting for clinical specialty, hospital teaching status, and ownership. Results: The average number of total working hours was 69.09 hours per week; the regular scheduled shift was account for 75% of total work hours. The results showed the total work hours were only varied by the level of hospital’s emergency care responsibility. However, the results also demonstrated the hours of duty shifts were varied by hospital’s geographic location and emergency care responsibility. The results of the multilevel random effect model revealed that the hospital’s emergency care responsibility was the factor consistently associated with attending physician’s work hour, no matter the total work hours or its composition. Conclusion: In this study, we explored how a hospital’s location and its level of emergency care responsibility were associated with physicians’ work hours for each type of shift. Our findings offer an opportunity to review the rationality of physician workforce allocation, and financial incentives and administrative measures could be the next steps for balancing the work hours of attending physicians.

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“…[4] Working a nursing job requiring on-call hours leads to overtime, and limits the ability for the nurse to control the number of hours worked, and the ability to detach from work leading to fatigue and sleep disturbances. [5] Kang et al [6] recommend that the effects of stress be evaluated by the use of biobehavioral methodologies beyond the use of self-reporting instruments.…”

Section: Introductionmentioning

confidence: 99%

“…[17] There are many reasons nurses choose to work 12-hour shifts, which is often to increase work-life balance, but at times at the expense of sleep. [5] Overtime has been a prevalent practice as the result of chronic understaffing and times of high census related to winter months. [14] Overtime can increase the number of incidents of needlestick injuries, musculoskeletal injuries, and illnesses.…”

Section: Introductionmentioning

confidence: 99%

Stress and cortisol as predictors of fatigue in medical/surgical nurses and nurse leaders: A biobehavioral approach

Cockerham¹,

Kang²,

Howe³

et al. 2017

JNEP

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Objective: High acuity and long work hours are significant contributors to nurses’ stress. Studies evaluating consecutive workdays with the use of biobehavioral methods are limited in the US. The aim of this study was to assess changes in and the relationship between stress, fatigue, and cortisol.Methods: In an observational within-subject design, we studied stress, fatigue and cortisol before and after 2 consecutive 12-hour day shifts in an acute care setting. Specifically, the study was designed to: (1) assess the effect of stress on fatigue; (2) examine the effect of stress on cortisol; (3) compare the levels of stress, fatigue, and cortisol; and (4) compare the responses of stress, fatigue, and cortisol between acute care, day shift staff nurses and nurse leaders.Results: Stress, fatigue, and cortisol increased significantly from baseline to Day 2 (p = .001, .004, and .010, respectively; paired t-test). In a comparison of nurses and nurse leaders, stress and fatigue at baseline were significantly higher in acute care nurses than in nurse leaders (p ≥ .00 and .05, respectively; independent t-test). At the end of 2 consecutive shifts, cortisol was significantly higher in staff nurses than in nurse leaders (p = .001).Conclusions: Competing initiatives pressure nurse leaders to work long hours to support organizational goals, sometimes at the expense of a healthy work environment. Nurses from direct care staff to executives should be educated in and demonstrate best practices in relation to endorsements from the American Nurses Association on fatigue and interventions to lessen the risks to patient safety.

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Factors Associated with Hospital Staff Nurses Working on-Call Hours

Cited by 4 publications

References 20 publications

Urgent endoscopic retrograde cholangiopancreatography is not superior to early ERCP in acute biliary pancreatitis with biliary obstruction without cholangitis

Urgent endoscopic retrograde cholangiopancreatography is not superior to early ERCP in acute biliary pancreatitis with biliary obstruction without cholangitis

Exploring Factors Associated With the Work Hours of Attending Physicians Working in Hospitals

Stress and cortisol as predictors of fatigue in medical/surgical nurses and nurse leaders: A biobehavioral approach

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