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Shift Length Debate

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The Shift Length Debate Nurses did not always work twelve hour shifts. This was introduced in the 1980’s in an effort to manage a serious nursing shortage (Cherry & Jacob, 2014). It was used as a staffing strategy to improve working conditions. Most nurses worked the traditional eight hour shift prior to this. Over the years, the use of the twelve hour shift spread beyond those initially used solely in specialty units to almost universal acceptance in acute care facilities in the United States. Since the Institute Of Medicine’s (IOM) 2000 report on medical errors, nursing fatigue has been one focus of research (Cherry & Jacob, 2014). Shift length and its relation to patient safety has been a large part of that research. This is a hot topic …show more content…
Most people, no matter what their prior profession, have worked the eight hour shift. This requires the least amount of adjustment for those entering the field. A shorter shift can allow the older generation to stay in practice longer (Cherry & Jacob, 2014). For those needing childcare, there is more flexibility with this type of schedule. Personal tasks can be completed either before or after work with a more ‘normal’ work week. Many healthcare employers require regular educational sessions to be completed (Stimpfel, Sloane, & Aiken, 2012). It is much harder to find the energy to learn effectively after a twelve hour shift. Management has more flexibility to cover absences and vacations with an eight hour shift. Nurses are usually more rested and alert, so are better able to focus on the tasks at hand and respond to patient needs. This increases productivity and reduces errors. All of this makes a strong argument for the eight hour …show more content…
Nurses who work more than twelve and a half hours have three times the patient care error rate as those that work a shorter shift (Dempsey, 2016). The research on medical errors since the 2000 IOM report has not been favorable. It could be that the number of errors has been severely under reported and not including the near misses. There is even more risk to the nurse. Studies have shown that the last two hours of a twelve shift have a “higher incidence of needle sticks than any other time frame, increasing blood born pathogen contamination risks” (Stimpfel, Sloane, & Aiken, 2012). According to US Army studies, individuals awake for seventeen consecutive hours had the equivalent mental status and response time as someone with a blood alcohol level of 0.05%. By the time they got to twenty-four hours, it was the same as 0.10% blood alcohol level (Vergun, 2015). There are an estimated 100,000 accidents per year attributed to drowsy driving (Stimpfel, Sloane, & Aiken, 2012). The average nurse will stay after her shift fifty-five minutes (Cherry & Jacob, 2014). Depending on commute time and lifestyle, this could put her well over the seventeen hour mark while driving home. This endangers the nurse and the

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