Nursing Burnout and Shift Length

Introduction

The clinical nursing practice issue selected was nursing burnout and shift length. Based on experiences of individual practice it is important to find out how extended hours affect care of patients and the overall performance of the registered nurse due to burnout. This is because most nurses based on my experience working at the critical care ward often complain about the scheduling practices as the hospital. The other challenging aspect is that one can find nurses who are willing to work for even more than the recommended 12 hour shift. Unfortunately these nurses would also result to cases of patient dissatisfaction. Also nurses that work up to 10 hour shifts or longer often experience job dissatisfaction and burnout than nurses who work for 8 hours (Dall’Ora et al., 2020).  The main motivation however is the extra hour’s allowances, shortages of staff and irregular deployment to wards and nurse to nurse shift agreements.  In most cases it is difficult to say whether the administration of shifts is responsible for burnout or this could be impacted by other factors. In most cases, extended shifts usually undermine the wellbeing of nurses which can lead to expensive job turnover or impact on the level of patient care (Dall’Ora et al., 2020). This issue is thus important as there is need to review policies related to working hours for nurses just like there are for resident physicians.  It is important to encourage a culture that adheres to days off, promotion to leadership or supervisory roles and vacation time. Other factors such as sleep management, avoidance of nurse to nurse shift scheduling is also a common factor to burnout and should be investigated.

Evidence Based Review

An article search was done using the Walden University library data bases such as NCBI, PubMed, Cochrane and CINAHL to establish the most relevant articles about nursing fatigue and shifts and how this impacted on the clinical practice and patient care.  The keywords included; ‘Burnout’, ‘nursing fatigue’ and ‘nursing shifts’ The articles have been summarized in the following matrix


Matrix Worksheet Template 

 

Evidence-Based Project, Part 1: An Introduction to Clinical Inquiry and Part 2: Research Methodologies

 

Full citation of the selected article

Article #1

Article #2

Article #3

Article #4

Dall’Ora, C., Ball, J., Reinius, M., & Griffiths, P. (2020). Burnout in nursing: a theoretical review. Human Resources for Health volume, 18(41). https://doi.org/10.1186/s12960-020-00469-9

Hunsaker, S., Hsiu-Chin Chen, H., Maughan, D., & Heaston, S. (2015). Factors that influence the development of compassion fatigue, burnout, and compassion satisfaction in emergency department nurse. Nurse Scholarship, 47(2), and 186-94. https://doi.org/10.1111/jnu.12122

Son, Y., Lee, E., & Ko, Y. (2019). Association of Working Hours and Patient Safety Competencies with Adverse Nurse Outcomes: A Cross-Sectional Study. Int Journal Environment Res Public Health, 16(21), 4083. https://doi.org/10.3390/ijerph16214083

Hwang, J. (2015). What are hospital nurses' strengths and weaknesses in patient safety competence? Findings from three Korean hospitals. International Journal for Quality care: Journal of International Society for quality in Healthcare, 27(3), 232-8. https://doi.org/10.1093/intqhc/mzv027

Why you chose this article and/or how it relates to the clinical issue of interest (include a brief explanation of the ethics of research related to your clinical issue of interest)

Article was chosen because there is a lot of impact related to burnout when the nurses moves from an 8 hour shift to a longer shift of 10 -12 hours, which affects delivery of care, will contribute to burnout and negligence.  The ethical aspect of the article is that the study main concentrated on practicing nurses for which patient confidentiality is observed

Article is chosen it assesses the prevalence of burnout and factors leading to it where it is important to find out whether shift allocations has to do with it. Ethical aspects have were considered in the study where issue of confidentiality was important especially in regard to discussing patient care.

Article is important as it looks at the environmental factors related to the performance of nurses. The article is important as it explores other factors apart from shift which could impact on burnout rates in healthcare.  Ethical aspects if the study is that it demystifies factors associated with burnout which may not only be based on shift schedules. 

Article is important as it looks factors impacting nursing competencies of which shift scheduling is a factor. Ethical aspect of the study is that it does not involve patient subjects in the study. 

Brief description of the aims of the research of each peer-reviewed article

The article aims at providing a summary or studies looking at the relationships between burnout and other variables   to determine the main cause of burnout and consequences. 

Article aims at demystifying issues related to burnout and patient care. 

Article aims at looking at the association between the working hours of hospital nurses and competencies in regard to patient safety and outcomes. 

The aim of the article is examining the hospital nurse safety competence and how this is related to safe working environment. 

Brief description of the research methodology used Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.

Qualitative method was used. 

Quantitative study was used 

Quantitative study was used in the article

Quantitative methodology was used. 

A brief description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected.

The advantages of this is that it allows for further updated information regarding the topic. Article is reliable since it makes use of evidence based information. 

The strength is important as it increases reliability of the study.

The strength is important as it increases reliability of the study with the use of primary sources.

The strengths of this methodology is that the study was able to reach out to huge number of nurses in different practice environment. Which makes information reliable. 

General Notes/Comments

Article relates to the clinical practice issue

Article relates to the clinical practice issue

Article relates to the clinical practice issue

Article relates to the clinical practice issue


References

 

Dall’Ora, C., Ball, J., Reinius, M., & Griffiths, P. (2020). Burnout in nursing: a theoretical review. Human Resources for Health volume, 18(41). https://doi.org/10.1186/s12960-020-00469-9

Hunsaker, S., Hsiu-Chin Chen, H., Maughan, D., & Heaston, S. (2015). Factors that influence the development of compassion fatigue, burnout, and compassion satisfaction in emergency department nurse. Nurse Scholarship, 47(2), and 186-94. https://doi.org/10.1111/jnu.12122

Hwang, J. (2015). What are hospital nurses' strengths and weaknesses in patient safety competence? Findings from three Korean hospitals. International Journal for Quality care: Journal of International Society for quality in Healthcare, 27(3), 232-8. https://doi.org/10.1093/intqhc/mzv027

Son, Y., Lee, E., & Ko, Y. (2019). Association of Working Hours and Patient Safety Competencies with Adverse Nurse Outcomes: A Cross-Sectional Study. Int Journal Environment Res Public Health, 16(21), 4083. https://doi.org/10.3390/ijerph16214083

 

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