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Cross-sectional examination of the association between shift length and hospital nurses job satisfaction and nurse reported quality measures

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Cross-sectional examination of the association between shift length and hospital nurses job satisfaction and nurse reported quality measures. / Ball, Jane; Day, Tina; Murrells, Trevor; Dall'Ora, Chiara; Rafferty, Anne Marie; Griffiths, Peter; Maben, Jill.

In: BMC nursing, Vol. 16, No. 1, 26, 25.05.2017.

Research output: Contribution to journalArticle

Harvard

Ball, J, Day, T, Murrells, T, Dall'Ora, C, Rafferty, AM, Griffiths, P & Maben, J 2017, 'Cross-sectional examination of the association between shift length and hospital nurses job satisfaction and nurse reported quality measures', BMC nursing, vol. 16, no. 1, 26. https://doi.org/10.1186/s12912-017-0221-7

APA

Ball, J., Day, T., Murrells, T., Dall'Ora, C., Rafferty, A. M., Griffiths, P., & Maben, J. (2017). Cross-sectional examination of the association between shift length and hospital nurses job satisfaction and nurse reported quality measures. BMC nursing, 16(1), [26]. https://doi.org/10.1186/s12912-017-0221-7

Vancouver

Ball J, Day T, Murrells T, Dall'Ora C, Rafferty AM, Griffiths P et al. Cross-sectional examination of the association between shift length and hospital nurses job satisfaction and nurse reported quality measures. BMC nursing. 2017 May 25;16(1). 26. https://doi.org/10.1186/s12912-017-0221-7

Author

Ball, Jane ; Day, Tina ; Murrells, Trevor ; Dall'Ora, Chiara ; Rafferty, Anne Marie ; Griffiths, Peter ; Maben, Jill. / Cross-sectional examination of the association between shift length and hospital nurses job satisfaction and nurse reported quality measures. In: BMC nursing. 2017 ; Vol. 16, No. 1.

Bibtex Download

@article{89cc45ce862a4c95845e2cb47dadf684,
title = "Cross-sectional examination of the association between shift length and hospital nurses job satisfaction and nurse reported quality measures",
abstract = "Background: Twenty-four hour nursing care involves shift work including 12-h shifts. England is unusual in deploying a mix of shift patterns. International evidence on the effects of such shifts is growing. A secondary analysis of data collected in England exploring outcomes with 12-h shifts examined the association between shift length, job satisfaction, scheduling flexibility, care quality, patient safety, and care left undone. Methods: Data were collected from a questionnaire survey of nurses in a sample of English hospitals, conducted as part of the RN4CAST study, an EU 7th Framework funded study. The sample comprised 31 NHS acute hospital Trusts from 401 wards, in 46 acute hospital sites. Descriptive analysis included frequencies, percentages and mean scores by shift length, working beyond contracted hours and day or night shift. Multi-level regression models established statistical associations between shift length and nurse self-reported measures. Results: Seventy-four percent (1898) of nurses worked a day shift and 26{\%} (670) a night shift. Most Trusts had a mixture of shifts lengths. Self-reported quality of care was higher amongst nurses working ≤8 h (15.9{\%}) compared to those working longer hours (20.0 to 21.1{\%}). The odds of poor quality care were 1.64 times higher for nurses working ≥12 h (OR = 1.64, 95{\%} CI 1.18-2.28, p = 0.003). Mean 'care left undone' scores varied by shift length: 3.85 (≤8 h), 3.72 (8.01-10.00 h), 3.80 (10.01-11.99 h) and were highest amongst those working ≥12 h (4.23) (p < 0.001). The rate of care left undone was 1.13 times higher for nurses working ≥12 h (RR = 1.13, 95{\%} CI 1.06-1.20, p < 0.001). Job dissatisfaction was higher the longer the shift length: 42.9{\%} (≥12 h (OR = 1.51, 95{\%} CI 1.17-1.95, p = .001); 35.1{\%} (≤8 h) 45.0{\%} (8.01-10.00 h), 39.5{\%} (10.01-11.99 h). Conclusions: Our findings add to the growing international body of evidence reporting that ≥12 shifts are associated with poor ratings of quality of care and higher rates of care left undone. Future research should focus on how 12-h shifts can be optimised to minimise potential risks.",
keywords = "12 h shift, Care left undone, England, Job satisfaction, Patient safety, Quality of health care, Shift work, Work hours",
author = "Jane Ball and Tina Day and Trevor Murrells and Chiara Dall'Ora and Rafferty, {Anne Marie} and Peter Griffiths and Jill Maben",
year = "2017",
month = "5",
day = "25",
doi = "10.1186/s12912-017-0221-7",
language = "English",
volume = "16",
journal = "BMC nursing",
issn = "1472-6955",
publisher = "BioMed Central",
number = "1",

}

RIS (suitable for import to EndNote) Download

TY - JOUR

T1 - Cross-sectional examination of the association between shift length and hospital nurses job satisfaction and nurse reported quality measures

AU - Ball, Jane

AU - Day, Tina

AU - Murrells, Trevor

AU - Dall'Ora, Chiara

AU - Rafferty, Anne Marie

AU - Griffiths, Peter

AU - Maben, Jill

PY - 2017/5/25

Y1 - 2017/5/25

N2 - Background: Twenty-four hour nursing care involves shift work including 12-h shifts. England is unusual in deploying a mix of shift patterns. International evidence on the effects of such shifts is growing. A secondary analysis of data collected in England exploring outcomes with 12-h shifts examined the association between shift length, job satisfaction, scheduling flexibility, care quality, patient safety, and care left undone. Methods: Data were collected from a questionnaire survey of nurses in a sample of English hospitals, conducted as part of the RN4CAST study, an EU 7th Framework funded study. The sample comprised 31 NHS acute hospital Trusts from 401 wards, in 46 acute hospital sites. Descriptive analysis included frequencies, percentages and mean scores by shift length, working beyond contracted hours and day or night shift. Multi-level regression models established statistical associations between shift length and nurse self-reported measures. Results: Seventy-four percent (1898) of nurses worked a day shift and 26% (670) a night shift. Most Trusts had a mixture of shifts lengths. Self-reported quality of care was higher amongst nurses working ≤8 h (15.9%) compared to those working longer hours (20.0 to 21.1%). The odds of poor quality care were 1.64 times higher for nurses working ≥12 h (OR = 1.64, 95% CI 1.18-2.28, p = 0.003). Mean 'care left undone' scores varied by shift length: 3.85 (≤8 h), 3.72 (8.01-10.00 h), 3.80 (10.01-11.99 h) and were highest amongst those working ≥12 h (4.23) (p < 0.001). The rate of care left undone was 1.13 times higher for nurses working ≥12 h (RR = 1.13, 95% CI 1.06-1.20, p < 0.001). Job dissatisfaction was higher the longer the shift length: 42.9% (≥12 h (OR = 1.51, 95% CI 1.17-1.95, p = .001); 35.1% (≤8 h) 45.0% (8.01-10.00 h), 39.5% (10.01-11.99 h). Conclusions: Our findings add to the growing international body of evidence reporting that ≥12 shifts are associated with poor ratings of quality of care and higher rates of care left undone. Future research should focus on how 12-h shifts can be optimised to minimise potential risks.

AB - Background: Twenty-four hour nursing care involves shift work including 12-h shifts. England is unusual in deploying a mix of shift patterns. International evidence on the effects of such shifts is growing. A secondary analysis of data collected in England exploring outcomes with 12-h shifts examined the association between shift length, job satisfaction, scheduling flexibility, care quality, patient safety, and care left undone. Methods: Data were collected from a questionnaire survey of nurses in a sample of English hospitals, conducted as part of the RN4CAST study, an EU 7th Framework funded study. The sample comprised 31 NHS acute hospital Trusts from 401 wards, in 46 acute hospital sites. Descriptive analysis included frequencies, percentages and mean scores by shift length, working beyond contracted hours and day or night shift. Multi-level regression models established statistical associations between shift length and nurse self-reported measures. Results: Seventy-four percent (1898) of nurses worked a day shift and 26% (670) a night shift. Most Trusts had a mixture of shifts lengths. Self-reported quality of care was higher amongst nurses working ≤8 h (15.9%) compared to those working longer hours (20.0 to 21.1%). The odds of poor quality care were 1.64 times higher for nurses working ≥12 h (OR = 1.64, 95% CI 1.18-2.28, p = 0.003). Mean 'care left undone' scores varied by shift length: 3.85 (≤8 h), 3.72 (8.01-10.00 h), 3.80 (10.01-11.99 h) and were highest amongst those working ≥12 h (4.23) (p < 0.001). The rate of care left undone was 1.13 times higher for nurses working ≥12 h (RR = 1.13, 95% CI 1.06-1.20, p < 0.001). Job dissatisfaction was higher the longer the shift length: 42.9% (≥12 h (OR = 1.51, 95% CI 1.17-1.95, p = .001); 35.1% (≤8 h) 45.0% (8.01-10.00 h), 39.5% (10.01-11.99 h). Conclusions: Our findings add to the growing international body of evidence reporting that ≥12 shifts are associated with poor ratings of quality of care and higher rates of care left undone. Future research should focus on how 12-h shifts can be optimised to minimise potential risks.

KW - 12 h shift

KW - Care left undone

KW - England

KW - Job satisfaction

KW - Patient safety

KW - Quality of health care

KW - Shift work

KW - Work hours

UR - http://www.scopus.com/inward/record.url?scp=85019672036&partnerID=8YFLogxK

U2 - 10.1186/s12912-017-0221-7

DO - 10.1186/s12912-017-0221-7

M3 - Article

AN - SCOPUS:85019672036

VL - 16

JO - BMC nursing

JF - BMC nursing

SN - 1472-6955

IS - 1

M1 - 26

ER -

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