Abstract
BackgroundThere is a shortage of registered nurses in the European Union (EU), and job dissatisfaction and perceived high work–family conflict have been identified as causes of nursing staff turnover. Reducing work hours is an organisational intervention that could have a positive effect on nurses’ and assistant nurses’ job satisfaction, work–life balance, and willingness to stay in the job. An orthopaedic surgery department at a large hospital in Sweden introduced reduced work hours for nurses and assistant nurses in order to improve the working situation. The aim of the study was to investigate the experiences of reduced work hours and no lunch breaks among nurses and assistant nurses at an orthopaedic surgery department at a hospital in Sweden, with a particular focus on recovery and psychosocial working environment.MethodsA qualitative design was used in the study. Eleven nurses and assistant nurses working at the particular orthopaedic department took part in the study, and semi-structured interviews were used to collect data. The interviews were analysed by interpretative phenomenological analysis.ResultsFour main themes were developed in the analysis of the data: A more sustainable working situation, Improved work–life balance, Consequences of being part of a project, and Improved quality of care. Each theme consisted of subthemes.ConclusionsOverall, reduced work hours appeared to have many, mainly positive, effects for the participants in both work and home life.
Highlights
There is a shortage of registered nurses in the European Union (EU), and job dissatisfaction and perceived high work–family conflict have been identified as causes of nursing staff turnover
The aim of this study was to investigate the experiences of reduced work hours and no lunch breaks among a group of nurses and assistant nurses, with a particular focus on recovery and psychosocial working environment
The aim of the study was to investigate the experiences of shortened work hours and no lunch breaks in a group of nurses and assistant nurses, with a particular focus on recovery and psychosocial working environment
Summary
There is a shortage of registered nurses in the European Union (EU), and job dissatisfaction and perceived high work–family conflict have been identified as causes of nursing staff turnover. A large-scale study on work shifts for European nurses found that long work hours had a negative impact on fatigue, health and patient safety [4]. It was found that reduced working hours had a positive effect on several health measures, including restorative sleep, sleep quality (on weekends), stress, memory difficulties, Gyllensten et al BMC Nursing (2017) 16:16 negative emotions, sleepiness, and fatigue and exhaustion (on both workdays and weekends). It was found that the group with shortened work hours had improved scores on social factors (time for family, friends, and social activities), sleep quality, mental fatigue, heart/respiratory complaints, and attitude to work hours, whereas the control group did not show changes during the period of the study [8]. Subjective health and job satisfaction do, appear to be improved [11]
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