Nursing Work Hours Research Articles

ICU nursing workload analysis of certain general hospital in Kunming City

Objective To decide ICU nursing workload through measuring the nursing work hours of ICU patients so as to provide basis for reasonably allocate ICU nursing human resource. Methods A total of 133 patients treated with ICU in 5 weeks were randomly selected to measure the nursing hours and calculate the actual nursing workload of ICU. Results ①The most time-consuming direct and indirect care items were hemodialysis and the writing of critical patient records.② The operation frequency of nursing programs related to intravenous infusion was higher and time-consuming.③There was no statistically significant difference in the per capita direct nursing hours, per capita indirect nursing hours, and per capita personal activity hours(P>0.05). ④The per capita direct nursing work of the patients in the white class was greater than the night shift.⑤ The direct and indirect nursing hours and individual work hours were in the proportion of 55.25%, 36.46% and 8.29%.⑥ The theoretical bed nursing workers should be in the proportion of 1∶3.3. Conclusions Measuring ICU nursing workload can provide basis for scientifically allocating ICU nursing human resource. Key words: Nursing human resources; Stopwatch measurement; Nursing workload; ICU

Experiences of reduced work hours for nurses and assistant nurses at a surgical department: a qualitative study

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.

Using NSGAII to Solve Bi-objective Bed Allocation Problems

The Bed Allocation Problem (BAP) is NP-complete and always high dimensional. In this paper, a bi-objective decision aiding model based on queuing theory is introduced for allocation of beds in a hospital. The problem is modeled as an M/PH/n queue. The objectives include maximizing the patient admission rate human resources, in particular, maximization of the nursing work hours. The proposed model is solved by using Non-dominated Sorting Genetic Algorithm-II (NSGA-II), which is a very effective algorithm for solving multi-objective optimization problems and finding optimal Pareto front. The paper describes an application of the model, dealing with a public hospital in Iraq. The results related that multi-objective model was presented suitable framework for bed allocation and optimum use.

Impact of states' nurse work hour regulations on overtime practices and work hours among registered nurses.

To examine the degree to which states' work hour regulations for nurses-policies regarding mandatory overtime and consecutive work hours-decrease mandatory overtime practice and hours of work among registered nurses. We analyzed a nationally representative sample of registered nurses from the National Sample Survey of Registered Nurses for years 2004 and 2008. We obtained difference-in-differences estimates of the effect of the nurse work hour policies on the likelihood of working mandatory overtime, working more than 40 hours per week, and working more than 60 hours per week for all staff nurses working in hospitals and nursing homes. The mandatory overtime and consecutive work hour regulations were significantly associated with 3.9 percentage-point decreases in the likelihood of working overtime mandatorily and 11.5 percentage-point decreases in the likelihood of working more than 40 hours per week, respectively. State mandatory overtime and consecutive work hour policies are effective in reducing nurse work hours. The consecutive work hour policy appears to be a better regulatory tool for reducing long work hours for nurses.

Determining workload and size of nursing team in the pediatric emergency department

ABSTRACTObjective:To identify indicators of required nursing workload for pediatric patients care in an emergency department.Methods:This cross-sectional quantitative study was carried out in a pediatric short-stay unit at a public hospital in São Paulo (SP), Brazil. The patient classification system and activity times of nursing care proposed by the Brazilian Federal Nurse Council were applied to all patients admitted over a 1-month period. The instruments were applied by two nurses in populations of 500 and 453 patients, respectively. Nursing workload was calculated in terms of hours and by nurse/patient ratio. Data were analyzed by descriptive statistics, and inter- and intraobserver reliability was assessed by using Kappa coefficient. Confidence intervals were measured to verify differences in numbers of patient among work shifts.Results:The average daily workload was 108.7 hours and the average amount of time spent on nursing care per patient was 7.9 hours. The nurse-patient ratio was 1:2.6.Conclusion:The application of the standardized classification instrument was adequate. It enabled the classification of pediatric patients and the measurement of amount of time needed for nursing care. The average number of nursing work hours per patient met the average time for semi-intensive care established by the Brazilian Federal Nurse Council.

Promoting healthy work hours for nurses

Promoting healthy work hours for nurses

The Longer The Shifts For Hospital Nurses, The Higher The Levels Of Burnout And Patient Dissatisfaction

Extended work shifts of twelve hours or longer are common and even popular with hospital staff nurses, but little is known about how such extended hours affect the care that patients receive or the well-being of nurses. Survey data from nurses in four states showed that more than 80 percent of the nurses were satisfied with scheduling practices at their hospital. However, as the proportion of hospital nurses working shifts of more than thirteen hours increased, patients' dissatisfaction with care increased. Furthermore, nurses working shifts of ten hours or longer were up to two and a half times more likely than nurses working shorter shifts to experience burnout and job dissatisfaction and to intend to leave the job. Extended shifts undermine nurses' well-being, may result in expensive job turnover, and can negatively affect patient care. Policies regulating work hours for nurses, similar to those set for resident physicians, may be warranted. Nursing leaders should also encourage workplace cultures that respect nurses' days off and vacation time, promote nurses' prompt departure at the end of a shift, and allow nurses to refuse to work overtime without retribution.

Long Work Hours for Nurses

Log in or Register Subscribe to journalSubscribe Get new issue alertsGet alerts Enter your Email address: Wolters Kluwer Health may email you for journal alerts and information, but is committed to maintaining your privacy and will not share your personal information without your express consent. For more information, please refer to our Privacy Policy. Subscribe to eTOC Secondary Logo Journal Logo All Articles Images Videos Podcasts Blogs Advanced Search Toggle navigation Subscribe Register Login Articles & Issues Current IssueArchivesePub Ahead-of-Print Collections Acute/Critical CareContinuing EducationCOVID-19 Disaster and Emergency PreparednessEnvironmental Health and IssuesEthics Evidence-Based Practice, Step by StepFamily CaregiversFocus on DEIGeriatric NursingHolistic NursingIn The CommunityInfectious DiseaseInternational TopicsLegal ClinicMental HealthNurse WellbeingNursing Research, Step By StepNursing ResourcesPalliative CarePatient SafetyPolicy and PoliticsProfessional Development, Leadership and ScholarshipProfessional Partners Supporting Diverse Family Caregivers Across SettingsQI: Quality ImprovementResearchSocial Media and Information TechnologySpecial SupplementsStrip SavvySupporting Family Caregivers: No Longer Home AloneSystematic Reviews Step by StepTeaching For PracticeTransforming Care at the Bedside (TCAB)Uniforms (Nursing)Uniting States, Sharing StrategiesWomen's HealthWriting Resources Videos Videos WebinarsFor Authors Call for ManuscriptsSubmit a ManuscriptInformation for AuthorsLanguage Editing ServicesAuthor PermissionsOpen AccessLippincott® Preprints Journal Info About the JournalAdvertising and BusinessAward WinnersBook of the Year AwardsContact InfoEditorial BoardInformation for FacultyInformation for MediaInformation for Peer ReviewersLetters to the EditorNurse Faculty Scholars / AJN Mentored Writing AwardReprintsRights and PermissionsSubscription ServicesNurses: Submit Your Photos! All Articles Images Videos Podcasts Blogs Advanced Search