Document Detail


How differing shift lengths relate to quality outcomes in pediatrics.
MedLine Citation:
PMID:  23343725     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The aims of this study were to describe the shift lengths of pediatric nurses and to measure the association of shift length with nurse job outcomes, nurse-reported patient outcomes, and nurse-assessed safety and quality of care in hospitals.
BACKGROUND: Long work hours have been linked with poor patient outcomes in adult patient populations, but little is known about the relationship in pediatric settings.
METHODS: A secondary analysis of cross-sectional nurse survey data was conducted. Our analysis focused on 3710 registered nurses who worked in 342 acute care hospitals that treated children.
RESULTS: Most pediatric nurses worked 12-hour shifts, especially in intensive care settings. Nurses who worked extended shifts of more than 13 hours reported worse job outcomes and lower quality and safety for patients compared with nurses who worked 8-hour shifts.
CONCLUSIONS: Allocating resources to nursing to improve working hours may be a productive strategy for administrators to improve the health and well-being of pediatric patients and nurses.
Authors:
Amy Witkoski Stimpfel; Eileen T Lake; Sharon Barton; Kathleen Chavanu Gorman; Linda H Aiken
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Journal of nursing administration     Volume:  43     ISSN:  1539-0721     ISO Abbreviation:  J Nurs Adm     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-01-24     Completed Date:  2013-03-19     Revised Date:  2014-02-04    
Medline Journal Info:
Nlm Unique ID:  1263116     Medline TA:  J Nurs Adm     Country:  United States    
Other Details:
Languages:  eng     Pagination:  95-100     Citation Subset:  AIM; IM; N    
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MeSH Terms
Descriptor/Qualifier:
Child
Humans
Infant
Infant, Newborn
Intensive Care, Neonatal / organization & administration,  standards
Neonatal Nursing / organization & administration,  standards
Nurseries, Hospital / organization & administration,  standards
Nursing Administration Research
Nursing Staff, Hospital / organization & administration,  standards
Pediatric Nursing / organization & administration*,  standards*
Personnel Staffing and Scheduling / organization & administration*,  standards*
Quality Assurance, Health Care / organization & administration*
Grant Support
ID/Acronym/Agency:
R01 NR004513/NR/NINR NIH HHS; R01-NR-004513/NR/NINR NIH HHS; T32 NR007104/NR/NINR NIH HHS; T32-NR-007104/NR/NINR NIH HHS
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