Interest in 12-hour nursing shifts has been renewed in response to demands for improved cost-effectiveness in the NHS, but the effects of this shift on the delivery of patient care have been unclear.
This paper describes the results of a repeated-measures study of 10 wards, using activity analysis to describe patterns of care under an 8-hour compared to a 12-hour shift system.
Significant reductions in the amount of direct patient care were found under the 12-hour shift, with corresponding increases in unofficial work-breaks.
It is suggested that these findings, which were consistent over all study wards and throughout the whole 12-hour day, demonstrate a « pacing » effect by nurses who face 12 hours on duty.
Mots-clés Pascal : Infirmier, Homme, Horaire travail, Hôpital, Personnel sanitaire, Rythme travail, Travail posté, Pratique professionnelle, Nursing, Royaume Uni, Europe
Mots-clés Pascal anglais : Nurse, Human, Working time table, Hospital, Health staff, Working rhythm, Shift work, Professional practice, Nursing, United Kingdom, Europe
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 93-0633811
Code Inist : 002B30A05. Création : 199406.