Journal of Korean Critical Care Nursing (중환자간호학회지)

Korean Society of Critical Care Nursing (한국중환자간호학회)
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Comparison of Shift Satisfaction, Sleep, Fatigue, Quality of Life, and Patient Safety Incidents Between Two-Shift and Three-Shift Intensive Care Unit Nurses

중환자실 간호사의 2교대와 3교대근무 간 근무 만족도, 수면, 피로, 삶의 질과 환자안전사고 비교

  • Received : 2020.01.07
  • Accepted : 2020.03.17
  • Published : 2020.06.30
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Abstract

Purpose : The aim of this study was to compare shift satisfaction, sleep, fatigue, quality of life (QOL), and patient safety incidents between a newly implemented two-shift system and a traditional three-shift system. Methods : A total of 127 intensive care unit nurses (48 two-shift nurses and 79 three-shift nurses) working in a tertiary hospital in Seoul were recruited from January 1, 2017, to March 31, 2017. They completed a self-reported questionnaire about their work hours, shift satisfaction, sleep patterns, sleep quality, fatigue, QOL, and patient safety incidents in the past 2 weeks. Data were analyzed using SPSS version 23.0. Results : The two-shift group showed higher shift satisfaction scores compared with the three-shift group (6.93 vs. 4.37, p<.001). Sleep latency was shorter and sleep quality was better in the two-shift group compared with the three-shift group. There were no significant differences in other sleep parameters, fatigue, QOL, and patient safety incidents between the two groups. Conclusion : Although a two-shift system did not improve nurses' fatigue or QOL in this study, it may effectively serve as an alternative shift-work system that can increase sleep quality and shift satisfaction without increasing patient safety incidents.

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References

  1. Bae, S. H., & Fabry, D. (2014). Assessing the relationships between nurse work hours/overtime and nurse and patient outcomes: Systematic literature review. Nursing outlook, 62(2), 138-156. https://doi.org/10.1016/j.outlook.2013.10.009
  2. Ball, J., Day, T., Murrells, T., Dall'Ora, C., Rafferty, A. M., Griffiths, P., & Maben, J. (2017). Crosssectional examination of the association between shift length and hospital nurses job satisfaction and nurse reported quality measures. BMC Nursing, 16, 26. https://doi.org/10.1186/s12912-017-0221-7
  3. Banakhar, M. (2017). The impact of 12-hour shifts on nurses' health, wellbeing, and job satisfaction: A systematic review. Journal of Nursing Education and Practice, 7(11), 69-83. https://doi.org/10.5430/jnep.v7n11p69
  4. Bastien, C. H., Vallieres, A., & Morin, C. M. (2001). Validation of the Insomnia Severity Index as an outcome measure for insomnia research. Sleep Medicine, 2(4), 297-307. https://doi.org/10.1016/S1389-9457(00)00065-4
  5. Chang, S. J., Koh, S. B., Kang, M. G., Hyun, S. J., Cha, B. S., Park, J. K., . . . Park, J. S. (2005). Correlates of self-rated fatigue in Korean employees. Journal of Preventic Medicine and Public Health, 38(1), 71-81.
  6. Cho, O. M. (2015). Fatigue of nurses, perceptions, and interfering factors of alarm management on clinical alarms in intensive care unit (Unpublished master's thesis). Inha University, Incheon, Korea.
  7. Choi, S. Y. (2010). Comparative analysis of difference in nurses' flexible working system and leisure activity (Unpublished master's thesis). Myongji University, Seoul, Korea.
  8. Costa, G., Anelli, M. M., Castellini, G., Fustinoni, S., & Neri, L. J. C. i. (2014). Stress and sleep in nurses employed in "$3{\times}8$" and "$2{\times}12$" fast rotating shift schedules. Chronobiology International, 31(10), 1169-1178. https://doi.org/10.3109/07420528.2014.957309
  9. Ferguson, S. A., & Dawson, D. (2012). 12-h or 8-h shifts? It depends. Sleep Medicine Reviews, 16(6), 519-528. https://doi.org/10.1016/j.smrv.2011.11.001
  10. Geiger-Brown, J., Rogers, V. E., Trinkoff, A. M., Kane, R. L., Bausell, R. B., & Scharf, S. M. (2012). Sleep, sleepiness, fatigue, and performance of 12-hourshift nurses. Chronobiology International, 29(2), 211-219. https://doi.org/10.3109/07420528.2011.645752
  11. Griffiths, P., Dall'Ora, C., Simon, M., Ball, J., Lindqvist, R., Rafferty, A. M., . . . Aiken, L. H. (2014). Nurses' shift length and overtime working in 12 European countries: The association with perceived quality of care and patient safety. Medical Care, 52(11), 975. https://doi.org/10.1097/MLR.0000000000000233
  12. Harris, R., Sims, S., Parr, J., & Davies, N. (2015). Impact of 12h shift patterns in nursing: A scoping review. International Journal of Nursing Study, 52(2), 605-634. https://doi.org/10.1016/j.ijnurstu.2014.10.014
  13. Im, M. S., & Lee, Y. E. (2016). Factors affecting turnover intention in pediatric nurses. Child Health Nursing Research, 22(1), 37-44. https://doi.org/10.4094/chnr.2016.22.1.37
  14. Kim, M. R. (2011). Concept analysis of patient safety. Journal of Korean Academy of Nursing, 41(1), 1-8. https://doi.org/10.4040/jkan.2011.41.1.1
  15. Lee, H. J. (2018). Covariance structure analysis on the impact of job stress, psychological factors and sleep quality on fatigue symptoms among firefighters. Journal of Digital Contents Society, 19(3), 489-496. https://doi.org/10.9728/dcs.2018.19.3.489
  16. Lee, S. Y., Park, J. S., Han, S. K., & Lee, D. H. (2015). Influence of physical therapist's job-related characteristics on fatigue and gait cycle counting. Neurotherapy, 19(2), 23-28.
  17. Lee, T. S. (2004). Circadian type and fatigue of nurses in general hospital (Unpublished master's thesis). Yonsei University, Seoul, Korea.
  18. Lim, E. Y., Uhm, J. Y., Chang, E. J., Kim, N. Y., Ha, E. J., Lee, S. H., . . . Kim, Y. H. (2014). Impact of 12-hour shifts on job satisfaction, quality of life, hospital incident reporting, and overtime hours in a pediatric intensive. Journal of Korea Academy of Nursing Administration, 20(4), 353-361. https://doi.org/10.11111/jkana.2014.20.4.353
  19. Morin, C. M. (1993). Insomnia: Psychological assessment and management. New York: Guilford Press.
  20. Niu, S. F., Chung, M. H., Chen, C. H., Hegney, D., O'Brien, A., & Chou, K. R. (2011). The effect of shift rotation on employee cortisol profile, sleep quality, fatigue, and attention level: A systematic review. Journal of Nursing Research, 19(1), 68-81. https://doi.org/10.1097/JNR.0b013e31820c1879
  21. Owens, B. (2017). The impact of shift work on nurses' quality of sleep. ABNF Journal, 28(3), 59-63.
  22. Park, Y. M. (2005). Interrelation of living habits and living quality of shift nurses (Unpublished master's thesis). Kyunggi University, Seoul, Korea.
  23. Park, Y. W., Shin, H. K., Lee, H, S., Lee, H. Y., Kim, E. H., Park, J. S., . . . Mun, K. H. (2013). A study for developing the effective working pattern for nurses in shift work purpose: This study was conducted to provide baseline data. Journal of Korean Clinical Nursing Research, 19(3), 333-344. https://doi.org/10.22650/JKCNR.2013.19.3.333
  24. Richardson, A., Turnock, C., Harris, L., Finley, A., & Carson, S. (2007). A study examining the impact of 12-hour shifts on critical care staff. Journal of Nursing Management, 15(8), 838-846. https://doi.org/10.1111/j.1365-2934.2007.00767.x
  25. Schwartz, J. E., Jandorf, L., & Krupp, L. B. (1993). The measurement of fatigue: A new instrument. Journal of Psychosomatic Research, 37(7), 753-762. https://doi.org/10.1016/0022-3999(93)90104-N
  26. Scott, L. D., Rogers, A. E., Hwang, W. T., & Zhang, Y. (2006). Effects of critical care nurses' work hours on vigilance and patients' safety. American Journal of Critical Care, 15(1), 30-37. https://doi.org/10.4037/ajcc2006.15.1.30
  27. Smith-Miller, C. A., Shaw-Kokot, J., Curro, B., & Jones, C. B. (2014). An integrative review: Fatigue among nurses in acute care settings. The Journal of Nursing Administration, 44(9), 487-494. https://doi.org/10.1097/NNA.0000000000000104
  28. Tanaka, K., Takahashi, M., Hiro, H., Kakinuma, M., Tanaka, M., Kamata, N., & Miyaoka, H. (2010). Differences in medical error risk among nurses working two-and three-shift systems at teaching hospitals: A six-month prospective study. Industrial Health, 48(3), 357-364. https://doi.org/10.2486/indhealth.48.357
  29. Yuan, S. C., Chou, M. C., Chen, C. J., Lin, Y. J., Chen, M. C., Liu, H. H., & Kuo, H. W. (2011). Influences of shift work on fatigue among nurses. Journal of Nursing Management, 19(3), 339-345. https://doi.org/10.1111/j.1365-2834.2010.01173.x
  30. Yun, J. Y., Ham, O. K., Cho, I. S., & Lim, J. Y. (2012). Effects of health promoting behaviors and mental health status of shift and non-shift nurses on quality of life. Journal of Korean Public Health Nursing, 26(2), 268-279. https://doi.org/10.5932/JKPHN.2012.26.2.268

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