An increasingly popular trend within the nursing profession consists of rotating shift work. Hospital nursing requires nursing presence twenty-four hours a day, seven days a week. A rotating schedule features a combination of both day and night shifts (eight or twelve hour shifts). Nurses will often switch between the two schedules within a pay period instead of working straight days or nights. The purpose of this literature review poses to answer the following question: What is the impact on the health status of registered nurses who work rotating shifts compared with those who work one consistent shift? First, a theoretical discussion will cover the General Adaptation Syndrome theory developed by Hans Selye and the application to the articles …show more content…
This literature review was conducted to determine the impact on the health status of registered nurses who work rotating shifts compared to those who work one consistent shift. Hans Selye’s General Adaptation Syndrome theory identified three stages of a stress response: alarm, resistance, and exhaustion. Rotating shift work is an impactful stressor on the human body, and the nurses who follow these fluctuating schedules endure Selye’s three stages of responding to stress. The four articles that were reviewed exposed similar themes regarding the effects of rotating shift work. Poor sleep quality, chronic fatigue, illness, biochemical changes, and safety concerns are all consequences of the harsh nature of rotating shift work. It has been suggested that recovery time be allotted to allow nurses to recuperate between the changing of shifts. Nursing care has been and will continue to be an around the clock necessity. It is vital to prioritize the physical and mental well being of nurses so they may provide the highest quality of safe patient care
Inadequate rest which results in fatigue has major implications on the health and safety of registered nurses and can compromise patient care. Nurses often work three to four 12 hour shift a week without taking any breaks while on duty. They often have difficult workloads and challenges which can take a toll and impact patient care. I will be taking a look at nurse fatigue and the impact it has on the nurse’s wellbeing, work, and patient care.
A considerable amount of literature has been published on the impact of working hours (8 vs. 12 hour shifts) on fatigue among the nurses. These studies revealed that twelve-hour shifts increase the risk of fatigue, reduce the level of alertness and performance, and therefore reduce the safety aspect compared to eight-hour shifts (Mitchell and Williamson, 1997; Dorrian et al., 2006; Dembe et al., 2009; Tasto et al., 1978). Mills et al. (1982) found that the risk of fatigues and performance errors are associated with the 12-hour shifts. Beside this, Jostone et al. (2002) revealed that nurses who are working for long hours are providing hasty performance with increased possibility of errors.
Harrington, J. M. (2001). Health Effects of Shift Work and Extended Hours of Work. OEM Education. Retrieved on December 3, 2013, from http://oem.bmj.com/content/58/1/68.full. doi: 10.1136.oem.58.1.68
...hological preparation. After a nurse is done working their regular shift being forced to work overtime can out them a greater right of medical mistake in part due to fatigue and tiredness consequently putting the patient at high risk of complications.
Witkoski Stimpfel, Amy , Douglas M. Sloane, and Linda H. Aiken. "The Loger the shifts for hosital nurses, the higher the levels of burnout and patient disstisfaction." Health Affairs 31.11 (2012): 2501-2509. Proquest. Web. 11 Mar. 2014.
Thus, this opportunity to work during the nighttime has been intertwined with some aspects of our society and allowed it to be somewhat acceptable to certain individuals. Additionally, it has become part of the society we live in, and inevitably unavoidable in certain circumstances. Unfortunately however, these working and traveling routines cause a disruption to the natural sleep-wakefulness cycle, and inevitably expose human beings to light at unordinary biologic times, which produce an outcome such that eating patterns, and social interactions with family and acquaintances are modified. Furthermore, the health impact of shift work has raised many concerns amongst individuals since it has been observed and studied that it gives rise to long-term health issues. In many studies conducted, both long and short-term, revealed that unfavorable alterations have been reported in lipid and carbohydrate metabolism, and in insulin resistance, growth hormone and corticosteroid secretion patterns (blood concentrations). On an epidemiologic basis, hypertension, left ventricle hypertrophy, coronary heart disease, and myocardial infraction have been found to be more frequent and critical amongst individuals who work during the
What do Michael Phelps, Abraham Lincoln, Mary Queen of Scots, & Tutankhamen all have in common? Although these may seem like completely unrelated names, these are all people suspected of having Marfan’s Syndrome, a genetic mutation obtained through heredity. How does DNA (Deoxyribonucleic Acid) and its complex (structure) relate to inheritance of traits in organisms—especially in humans? DNA is inherited from ones biological parents, and is the basis of heredity. It contains the code for all of our attributes, including how they will form. DNA is composed of four different chemicals, otherwise knows as nucleotide bases—A, T, C, & G. DNA is found in chromosomes—and each offspring receives one chromosome from their mother and father (each). In DNA, there are genes— specific sequences that carry hereditary information and control he expression of this hereditary traits. Heredity is the expression of characteristics obtained form ancestor to descendant through the transmission of genes. Inconsistencies can occur in these genes, however. Environmental & hereditary agents cause changes in ...
In the recent past, nursing has come to the forefront as a popular career amongst students across the globe. The demand for nurses has kept increasing gradually over the years. In fact, the number of registered nurses does not meet the demand of the private and public health sector. This phenomenon has resulted in a situation where the available registered nurses have to work extra hours in order to meet the patients’ needs. With this in mind, the issue of nurse fatigue has come up as a common problem in nursing. According to the Canadian Nurses Association (CNA), nurse fatigue is “a feeling of tiredness” that penetrates a persons physical, mental and emotional realms limiting their ability to function normally. Fatigue does not just involve sleepiness as has been assumed before. It involves utter exhaustion that is not easily mitigated through rest. When nurses ignore the signs of fatigue, they risk the development of chronic fatigue and other health problems that may not be easily treated. Additionally, fatigue may cause nurses to lose more time at work as they may have to be away from work for several days to treat it. The issue of nurse fatigue has permeated the nursing profession to the extent of causing errors in the work performed by nurses. Fatigue causes a decrease in a nurse’s ability to make accurate decisions for themselves and their patients. It is therefore important to find ways to curb nurse fatigue such that it is no longer a problem. Nurse fatigue is a danger to the patients, organizations and to the nurses themselves and must be mitigated adequately.
Guo, Yanjun. Et al. “The Effects Of Shift Work On Sleeping Quality, Hypertension And Diabetes In Retired Workers.” Plos ONE 8.8 (2013): 1-6. Academic Search Premier. Web. 19 Feb. 2014.
“Can I consume even a miniscule amount of alcohol?” a common, yet preposterous question asked by numerous pregnant women. The common answer given by doctors is yes, you may. Many women don’t know, but according to nofas.org, women who drink as little as two glasses of wine per day can adversely affect their offspring’s effectiveness at school. According to the Institute of Medicine 1996, “Of all the substances of abuse (including heroin, cocaine,and marijuana), alcohol by far produces the most neurobehavioral effects in the fetus”. Fetal alcohol syndrome is a possible outcome of drinking while pregnant. This horrid disease can cause aberrant facial characteristics, growth deficits, brain damage that results in mental retardation, hyperactivity,
Factors such as, heavy workloads, stress, job dissatisfaction, frequent medical errors, and intention of leaving the job are all common for nurses to experience, especially during the nursing shortage crisis. Not only do the nurses suffer during a shortage, but the patients ' health outcomes suffer even more. For instance, there are higher rates of infectious diseases and adverse patient outcomes, such as urinary tract infections (UTIs), upper gastrointestinal bleeding, shock, pneumonia, prolonged hospital stays, failure to rescue, and mortality. As a result, this leads to higher re-admission rates for patients. Furthermore, high patient-to-nurse ratios cause heavy workloads due to an inadequate supply of nurses, an increased demand for nurses, a reduction in staffing and an increase in overtime, and a shortened length of stay for patients. Without the heavy workloads that nurses have to endure on a daily basis, there would more time for nurses to communicate more effectively with physicians, insurance companies, and patients and their families. Those heavy workloads are the result of hospitals reducing the nursing staff and implementing mandatory overtime policies just to meet unexpectedly high demands. Unfortunately, the nursing shortage has affected nurses ' mental and physical health. For example, the most common health concerns for nurses include cardiovascular health, occupational injuries and illnesses, and emotional and physical exhaustion. Therefore, safe-staffing ratios/levels have to become the main
Notably, having higher proportions of nurses working shorter shifts—8–9 hours or 10–11 hours—resulted in decreases in patient dissatisfaction” (Stimpfel et al.). This is essentially saying that the longer the shift length, the more negative outcomes result. This study proves that eight to nine-hour shifts are more effective, and should, in turn, be worked more than longer shifts. This is a problem because hospitals are likely to continue to schedule nurses for twelve hours shifts out of
Working in a fast-paced environment and being on their feet can really take a toll on a person. In addition they have to be prepared for anything to happen during their shift. A study of overworked and stressed nurses found that nurses are overworked suffered from physical sickness like type two diabetes (Stress and overworked 2006). For most nurses, their work week consists of more than sixty hours. Working that many hours can double their chances of sicknesses. When they compare the working week hours of nurses who worked the normal 21 to 40 hours with those that work more than 40 or 60 hours a week, they found that in comparison the ones who worked 40 hours or more a week increased the risk by almost 50 percent for type 2 diabetes (Stress and overwork 2006). If nurses were to work their normal work hours without mandatory overtime, then their health would improve.
Lippincott , Williams, & Wilkins, (2012). Sentinel event alert spotlights nurse fatigue. Clinical Rounds, 42(3), 27-29. doi: 10.1097/01.NURSE.0000411416.14033.f5
Nadeem, B. (2013). RCN poll finds half of nurses unwell due to work pressures. Nursing