Lifestyle Impacts of Extended Nursing Shifts Among Nurses: A Study in Tertiary Care Hospitals in Karachi, Pakistan
Lifestyle Impacts of Extended Nursing Shifts
DOI:
https://doi.org/10.54393/pjhs.v4i10.1054Keywords:
Lifestyle Impacts, Non communicable diseses, Extended Nursing shift, Nurse health, Workplace riskAbstract
A significant concern in healthcare settings is extended hours' effect on nurses' health. Objective: This study aims to explore the lifestyle impacts of extended nursing shifts among nurses at tertiary care hospitals in Karachi, Pakistan. Methods: This cross-sectional study was conducted in three tertiary care hospitals in Karachi, Pakistan, among 100 nurses. Results: Study findings reveal that majority, 87%, believe it hinders decision-making, while 88% see sleep deficits and 88% note time constraints for exercise. Communication quality is a concern for 76%. 78% see knowledge transfer issues when nurses hand over responsibilities, and 58% think religious activities are impacted. Opinions vary on patient care quality (50% positive). Stress levels concern 80%, social lives are disrupted for 91%, and physical health effects concern 93%. Additional worries include inadequate diet (39%), nurses working long shifts are exhausted (91%), child care neglect (89%), altered eliminatory patterns (84%), life expectancy (32%), memory problems (69%), hormonal disruptions (76%), workplace conflicts (88%), and infection risk (88%). Finally, 76% perceive high absenteeism. Conclusions: The findings underscore significant concerns about the negative impact of long working hours on nurses' health and performance. To address these issues, it is recommended that healthcare institutions prioritize implementing structured shift rotations and providing adequate breaks to mitigate the adverse effects of extended shifts on nurses' wellbeing and patient care quality.
References
Phiri LP, Draper CE, Lambert EV, Kolbe-Alexander TL. Nurses’ lifestyle behaviours, health priorities and barriers to living a healthy lifestyle: a qualitative descriptive study. BMC nursing. 2014 Dec; 13(1): 1-1. doi: 10.1186/s12912-014-0038-6. DOI: https://doi.org/10.1186/s12912-014-0038-6
Samaha E, Lal S, Samaha N, Wyndham J. Psychological, lifestyle and coping contributors to chronic fatigue in shift‐worker nurses. Journal of advanced nursing. 2007 Aug; 59(3): 221-32. doi: 10.1111/j.1365-2648.2007.04338.x. DOI: https://doi.org/10.1111/j.1365-2648.2007.04338.x
Dall’Ora C, Griffiths P, Redfern O, Recio-Saucedo A, Meredith P, Ball J. Nurses’ 12-hour shifts and missed or delayed vital signs observations on hospital wards: retrospective observational study. BMJ Open. 2019 Jan; 9(1): 024778. doi: 10.1136/bmjopen-2018-024778. DOI: https://doi.org/10.1136/bmjopen-2018-024778
Banakhar M. The impact of 12-hour shifts on nurses’ health, wellbeing, and job satisfaction: A systematic review. Journal of Nursing Education and Practice. 2017; 7(11): 69-83. doi: 10.5430/jnep.v7n11p69. DOI: https://doi.org/10.5430/jnep.v7n11p69
Olds DM and Clarke SP. The effect of work hours on adverse events and errors in health care. Journal of Safety Research. 2010 Apr; 41(2): 153-62. doi: 10.1016/j.jsr.2010.02.002. DOI: https://doi.org/10.1016/j.jsr.2010.02.002
Singh M, Drake CL, Roehrs T, Hudgel DW, Roth, Thomas. The association between obesity and short sleep duration: a population-based study. Journal of Clinical Sleep Medicine. 2005 Oct; 1(04): 357-63. doi: 10.5664/jcsm.26361. DOI: https://doi.org/10.5664/jcsm.26361
Battle C and Temblett P. 12-Hour nursing shifts in critical care: A service evaluation. Journal of the Intensive Care Society. 2018 Aug; 19(3): 214-8. doi: 10.1177/1751143717748094. DOI: https://doi.org/10.1177/1751143717748094
Winwood P, Winefield A, Dawson D, Lushington K. Development and validation of a scale to measure work-related fatigue and recovery: the Occupational Fatigue Exhaustion/Recovery Scale (OFER). Journal of Occupational And Environmental Medicine. 2005 Jan: 594-606. doi: 10.1097/01.jom.0000161740.71049.c4. DOI: https://doi.org/10.1097/01.jom.0000161740.71049.c4
Fletcher KE, Davis SQ, Underwood W, Mangrulkar RS, McMahon Jr LF, Saint S. Systematic review: effects of resident work hours on patient safety. Annals of Internal Medicine. 2004 Dec; 141(11): 851-7. doi: 10.7326/0003-4819-141-11-200412070-00009. DOI: https://doi.org/10.7326/0003-4819-141-11-200412070-00009
Smith L, Folkard S, Tucker P, Macdonald I. Work shift duration: a review comparing eight hour and 12 hour shift systems. Occupational and Environmental Medicine. 1998 Apr; 55(4): 217-29. doi: 10.1136/oem.55.4.217. DOI: https://doi.org/10.1136/oem.55.4.217
Geiger-Brown J and Lipscomb J. The health care work environment and adverse health and safety consequences for nurses. Annual Review Of Nursing Research. 2010 Dec; 28(1): 191-231. doi: 10.1891/0739-6686.28.191. DOI: https://doi.org/10.1891/0739-6686.28.191
Stimpfel AW, Sloane DM, Aiken LH. The longer the shifts for hospital nurses, the higher the levels of burnout and patient dissatisfaction. Health Affairs. 2012 Nov; 31(11): 2501-9. doi: 10.1377/hlthaff.2011.1377. DOI: https://doi.org/10.1377/hlthaff.2011.1377
Rajan D. Negative impacts of long working hours: A comparative study among nurses. MOJ Applied Bionics and Biomechanics. 2017; 1(2): 60-7. doi: 10.15406/mojabb.2017.01.00010. DOI: https://doi.org/10.15406/mojabb.2017.01.00010
Caruso CC. Negative impacts of shiftwork and long work hours. Rehabilitation nursing. 2014 Jan; 39(1):16-25. doi: 10.1002/rnj.107. DOI: https://doi.org/10.1002/rnj.107
Son Y-J, Lee EK, Ko Y. Association of Working Hours and Patient Safety Competencies with Adverse Nurse Outcomes: A Cross-Sectional Study. International Journal of Environmental Research and Public Health. 2019 Nov; 16(21): 4083. doi: 10.3390/ijerph16214083. DOI: https://doi.org/10.3390/ijerph16214083
Geiger-Brown J, Trinkoff A, Rogers VE. The Impact of Work Schedules, Home, and Work Demands on Self-Reported Sleep in Registered Nurses. Journal of Occupational and Environmental Medicine. 2011 Mar; 53(3):303-7. doi: 10.1097/JOM.0b013e31820c3f87. DOI: https://doi.org/10.1097/JOM.0b013e31820c3f87
Larson E, Sharma J, Bohren MA, Tunçalp Ö. When the patient is the expert: measuring patient experience and satisfaction with care. Bulletin of The World Health Organization. 2019 Aug; 97(8): 563-9. doi: 10.2471/BLT.18.225201. DOI: https://doi.org/10.2471/BLT.18.225201
Skaal L and Pengpid S. Obesity and health problems among South African healthcare workers: do healthcare workers take care of themselves? South African Family Practice. 2011 Nov; 53(6): 563-7. doi: 10.1080/20786204.2011.10874153. DOI: https://doi.org/10.1080/20786204.2011.10874153
De Bacquer D, Van Risseghem M, Clays E, Kittel F, De Backer G, Braeckman L. Rotating shift work and the metabolic syndrome: a prospective study. International Journal of Epidemiology. 2009 Jun; 38(3): 848-54. doi: 10.1093/ije/dyn360. DOI: https://doi.org/10.1093/ije/dyn360
Zhao I, Bogossian F, Song S, Turner C. The association between shift work and unhealthy weight: a cross-sectional analysis from the Nurses and Midwives’e-cohort Study. Journal of Occupational And Environmental Medicine. 2011 Feb; 53(2): 153-8. doi: 10.1097/JOM.0b013e318205e1e8. DOI: https://doi.org/10.1097/JOM.0b013e318205e1e8
Blake H, Malik S, Mo PK, Pisano C. ‘Do as I say, but not as I do’: Are next generation nurses role models for health? Perspectives in Public Health. 2011 Sep; 131(5): 231-9. doi: 10.1177/1757913911402547. DOI: https://doi.org/10.1177/1757913911402547
Blake H and Harrison C. Health behaviours and attitudes towards being role models. British Journal of Nursing. 2013 Jan; 22(2): 86-94. doi: 10.12968/bjon.2013.22.2.86. DOI: https://doi.org/10.12968/bjon.2013.22.2.86
Ball J, Maben J, Murrells T, Day T, Griffiths P. 12-hour shifts: prevalence, views and impact. 2015 Jun. Last cited 30th Oct 2023, Available at: https://www.england.nhs.uk/6cs/wp-content/uploads/sites/25/2015/06/12-hour-shifts-report.pdf.
Russeng SS, Salmah AU, Saleh LM, Achmad H, NR AR. The Influence of Workload, Body Mass Index (BMI), Duration of Work toward Fatigue of Nurses in Dr. M. Haulussy General Hospital Ambon. Systematic Reviews in Pharmacy. 2020 Apr; 11(4): 288-92. doi: 10.31838/srp.2020.4.41. DOI: https://doi.org/10.31838/srp.2020.4.41
Stimpfel AW, Fatehi F, Kovner C. Nurses' sleep, work hours, and patient care quality, and safety. Sleep Health. 2020 Jun; 6(3): 314-20. doi: 10.1016/j.sleh.2019.11.001. DOI: https://doi.org/10.1016/j.sleh.2019.11.001
Saksvik‐Lehouillier I, Bjorvatn B, Hetland H, Sandal GM, Moen BE, Magerøy N, et al., Individual, situational and lifestyle factors related to shift work tolerance among nurses who are new to and experienced in night work. Journal of Advanced Nursing. 2013 May; 69(5): 1136-46. doi: 10.1111/j.1365-2648.2012.06105.x. DOI: https://doi.org/10.1111/j.1365-2648.2012.06105.x
Triantafillou S, Saeb S, Lattie EG, Mohr DC, Kording KP. Relationship Between Sleep Quality and Mood: Ecological Momentary Assessment Study. JMIR Mental Health. 2019 Mar; 6(3): 12613. doi: 10.2196/12613. DOI: https://doi.org/10.2196/12613
Foley D, Ancoli-Israel S, Britz P, Walsh J. Sleep disturbances and chronic disease in older adults: results of the 2003 National Sleep Foundation Sleep in America Survey. Journal of Psychosomatic Research. 2004 May; 56(5): 497-502. doi: 10.1016/j.jpsychores.2004.02.010. DOI: https://doi.org/10.1016/j.jpsychores.2004.02.010
Unaldi Baydin N, Tiryaki Sen H, Kartoglu Gurler S, Dalli B, Harmanci Seren AK. A study on the relationship between nurses’ compulsory citizenship behaviours and job stress. Journal of Nursing Management. 2020 May; 28(4) :851-9. doi: 10.1111/jonm.13009. DOI: https://doi.org/10.1111/jonm.13009
Jacobs AC and Lourens M. Emotional challenges faced by nurses when taking care of children in a private hospital in South Africa. Africa Journal of Nursing and Midwifery. 2016 Jan; 18(2): 196-210. doi: 10.25159/2520-5293/1076. DOI: https://doi.org/10.25159/2520-5293/1076
Babapour A-R, Gahassab-Mozaffari N, Fathnezhad-Kazemi A. Nurses’ job stress and its impact on quality of life and caring behaviors: a cross-sectional study. BMC Nursing. 2022 Dec; 21(1): 75. doi: 10.1186/s12912-022-00852-y. DOI: https://doi.org/10.1186/s12912-022-00852-y
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