Day Shift Vs. Night Nurses

With regard to sleepiness, several studies indicated that the average of sleep duration in 1910 to 2002 have decreased from 9 to 6 hours on workdays (National sleep foundation, 2002; Groger et al., 2004). Recently, a survey study of Roger et al. (2004) shows that an American Nurses have an average of 84 minutes more sleep on non workdays. Thus, shift work suggested as a cause of sleeping disorder among nurses where they feel of sleep during the shift. Considering the contributing factors of sleepiness, the literature identified that long working hours and rotating shifts are causing sleeping disorder. In the night and rotating shifts, the nurses are rarely obtained adequate amount of sleep. In fact, the nurses experiencing less sleeping hours (1 to 4 hour) than normal sleeping (Zeisler et al.,1980). Nevertheless, insufficient sleep is a significant reason of damaging planning, decision-making, and integration of information (Krueger, 1994; Harrison and Horne, 2000). More recent studies have revealed that long hour shifts and overtime are strongly linked to the difficulties of being a wake through the shift which leads to increase the risk of making an error (Scott et al., 2006; Roger et al., 2004).

Moreover, comparing the effect of the two shift systems (12 vs. 8 hour shifts) on patient’s safety are also evaluated by several studies. Beside the effect on fatigue, Todd et al. (1989) and Reid et al. (1993) concluded that there is a variety of results with the effect of 12-hour shifts on quality of care, in which they found that in the later part of the day there was less direct patient’s care that has an influence on the quality of nursing care. Reid et al. (1993) added that the reason of declined the direct patient’s care was found with the increase number of the unofficial breaks during the shift. This finding draws our attention to the importance of having adequate break time for the staff. However, in my

West, Ahern, Byrnes and Kwanten (2007) indicate that the new graduate nurses may have not worked full-time in the past; given that graduate nurses begin their career with a full-time job can lead to exhaustion. It was discovered that shift work leads to desynchronisation of physiologically determined circadian rhythms which has a major psychobiology effect and it is commonly perceived the effects of shift work contribute to graduate nurses attrition rate. The NGNs often have a high level of stress due to disturbed sleeping patterns, as they find to adaption to shift work or rotating work hours difficult. Eventually, it leads to feelings of lack of job satisfaction, exhaustion and spending of less time with their friends and family, which can eventually could lead to burnout (West et al., 2007).

Moreover, most shifts run into each other with day shifts extending into the night and night shifts extending into the day. This means that their circadian rhythms are distorted. Extended shift work for nurses eventually lead to them finding it difficult to adapt to normal life or any activities outside work.

It is problematic that healthcare professions work rotating shifts because this impedes on the ability of the human body to function properly. Rotating shifts means that everyday their shifts are at different times and different lengths of time. The human body needs to be in line with the environment and when the sun is up the body naturally is awake and alert and during night time the body goes dormant to sleep, this is called circadian rhythm. The body has a circadian clock and when this is disrupted this can lead to depression and anxiety. This can lead to exhaustion and irritation that can cause someone to make mistakes. This can also lead to sleep debt and cause insomnia that can affect the mental alertness. Sleep allows the body to fight

Health care professionals are need all day long that’s why this in this profession people world rotating shifts. Those shifts are usually 6-14, 14-22 and 22-6 am. So we are seeing 3 different patterns in rotating shift which means that we are also seeing 3 rotating on sleeping patterns.

Throughout the years there has been more attention directed towards healthcare worker fatigue. More specifically, fatigue associated among night-shift nurses. The Joint Commission has found that lack of sleep from night shifts has contributed to increased errors, leading to poor patient outcomes (Gardner, Dubeck, 2016).

New nurses often get the night shifts and it can be a very different change for them. If nurses were informed about these statistics, it could potentially reduce the risk of errors made because they know they need to get adequate hours of

In an ideal world, nurses’ hours would be limited in order for them to provide quality care for their patients. However, how can nurses provide patient satisfaction when they are clearly not able to care for themselves first? In comparison to other professions that have recognized and addressed the issue of fatigue from working long hours and the employee’s safety, although, the working hours of those in nursing profession has yet to be revised.

This learner can recommends that it will be up to the nurses to be willing to make substantial changes in their behavior. Managers may be urged to consider altering the starting times of shifts whenever possible to make schedules more compatible with circadian rhythms. Avoid scheduling employees to work more than two or three consecutive night shifts and to providing adequate recovery time between shifts, especially when between night and day shifts. Hours of service regulations, where applicable, should also be considered in the development of a fatigue management program.

On a typical day, during the morning time, nurses speak with previous nurse from night shift and review outpatient records to see how many patients they have. Look over patient test, make schedule for doctor. During the mid day, lunch but could be interrupted by immediate medical emergency. Afternoon, check emails also continue to see patients and check ICU procedures. Registered Nursing will grow and will change in the future. Different settings, telehealth technology for people who can’t make appointments in person. Increase a leadership opportunities, being called to meet the growing health care needs of the patients and organization job titles clinical nurse leader, nurse manager, nurse exclusive, and administration. Shifting Demographics, fairly uniform along racial and gender line, now its changing(Nurse

Overview of the Nurses Bedside Shift Report strategy The goal of the nurse Bed site shift report strategy is to help ensure the safe handoff care between nurses by involving the patient and family .The patient defines who their family is and who can take patient who their family who can take part in bedside shift report who can take part in bedside shift report. Hospital train nurse on how to conduct bedside shift report on the day of admission, the bedside the bedside nurse or another hospital staff briefly explain the process, invites the patient and family to be part of the bedside shift and family to be part of the bedside shift , and give the brochure on bedside shift report to the patient. At each

The author of this journal was asked a very serious and relatable question to many nurses, “You just completed a 12 hour night shift and the day staffing ratio went from 6:1 to 14:1, what will you do in reference to staying or going and why?” Regardless if a nurse is fatigued or a unit is short staffed, there are many issues that may occur in the workplace that could jeopardize the quality of care for a patient. That said, this journal will primarily be focusing on patient safety. Factors that are detrimental to patient safety, while maintaining relevance to the asked question, are sleep deprivation and inadequate staffing of nurses.

Patients in a hospital and/or healthcare facilities have to be cared for all day and all night, everyday of the week by nurses. The usual way to fulfill this need is to divide up the day into three 8-hour shifts. Different shifts have been put into place to help improve nurse satisfaction, decrease the nursing shortage and save the hospital money. The 24-hour day is made up of two 12-hour shifts; 12 hours in the day and 12 hours at night. There has been quite an ongoing debate over the years regarding this issue of nurses working over 8 hours in a single day. Many people, such as hospital nursing administrators, have reason to believe that working long hour shifts causes more errors in

Limited attention has been paid to the hours worked by nurses, or the effects of these hours on patient safety (Rogers, 2008). Even though most nurses favor 12- hour shifts and overtime, it is associated with difficulties staying awake during times of duty, reduced sleep times, and triple the risk of making an error (Rogers, 2008). The most significant risk of making an error occurred when nurses were scheduled to work 12.5 hours or more.