Night Shift In Nursing Practice Summary

In this study forty five articles were researched and reviewed to discover issues with bedside report at shift change. In some of these articles that were researched throughout this document, confidentiality was looked at. With bedside report nursing there is a concern to keep confidentiality especially with patients in double rooms. It was concluded in another article within this document that nurses were more concerned about the patient’s confidentiality being breached rather than the patient being concerned. Also another positive outcome was patient and nurse interaction. Patients felt with bedside report that their thoughts and concerns were being better

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

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

The patient has the right to every aspect of their care and this includes being involved in the change-of-shift bedside report. The purpose of this study is to identify the benefits of bedside report and its impact on patient safety, satisfaction, and quality of care. The participants of this study were randomly selected and of varying ages. The methodology utilized in this study is a qualitative and quantitative research. The results of the study will determine the benefits of incorporating bedside report into nursing care.

Evidence also supports that bedside shift reporting is financially beneficial for staff nurses and nursing management. The average report time is significantly decreased from an average of 45 minutes to 29 minutes (Gregory, et al., 2014). This reduces overtime and saves hospitals money. Nurses’ satisfaction is improved because they get to end their shift on time. They get to proceed with shift report more quickly, with fewer distractions and in real time (when compared with writing or recording report). Increase in nursing satisfaction reduces turn over and, once again, saves hospitals money (Gregory, et al., 2014).

With growing concern about patient safety and satisfaction, a change in where shift report is given has been a cause of concern. Traditionally, change-of-shift report is done at the nurses’ station or away from patients. Numerous studies have been conducted on moving the change-of-shift report from the nurses’ station or hallway to the patient’s bedside. An analysis of bedside shift reporting has revealed the benefits of increased patient satisfaction and safety as well as several challenges of implementation of bedside shift reporting.

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).

Can you imagine costing a patient their life due to your lack of sleep, long shifts, and working to many hours? Me either. “In 2011, the Joint Commission issued a Sentinel Event Alert to call attention to health care worker fatigue as it relates to patient safety, noting a link between healthcare worker fatigue and adverse events. In addition to patient safety concerns, there is an increased risk of injury in fatigued healthcare workers (Martin, 2015).” Lets explore the dangers of fatigue, and its importance to nurses, way that nurses can prevent fatigue, and possible ways to lower fatigue and enhance sleep. What standards are in place in the nurse practice

One of the top three sources of anxiety and stress for patients during an intensive care unit (ICU) stay is the inability to sleep (Kamdar, Needham, & Collop, 2012). There is

“Sleep Quality in Nurses: A Randomized Clinical Trial of Day and Night Shift Workers” is a quantitative study by Nui, Chu Chung, Lin, Chang, and Chou published in the journal of Biological Research for Nursing (2012). The article aims to compare the amount of recovery time needed by nurses that work the night shift in relation to nurses that work the day shift. In order to determine if a study is eligible to use for developing evidence based practice it is important to critique research articles (Lobiondo-Wood & Haber, 2014) for their quality and applicability. This will determine if the study is relevant and can be applied to nursing practice. That is the purpose of this paper.

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.

The term ‘Shift work’ is usually referred to uniformly divided allocations of the day in which individuals participate alternatively to provide twenty four hour coverage. A shift in sleep schedule conflicts with the body’s natural clock also known as the circadian rhythm into interpreting the time as ‘inappropriate’ and disrupts the homeostatic regulation cycle resulting in poor health outcomes. Fortunately, it is deemed possible to counter unfavourable effects of alternating insomnia and sleepiness through certain practices.