How Long and How Much Are Nurses Now Working?
AJN American Journal of NursingPublished 1 April 2006
Alison M. Trinkoff, Jeanne Geiger‐Brown, Barbara Brady, Jane Lipscomb, Carles Muntaner
Citations185
SJR quartileQ3
SJR score0.32
SNIP0.61
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
The proportion of nurses who reported working schedules that exceed the recommendations of the Institute of Medicine should raise industry-wide concerns about fatigue and health risks to nurses as well as the safety of patients in their care.
Abstract
The proportion of nurses who reported working schedules that exceed the recommendations of the Institute of Medicine should raise industry-wide concerns about fatigue and health risks to nurses as well as the safety of patients in their care.
Keywords
PsychologyHealth Professions
Annals of the New York Academy of SciencesStress, Adaptation, and Disease: Allostasis and Allostatic Load
4,922 Citations1998Bruce S. McEwen
The relationship of allostatic load to genetic and developmental predispositions to disease is considered and examples will be given from research pertaining to autonomic, CNS, neuroendocrine, and immune system activity.
Health AffairsNurses’ Reports On Hospital Care In Five Countries
1,617 Citations2001Linda H. Aiken, Sean P. Clarke +8 more
Reports from 43,000 nurses from more than 700 hospitals in the United States, Canada, England, Scotland, and Germany in 1998-1999 suggest core problems in work design and workforce management threaten the provision of care.
American Journal of EpidemiologyVALIDATION OF QUESTIONNAIRE INFORMATION ON RISK FACTORS AND DISEASE OUTCOMES IN A PROSPECTIVE COHORT STUDY OF WOMEN
987 Citations1986Graham A. Colditz, Pauline Martin +6 more
In over 90% of cases of cancer of the breast, skin, large bowel, and thyroid, histopathology reports confirmed the subjects' self-report, and lower levels of confirmation were obtained for cancers of the lung, ovary, and uterus.
Health AffairsThe Working Hours Of Hospital Staff Nurses And Patient Safety
959 Citations2004Ann E. Rogers, Wei‐Ting Hwang +3 more
Logbooks completed by 393 hospital staff nurses revealed that participants usually worked longer than scheduled and that approximately 40 percent of the 5,317 work shifts they logged exceeded twelve hours.
New England Journal of MedicineFatigue among Clinicians and the Safety of Patients
685 Citations2002David M. Gaba, Steven K. Howard
The authors argue that reform is needed because the long work hours of clinicians adversely affect the quality of health care and current policies regulating residents' hours of work and options for new regulations governing residency shifts.
Scandinavian Journal of Work Environment & HealthLong workhours and health
602 Citations2003M. van der Hulst
Support for the physiological recovery mechanism seems stronger than support for the behavioral life-style mechanism, but the evidence is inconclusive because many studies did not control for potential confounders.
American Journal of Public HealthRotating shift work, sleep, and accidents related to sleepiness in hospital nurses.
521 Citations1992Diane R. Gold, S Rogacz +5 more
Application of circadian principles to the design of hospital work schedules may result in improved health and safety for nurses and patients.
JONA The Journal of Nursing AdministrationFactors Influencing Satisfaction and Anticipated Turnover for Nurses in an Academic Medical Center
486 Citations2001Karen Shader, Marion E. Broome +3 more
Work and OccupationsOverworked Individuals or Overworked Families?
448 Citations2001Jerry A. Jacobs, Kathleen Gerson
American Journal of EpidemiologyREPRODUCIBILITY AND VALIDITY OF SELF-REPORTED MENOPAUSAL STATUS IN A PROSPECTIVE COHORT STUDY
442 Citations1987Graham A. Colditz, Meir J. Stampfer +5 more
The reproducibility and validity of self-reported menopausal status were evaluated among the 121,700 female US registered nurses aged 30-55 years in 1976 who are participants in the Nurses' Health Study, a prospective cohort study of diseases in women.
Journal of Marriage and the FamilyNonstandard Work Schedules and Marital Instability
383 Citations2000Harriet B. Presser
Work & StressThe Standard Shiftwork Index: a battery of questionnaires for assessing shiftwork-related problems
307 Citations1995Jane Barton, Evelien Spelten +4 more
SLEEPSleep Deprivation and Fatigue in Residency Training: Results of a National Survey of First- and Second-Year Residents
281 Citations2004DeWitt C. Baldwin, Steven R. Daugherty
Reduced sleep hours were significantly related to a number of work-related, learning, and personal health variables and Capping residents' work hours is unlikely to fully address the sleep deficits and resulting impairments reported by residents.
American Journal of Public HealthThe prevalence and health impact of shiftwork.
245 Citations1986Nancy P. Gordon, Paul D. Cleary +2 more
Female variable shift workers reported higher rates of sleeping pill, tranquilizer, and alcohol use, as well as lower social network scores, more job stress, and more emotional problems, compared to men working non-variable work schedules.
Journal of Occupational Health PsychologyWorkers' perceptions of how jobs affect health: A social ecological perspective.
208 Citations2001Susan L. Ettner, Joseph G. Grzywacz
It is suggested that malleable features of the work environment are associated with perceived effects of work on health, even after controlling for personality traits and other sources of reporting bias.
Journal of Sleep ResearchExtended workshifts and excessive fatigue
203 Citations1995Roger R. Rosa
It is concluded that extended workshift schedules should be instituted cautiously and evaluated carefully, with appropriate attention given to staffing levels, workload, job rotation, environmental exposures, emergency contingencies, rest breaks, commuting time, and social or domestic responsibilities.
Scandinavian Journal of Work Environment & HealthWork-schedule characteristics and reported musculoskeletal disorders of registered nurses
184 Citations2002Jane Lipscomb, Alison M. Trinkoff +2 more
It is suggested that preventing musculoskeletal disorders requires system-level approaches to scheduling that reduce the time of exposure to demanding work conditions and promote healthful work-rest patterns.
Academic MedicineA National Survey of Residents’ Self-Reported Work Hours: Thinking Beyond Specialty
168 Citations2003DeWitt C. Baldwin, Steven R. Daugherty +2 more
Cluster analysis revealed four different types of residency experience: high intensity, moderate intensity, low intensity, and moonlighters, suggesting that residents may have some choice in selecting a residency experience suited to their particular personal and professional needs.
American Journal of Industrial MedicineWork schedule characteristics and substance use in nurses
152 Citations1998Alison M. Trinkoff, Carla L. Storr
Administrative attention to the interplay of work schedules on workers along with consideration of competing family/home demands could lead to more healthful scheduling.
Journal of Advanced NursingThe effects of extended workdays on fatigue, health, performance and satisfaction in nursing
146 Citations2003Edith Josten, J.E.E. Ng-A-Tham +1 more
Nurses who worked 9-hour shifts were on average more fatigued, had more health complaints, and were less satisfied with their working hours and free time than those who worked 8-hour shift, and their performance was slightly poorer.
American Journal of Public HealthHealth Care System Changes and Reported Musculoskeletal Disorders Among Registered Nurses
144 Citations2004Jane Lipscomb, Alison M. Trinkoff +2 more
Journal of Occupational and Environmental MedicinePhysically Demanding Work and Inadequate Sleep, Pain Medication Use, and Absenteeism in Registered Nurses
132 Citations2001Alison M. Trinkoff, Carla L. Storr +1 more
Interventions to promote nurses’ health should limit the physical demands of the work, and as the number of demands increased, the likelihood of each outcome increased.
Occupational and Environmental MedicineEffect of employee worktime control on health: a prospective cohort study
120 Citations2004Leena Ala‐Mursula, Jussi Vahtera +2 more
The results suggest that worktime control can help workers integrate their work and private lives successfully, and increase the risk of future health problems among women, especially those with families, and among manual workers.
Environmental HealthOn-call work and health: a review
118 Citations2004Anne‐Marie Nicol, Jackie S Botterill
Primary Care Clinics in Office PracticeSHIFT WORK AND HEALTH
113 Citations2000Allene J. Scott
Night work and rotating shift work disrupt the circadian timing system, and shift workers are at increased risk of experiencing cardiovascular, gastrointestinal, and reproductive dysfunction, and vulnerable individuals may develop clinical depression when working shifts.
Journal of Occupational Health PsychologyShiftwork, job type, and the work environment as joint predictors of health-related outcomes.
110 Citations1999Katharine R. Parkes
Logistic regression showed that, after control for individual differences, shiftwork and job type each predicted specific health outcomes when evaluated simultaneously, partially mediating relations between job type and health.
ErgonomicsThe effects of frequently rotating shiftwork on sleep and the family life of hospital nurses
85 Citations1994Norio Kurumatani, Shigeki Koda +7 more
The effects of three frequently rotating shifts in an irregular sequence on the daily activities of 239 Japanese female hospital nurses were studied by the time-budget method and a strong positive correlation between total sleep time (including day sleep) and the length of the interval between two consecutive shifts was found.
Cancer Causes & ControlRecall and selection bias in reporting past alcohol consumption among breast cancer cases
82 Citations1993Edward L. Giovannucci, Meir J. Stampfer +6 more
In the Nurses' Health Study, bias due to selection and recall had only minor effects on reported intake of alcohol consumption, and an elevated risk of breast cancer among women who drank 30 or more g of alcohol daily was demonstrated.
PubMedNurses' perception of their work environment, health, and well-being: a qualitative perspective.
79 Citations2004Jeanne Geiger‐Brown, Alison M. Trinkoff +4 more
Occupational and Environmental MedicineRescheduling a three shift system at a steel rolling mill: effects of a one hour delay of shift starting times on sleep and alertness in younger and older workers.
66 Citations1996Roger R. Rosa, Mikko Härmä +3 more
A change of as little as one hour in shift starting times can improve morning shift sleep and alertness, but there are trade offs from these improvements in terms of night shift effects and social considerations.
AAOHN JournalNurses' Perception of Their Work Environment, Health, and Well-Being
65 Citations2004Jeanne Geiger‐Brown, Alison M. Trinkoff +4 more
Recommendations are provided for improving retention while promoting nurses' health and well-being based on the issues raised in the themes nurses expressed in open-ended comments at the end of a working conditions survey related to their work environment, health, andWell-being.
SLEEPThe Use of Survey Measures to Assess Circadian Variations in Alertness
48 Citations1995Simon Folkard, Evelien Spelten +3 more
It is concluded that retrospective alertness ratings may prove to be an extremely cost-effective method for examining the trends in alertness in various groups, including those suffering from specific types of sleep disorder.
Drug and Alcohol DependenceCollecting substance use data with an anonymous mailed survey
39 Citations1997Alison M. Trinkoff, Carla L. Storr
Analysis of sociodemographic effects on responding found certain groups required additional contacts, suggesting that anonymous mailed surveys can be a feasible means of collecting data on substance use.
Critical Care Nursing Clinics of North AmericaEngaging nurses in patient safety
27 Citations2002Katharine Luther, Lynn A. Maguire +4 more
Topics addressed-clarification of orders, establishing care protocols, strengthening chain of command, improving staff levels and staff education, and eliminating the overflow of nonspecialty patients to specialty units-arose from suggestions made by nurses through formal surveys, informal focus groups, clinical practice groups, root cause analyses.
AORN JournalNurses as Working Women
25 Citations2001Susan Letvak
There are ways that nurses can modify their work situation, however, to help them cope with the rigors of the workplace and the home.
The American SurgeonResidents’ Working Hours in a Consortium-Wide Surgical Education Program
21 Citations2004Vijay K. Mittal, Madhavi Salem +7 more
The results of the study indicates that the majority of residents in general surgery programs in Michigan perceive a need for reform of work schedules, and most residents thought that long hours impaired their educational experience and at times compromised their clinical care.
International Journal of Nursing StudiesA classification of nursing and midwifery shift systems
17 Citations1993J Barton, Evelien Spelten +3 more
A classification of 122 shift systems worked by nurses and midwives in the larger general hospitals in England and Wales was made to identify those features of shift systems which are likely to cause the least detrimental effects for the individual nurses concerned.
Nursing ManagementHOW MAGNETS ATTRACT NURSES
14 Citations2001Jan Jones-Schenk
The draws of Magnet status, from significantly improved patient outcomes and nurse recruitment and retention to decreased levels of workplace injuries and burn out are discovered.
Nursing ResearchIncorporating Auxiliary Variables Into Probability Sampling Designs
14 Citations1997Alison M. Trinkoff, Carla L. Storr
JONA s Healthcare Law Ethics and RegulationSurviving the Perfect Storm: Staff Perceptions of Mandatory Overtime
6 Citations2002Catherine Jacobsen, Deborah Holson +3 more
A description of the environment at the Hospital for Sick Children, a private nonprofit rehabilitation and transitional care pediatric hospital in Washington, DC, and the challenges the hospital faces in staffing the patient care units are offered.
