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Impact of Shift Work on Nurses' Health

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on 22 November 2016

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Transcript of Impact of Shift Work on Nurses' Health

1. Articulating the issue
2. Historial/ ethical/ political analysis
3. Resolutions
4. Barriers to resolution
5. Relevance to nursing
6. Disscussion
Political Analysis
Who benefits from the issue staying the same?
Impact of Shift Work on Nurses' Health
Our Approach to Analysis
Historical, Ethical
Historical Analysis
When did the issue originate?
Why is this an issue?
Increased risk of CA:
Weight Gain
What are the conditions that lead to the development of the issue?
How have these conditions changed
over time?
- 12 hour shifts began in the 1980's, as a result of a mass nursing shortage.
- Exhaustion, sleep deprivation, and disruption of social life.
Who benefits from the issue being resolved?
Whose interests are being served?
- Employers hold the majority of the benefit
- Nurses
- Employers
- Patients

- All nurses, employers and patients have individual aspects that are being served in this issue
to Resolution
Relevancy of Nursing Leadership to the Issue
By: Taylor Duchen, Charlotte Fines, Leah Kobrossi, Ruksana Rajput & Alana White
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Matheson, O’Brien, and Reid. (2014) The impact of shiftwork on health: a literature review.
Journal of Clinical Nursing 23

McIntyre, M. & McDonald, C. (2014). Realities Canadian Nursing: Professional, practice, and power issues (4 th ed.). Philadelphia: Lippincott Williams & Wilkins.

Niu, S., Chung, M., Chen, C., Hegney, D., O'Brien, A., & Chou, K. (2011). The effect of shift

rotation on employee cortisol profile, sleep quality, fatigue, and attention level: a systematic review. Journal Of Nursing Research (Lippincott Williams & Wilkins), 19(1), 68-80. doi:10.1097/JNR.0b013e31820c1879

Saksvik-Lehouillier, I., Bjorvatn, B., Hetland, H., Sandal, G. M., Moen, B. E., Magerøy, N., & ...

Pallesen, S. (2013). 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, 69(5), 1136-1146. doi:10.1111/j.1365-2648.2012.06105.x
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Morenoa, C. R. (2012). Weight gain in relation to night work among nurses. Work, 412043-2048.

Scott, H. (2004). Should nurses' internal shift rotation system be stopped?. British Journal Of Nursing, 13(4), 180.

Montgomery, K., & Geiger-Brown, J. (2010). Is it time to pull the plug on 12-hour shifts? Part 2. Barriers to change
and executive leadership strategies. Journal Of Nursing Administration, 40(4), 147-149. doi:10.1097/NNA.0b013e3181d40e63

CNA Code of Ethics for Registered Nurses. (2008). Retrieved from: https://www.cna-aiic.ca/~/media/cna/files/en/codeofethics.pdf

CRNBC Professional Standards for Registered Nurses and Nurse PRactiioners. (2012). Retreived from: https://www.crnbc.ca/Standards/ProfessionalStandards/Pages/Default.aspx

Townsend, T., & Anderson, P. (2013, May). Are extended work hours worth the risk? - American Nurse Today. Retrieved November 19, 2016, from https://www.americannursetoday.com/are-extended-work-hours-worth-the-risk/

Resolutions to the Issue
Defn: shift work

Largest group of professionals providing 24 hour care, 7 days a week.

Negative health effects
Disruption to circaidian rythm
Imbalances in cortisol level
Ethical Analysis
Do you think only 8 hour shifts would work in a hospital setting?

What were your experiences with shift work this past summer - how did it affect you?

Situating the Issue
What is already known about this this issue?
- CNA Code of Ethics
- CRNBC: Professional Responsibility and Accountability

- Historically, nurses have worked various shifts, from early days when they slept in wards near their patients to the standard 8-hour day adopted after World War II

Family/ social aspects of life negatively affected
Individual Level
Organizational level
Sleep/ Diet/ Family & Social Life
Shift schedule design
Cardiovasular disease
Large-scale organizational change
Lack of eduction
Lack of control
Lack of incentive
-nurse resistance
Full transcript