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I cant help but wonder if the nursing profession would benefit from lowering the number of hours worked in a day. I know that most nurses enjoy the extra days off by working 3 twelve hour shifts a week but those last few hours of the day come when the staff is tired and isnt that when errors are more likely to occur? It seems to me that splitting the day into 3 eight hour shifts would cut down on nurse fatigue and therefore cut down on nursing errors. Plus that would allow more time to recover before the next shift. What are some ways that you have been able to combat fatigue? What do you think about shorter work days for nurses in general?
I worked 8 hour shifts 5 nights a week while in school and I HATED it. I was one of those rare birds who liked 3-11. Now that I'm 12 hour shifts, I LOVE working the 3 nights a week. Working 5 days a week I felt like I was always at work. Plus I like being able to see things through on my shift. I'd imagine less mistakes would happen when you have the same person for 12 hours.
We had this debate at work recently. Most people were not in favour of 8 hour shifts. You have less time off, and 8 hour shifts are still tiring. Also, I'd much rather work an hour of overtime on a 12 hour shift, than an hour of overtime on 8 hours, knowing I'm back the next 4 days in a row.
Not only are the hours of the work day a consideration, but the commuting time, parking expense, fuel or other transportation, and even prep time to go to work are all hours and expenses that should be factored in.
We all have to get up, shower, dress, drive (or walk or take transportation) to work, park, get there at least a few minutes early as a 'buffer', and return home at the end of the day. Depending on traffic and distance it could take an hour or two 'door to door' each way. So, that additional time easily adds 10 hours a week to the time burden of work. If you work three 12's it's only 6 hours a week... Same should be considered for wear-and-tear on your car, you fuel expenses, and your parking expenses.
I think 8s are bad for hospital RNs because of weekends and nights. Working 5 days in a week would be terrible with this type of schedule.
that said, I'm really tired of 12s. The day is soooo long. and when you work more than one day in a row, all you have time for is to come home and sleep and then go right back to work.
I prefer 8's... I feel like 12's eat up the entire day! But if I were full-time, I might have a different opinion. My facility offers both 8's and 12's, plus a variety of FTE's. I'm .6 evenings and am really happy about that. I feel like 5 8's a week would destroy my love for nursing and quality of life and thankfully at this point we don't need that money. Even .6 I make a lot more money than my previous job. Evenings aren't for everyone but I enjoy them... less craziness +shift differential = good times. Of course, with family considerations I'm sure this will all change. That's why there are so many different options.
If they got rid of my 12 hour shifts I would leave immediatly. I might not leave nursing but I would certainly leave bedside care. Having to work 5 days in a row would not be healthy for me and I would burn out. To decompress and get refershed I need time to become completly absorbed and involved in somthing else and 12 hour shifts allows that.
Five 8 hour shifts a week has not been shown to be safer than three 12 hour shifts. I also understand that what works for me is not what works for everybody else. I wouldn't work in a hospital that didn't have both 12 and 8 hour shifts available depending on what worked for each nurse. Refusing to be flexable is a sign of a lack of respect for nurses from managment. In my hospital (non-Magnet)we have nurses who work 8's, 12's, two 12's and two 8's a week and a variety of other scheduals. Not every new nurse is going to get what works best for them right away but stick around a little while and you will.
tokidoki7, ASN, RN
417 Posts
At the the last facility I worked at I was on a rehab unit and staff worked five 8s or two 12s+ two 8s. I worked the latter and it was horrible because I had to rotate day/night twice a week. I was exhausted, miserable, angry and I basically had no life. I couldn't even go back to school. Since then I have left and now I work casual doing LTC. Most of the shifts I get are 3-11, but I choose which days I want to work. I typically work 3-4 days a week, often doing one double shift. I like the flexibilitly I have in my schedule now and I don't feel worn out and taken advantage of. I will definetly be going shopping on Black Friday this year!