Nurses and 12-Hour Shifts - How to Make the Best of Them

Twelve hour shifts have been gaining popularity with nurses and hospitals for some time now. The 12-hour nursing shift began in the 1970's when it was implemented to retain staff during the national nursing shortage. Twelve- hour shifts allow nurses more time at home, however there are some who are not in favor of working these long hours. If you are a 12-hour shift worker, read about how you can make the most of your long shifts. Take the poll at the end of the article to let us know how you feel about 12-hour shifts. Nurses Announcements Archive Article

  1. Which do your prefer?

    • 803
      12 hour shifts
    • 341
      8 hour shifts

111 members have participated

Whether you love them or hate them, 12-hour shifts are here to stay. For many new nurses, the thought of working a 12-hour shift can be overwhelming, intimidating and nerve-racking. But don't panic. Here are a few things you can do to make the most out of your 12-hour shift.

Get Enough Sleep

Sleep is one thing most nurses don't get enough of, and yet it is one of the most important things a nurse should do. Getting adequate sleep will make you more alert, recharged, and feel better all around, which will make your 12-hour shift a lot easier to manage. Adequate sleep is a key part of a healthy lifestyle, and can benefit your heart, weight, mind, and more.

Eat a Nutritious Meal

Whether your 12-hour shift begins in the morning or at night, eating a nutritious meal before your shift is vital. It is also important to remember to eat a meal during your shift instead of just snacking. Make sure your meals consist of foods that give you energy with healthy carbs and lean proteins such as Greek yogurt, whole grains, blueberries, eggs, nuts, and lean meats. Don't forget about vegetables. Dark leafy greens are a great source of vitamins and fiber.

Drink Enough Water

Because you are constantly moving, it is easy to become dehydrated during a 12-hour shift. Although your bladder may not appreciate this, it is important to drink water throughout your shift . With all the hustle and bustle of being a nurse, it might be hard for you to find the time to drink water, so we recommend that you keep a water bottle near by if you can.

Buy Good Shoes

Although good supportive shoes do cost a pretty penny, your back and feet will thank you for investing in a good pair of shoes! Healthy feet are among a nurse's most important assets. Working long hours on your feet make proper footgear not only helpful, but essential. Do your research before buying shoes. Ask your fellow nurses what brand and type of shoe they like best for work. When shopping for shoes, go to a shoe store with knowledgeable staff such as Scheels, Sports Authority, Dick's Sporting Goods, or Foot Locker. Sometimes, gel inserts or orthotics are necessary for comfort as well. This is especially true if you have flat feet, pronounced arches, or bad knees. The right shoes can help nurses focus solely on their patients instead of on tired and achy feet.

Take Breaks

One of the biggest concerns over the length of a 12 hour shift is fatigue, and its effect on safety and patient care. To alleviate fatigue, make sure you take your breaks. Sometimes, it is difficult to do, however, simply walking outside around the block, going off the floor and doing deep breathing, grabbing a yogurt or a protein snack, all helps to keep you alert.

Look on the Bright Side

You are doing the career of your dreams - the career you worked hard for in nursing school. Most of all, you are helping people that need your care. Let the knowledge that you are caring for people who are in great need of the skills that only a nurse can provide carry you through your shift. For those 12 hours they are under your care, be proud of the fact that you are their nurse.

Your first 12-hour shift may be a lot to handle at first but if you follow these tips, you may find in the future that you prefer 12 hour shifts over 8 hour shifts.

Do you have any advice for a nurse that is new to 12-hour shifts?

Specializes in Critical Care; Cardiac; Professional Development.

My 12 hour shifts as a nurse go by faster than my 20+ years of 8 hours behind a desk. No way would I want to go back to the daily grind. Having week days off are the only time I really get to be at home alone, something that is SO important to me for my mental well being. Love my 12 hour shifts.

Specializes in Emergency.
My 12 hour shifts as a nurse go by faster than my 20+ years of 8 hours behind a desk. No way would I want to go back to the daily grind.

This, this, this. And as bad as it is doing time in an office, it's worse in prairie dog land. Love 12's in the ED.

Six hours is about my ideal shift length, but really 12s are more practical. Since I work per diem and want to minimize the number of days per pay period I work, while at the same time maximizing hours, 12s are the way to go. But it's true, 12 hours is a long time to be at work! I usually start counting down until it's time to go home about six hours in.

DANSKO SHOES!! Is all I can say...they saved my feet and back! Invest in them, you will love them, Totally worth the price.

Danskos are too heavy and clunky for me, and didn't really do much to help with the low back pain from walking on a hard surface all day. Keens are much better for me. They have very little heel drop, which seems to make a difference for me.

12 Hours shifts are not for everyone.... But I LOVE them. It gives me more days off to give my kids, home and personal time 100% on my days off. I used to work 9-5 M-F and always felt burnt out....

Specializes in L & D; Postpartum.

I am retired now...and happily so. Luckily, I never had to work 12-hour shifts. I don't see how getting adequate rest is even possible.

Specializes in Med/surg, Tele, educator, FNP.

I have a love-hate relationship with 12s. I like them because I can get enough time off in between shifts, but I hate them because before I work I get anxious for getting enough rest the day before and then extra tired after a 1-2 12 hrs. Also, when I work 12s and really can do anything other than work. At least with 8s you have more time for activities. 5, 8 hours shifts suck though too. There is really no best bet unless you can afford to work part time...?

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Specializes in Dialysis.

12 hour shifts benefits management not patients. Is nursing less dangerous than trucking? Less dangerous than flying a plane? Both of those professions are limited by law in the number of hours they can work for the safety of the public.

Specializes in Critical Care.
12 hour shifts benefits management not patients. Is nursing less dangerous than trucking? Less dangerous than flying a plane? Both of those professions are limited by law in the number of hours they can work for the safety of the public.

Many states place limits on the number of hours a Nurse can work.

I would agree that like trucking and flying an airplane, the limit should be when the risk of errors increases significantly, which doesn't occur in Nursing until shifts exceed 13 hours.

Management often actually prefers 8 hour shifts, and 12 hour shifts do actually benefit patients.

Everyone is different, so the general data doesn't necessarily apply to everyone, but overall 12 hour shifts are actually less fatiguing. Overall, Nurses actually get more sleep working a 12 hour schedule. Errors are actually less likely in a 12 hour shift schedule. In terms of the Nurses' health, 12 hour based schedules are also less likely to contribute to the increased rates of cancer, stroke, MI and diabetes seen in night shift workers.

Specializes in L & D; Postpartum.
Many states place limits on the number of hours a Nurse can work.

I would agree that like trucking and flying an airplane, the limit should be when the risk of errors increases significantly, which doesn't occur in Nursing until shifts exceed 13 hours.

Management often actually prefers 8 hour shifts, and 12 hour shifts do actually benefit patients.

Everyone is different, so the general data doesn't necessarily apply to everyone, but overall 12 hour shifts are actually less fatiguing. Overall, Nurses actually get more sleep working a 12 hour schedule. Errors are actually less likely in a 12 hour shift schedule. In terms of the Nurses' health, 12 hour based schedules are also less likely to contribute to the increased rates of cancer, stroke, MI and diabetes seen in night shift workers.

I am so happy that ar least you say "everybody is different." No way would I get more sleep and be less fatigued working 12's vs 8's. Up at 5 to shower and get ready. Need to be on the road at 6. IF and that is a big if, I get off on time at 1930, drive home get there at 2030. Go straight to bed, up at 5 again. IF that were possible, it is 8.5 hours of rest/sleep. Of course, that leaves no time at all for anything else....no lengthy relaxing soak, no chores, no meals and certainly no family time.

i am one who needs 8 good hours of sleep and it is proven that "catching up" later doesn't mean you are properly rested.

I am gald

Specializes in Pediatrics.
12 hour shifts benefits management not patients. Is nursing less dangerous than trucking? Less dangerous than flying a plane? Both of those professions are limited by law in the number of hours they can work for the safety of the public.

Personally, I think two nurses working 12s is better for the patient than having three nurses on 8s. You get to know your patient better as the shift goes on, and I feel it is much less frustrating than introducing three nurses in a 24 hour period. Perhaps 12s aren't for everyone, but as they've always been the norm for me, I've never had an issue with fatigue.

Also, just putting it out there, but my Father was a firefighter/paramedic, and he worked 24-48 hour shifts his entire career. Sometimes he got tons of sleep, sometimes he got no sleep. He learned to function, and had a brilliant career.

Tough schedules aren't for everyone, but some people thrive under these conditions.

Specializes in Dialysis.

Depending on whose numbers you look at medical mistakes are a significant cause of death in the US. Are you really going to argue fatigue isn't a role in this? Interns used to work long hours in their training until there was the recognition that just because we always worked interns a 100 hours a week maybe that wasn't a good way to deliver safe care. Every commenter here has focused on their personal likes. What about patients?

My first introduction into the power of unions in nursing was in 1988 in San Francisco. I participated in a strike in which the main issue was management trying to shove 12 hour shifts on us. My bargaining unit voted 99 to 1 ( I was there when the ballots were counted) to authorize a strike in which the main sticking point was the 12 hour shift. If the nurses didn't feel so strongly about this I doubt they would have walked a picket line for 4 weeks. Management even brought in a lawyer from Chicago who bragged on the local media how she was going to break the California Nurses Association. Over 12 hour shifts.

Those who are enthusiastic about 12 hour shifts have the full support of management. That fact alone should give nurses pause because management would never risk patient safety, would they?

the limit should be when the risk of errors increases significantly, which doesn't occur in Nursing until shifts exceed 13 hours.

Any hard data to support this? Because fatigue is accumulative. If you start a shift sleep deprived that mistake you make could occur in the first 5 minutes and not after 12 hours.