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Shift System (shift + system)

Distribution by Scientific Domains
Medical Sciences100%

Selected Abstracts

Twelve-hour shift on ITU: a nursing evaluation

NURSING IN CRITICAL CARE, Issue 3 2003
Annette Richardson
Summary ,This paper describes the introduction and subsequent evaluation of a 12-h shift system in a large ITU in the northeast of UK ,To date, only a small number of studies has evaluated nurses working the 12-h shifts in critical care areas ,To evaluate the level of staff satisfaction, data were collected by means of a questionnaire involving 41 nurses, at 3 months following the introduction of the 12-h shifts ,The responses from the evaluation advocated the continuation of 12-h shifts with alternative shift patterns for nurses who felt dissatisfied with the current system ,Twelve-hour shifts can be seen as a flexible system for nurses working in intensive care and may assist with staff satisfaction and improving nurse recruitment and retention [source]

Fatigue at sea in Swedish shipping,a field study,

AMERICAN JOURNAL OF INDUSTRIAL MEDICINE, Issue 7 2010
Margareta Lützhöft PhD
Abstract Background Today many merchant ships sail with only two nautical officers, working a shift schedule of 6,hr on and 6,hr off. There are concerns that such a shift schedule is related to fatigue. However, little data exist from onboard studies of seafarers. Methods Data were collected on board 13 ships. Fifteen participants worked on a 6-on, 6-off watch system and another 15 on a 4-on, 8-off watch system. Electrooculography, actigraphy, diaries, and reaction time tests were used to measure the effects of shift system on fatigue and sleep. Results and Conclusions Sleepiness was higher during the night shift in the 6-on, 6-off system. Moreover, sleepiness increased more during the watch in the 6-on, 6-off system compared to the 4-on, 8-off system. There was a trend toward shorter sleep episodes in the 6-on, 6-off system and sleep was more often split into two episodes. Am. J. Ind. Med. 53:733,740, 2010. © 2010 Wiley-Liss, Inc. [source]

Effects of the European Working Time Directive on anaesthetic training in the United Kingdom

ANAESTHESIA, Issue 8 2004
D. J. Sim
Summary Decreases in the hours worked by trainee anaesthetists are being brought about by both the New Deal for Trainees and the European Working Time Directive. Anticipated improvements in health and safety achieved by a decrease in hours will be at the expense of training time if the amount of night-time work remains constant. This audit examined the effects of a change from a partial to a full shift system on a cohort of trainee anaesthetists working in a large district general hospital in the South-west of England. Logbook and list analyses were performed for two 10-week periods: one before and one after the decrease in hours. An 18% decrease in the number of cases done and an 11% decrease in the number of weekly training lists were found for specialist registrars. A 22% decrease in the number of cases done and a 14% decrease in the number of weekly training lists were found for senior house officers. Furthermore, a decrease of one service list per specialist registrar per week was seen, which will have implications for consultant manpower requirements. [source]

Juggling multiple temporalities: the shift work story of mid-life nurses

JOURNAL OF NURSING MANAGEMENT, Issue 1 2009
PhD (Macq), SANDRA WEST BSc (Macq)
Aim, To explore the theme of multiple temporalities revealed through a phenomenological study of the experience of mid-life shift-working nurses. Background, There are few data on the experience of mid-life women working rotating shift systems that change frequently. Concomitantly, the age profile of the current nursing workforce demands exploration of such issues. Method, This phenomenological study sought the perspectives of 13 shift-working mid-life women. Results, Sociological discussion of the temporal nature of work describes temporality as the clock time associated with an individual as determined by the constraints of their life. Transcript analysis identified the numerous temporalities surrounding a shift-working mid-life woman and a sense of disjunction between the temporalities of individuals important to them which resulted in feelings of regret and guilt. The concept of juggling is introduced to illustrate the participants' need to ,keep everything going' for important individuals in their lives. Conclusion, The personal cost of effective juggling may be high for the jugglers themselves but also for health systems that provide the mid-life shift-working nurse with no alternative than a reduction in working hours. Implications for nursing management, The development of a personal ,time map' framed within the concept of multiple temporalities is suggested for use as a staff development tool to assist with staff retention by facilitating both group and individual discussions of rostering and the complexities of managing an intergenerational work force undertaking shift work. [source]