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Is It Time to Pull the Plug on 12-Hour Shifts?: Part 3. Harm Reduction Strategies if Keeping 12-Hour Shifts

Geiger-Brown, Jeanne PhD, RN; Trinkoff, Alison M. ScD, RN, FAAN

Journal of Nursing Administration: September 2010 - Volume 40 - Issue 9 - p 357-359
doi: 10.1097/NNA.0b013e3181ee4295
Departments: Spotlight On

This article is part 3 of the series "Pulling the Plug on 12-Hour Shifts." In part 1 (March 2010), the authors provided an update on recent evidence that challenges the current scheduling paradigm and supports the lack of safety of long work hours. Part 2 (April 2010) described the barriers to change and challenges for the nurse executive in moving away from the practice of 12-hour shifts. This article presents strategies for mitigating the effects of 12-hour shifts for nurses who continue to work 12-hour shifts despite the potential risks to their health and to patient safety.

Authors' Affiliation: Associate Professor (Dr Geiger-Brown), Professor (Dr Trinkoff), Work and Health Research Center, Department of Family and Community Health, University of Maryland School of Nursing, Baltimore.

Corresponding author: Dr Geiger-Brown, University of Maryland School of Nursing, 655 W Lombard St, Suite 575C, Baltimore, MD 21201 (

© 2010 Lippincott Williams & Wilkins, Inc.