The objective of this study was to analyze hospital staff nurses' shift length, scheduling characteristics, and nurse reported safety and quality. A secondary analysis of a large nurse survey linked with hospital administrative data was conducted. More than 22 000 registered nurses' reports of shift length and scheduling characteristics were examined. Extended shift lengths were associated with higher odds of reporting poor quality and safety. Policies aimed at reducing the use of extended shifts may be advisable.
Center for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia.
Correspondence: Amy Witkoski Stimpfel, PhD, RN, Center for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Claire M. Fagin Hall, Room 388R, 418 Curie Blvd, Philadelphia, PA 19104 (firstname.lastname@example.org).
This study was funded by National Institute of Nursing Research grants T32-NR-007104 and R01-NR-004513.
The authors declare no conflict of interest.
Accepted for publication: September 4, 2012
Published online before print: September 27, 2012