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12 Hour Shifts: Literature Reviewed, Wise Use Challenged

Kupperschmidt, Betty

doi: 10.1097/CNJ.0000000000000450
Feature: practice

ABSTRACT: Concern is reported about the negative outcomes of 12-hour shifts for nurses, including sleep-deprived fatigue, negative neurobehavioral outcomes, and patient safety. However, 12-hour shifts remain the prevailing staffing method. When should the concern for nurses' health and well-being be factored into staffing decisions? If the 12-hour model was used more wisely, that is, nurses were not working too much and/or too long, would there be a need for change? Will nurses and researchers pursue ways to address the negative outcomes of 12-hour shifts?

Betty Kupperschmidt, PhD, RN, is retired after 55 years of nursing in clinical, administrative, and educator roles. She is professor emeritus, University of Oklahoma, Tulsa, and a Colson Fellow. Betty teaches Biblical Worldview at Parkview Baptist, Tulsa, and is active in professional organizations and volunteer work.

The author declares no conflict of interest.

Accepted by peer-review 2/2/2017.

© 2018 by InterVarsity Christian Fellowship