Potential dangers of nursing overtime in critical care

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dc.contributor.authorD'Sa, Vanessa M.
dc.contributor.authorPloeg, Jenny
dc.contributor.authorFisher, Anita L.
dc.contributor.authorAkhtar-Danesh, Noori
dc.contributor.authorPeachey, Gladys
dc.date.accessioned2020-02-10T11:01:11Z
dc.date.available2020-02-10T11:01:11Z
dc.date.copyright2018en_US
dc.date.issued2018-09-01
dc.descriptionThis article is not available at CUD collection. The version of scholarly record of this Article is published in Nursing Leadership (Toronto, Ont.) (2018), available online at: https://doi.org/10.12927/cjnl.2018.25677.en_US
dc.description.abstractAround the world, registered nurses are working increasing amounts of overtime. This is particularly true in critical care environments, which experience unpredictable fluctuations in patient volume and acuity combined with a need for greater numbers of specialized nurses. Although it is commonplace, little consensus exists surrounding the effects of overtime on nursing sick time and patient outcomes. Using data from 11 different critical care units nestled within three major academic health science centres in Southern Ontario, a multilevel-model Poisson regression analysis was used to evaluate the association between nursing overtime and nursing sick time, patient mortality and patient infection incidents. Most significantly, for every 10 hours of nursing overtime worked, study findings revealed an associated 3.3-hour increase in nursing sick time. Because of the potential cost and patient care ramifications, hospitals and nurse managers are encouraged to track collective and individual paid and unpaid hours to impose appropriate limits and ensure accountability. Further qualitative research should be commissioned to explore the underlying reasons for these findings and diversify the settings and, in turn, wider application. Copyright © 2018 Longwoods Publishing.en_US
dc.identifier.citationD’Sa, V. M., Ploeg, J., Fisher, A., Akhtar-Danesh, N., & Peachey, G. (2018). Potential dangers of nursing overtime in critical care. Nursing Leadership (Toronto, Ont.), 31(3), 48–60. https://doi.org/10.12927/cjnl.2018.25677en_US
dc.identifier.issn1910622X
dc.identifier.urihttp://dx.doi.org/10.12927/cjnl.2018.25677
dc.identifier.urihttp://hdl.handle.net/20.500.12519/131
dc.language.isoenen_US
dc.publisherNLM (Medline)en_US
dc.relationAuthors Affiliations: D'Sa, V.M., Assistant Professor of Health Organization Management, Canadian University DubaiDubai, United Arab Emirates; Ploeg, J., School of Nursing, Scientific Director, Aging, Community and Health Research Unit, McMaster University, ONHamilton, Bermuda; Fisher, A., School of Nursing, McMaster University, ONHamilton, Bermuda; Akhtar-Danesh, N., Associate Professor of Biostatistics School of Nursing, McMaster University, ONHamilton, Bermuda; Peachey, G., School of Nursing, McMaster University, ONHamilton, Bermuda
dc.relation.ispartofseriesNursing leadership (Toronto, Ont.);Vol. 31, no. 3
dc.rightsPermission to reuse the abstract has been secured from NLM (Medline).
dc.rights.holderCopyright : 2018 Longwoods Publishing.
dc.subjectAdverse eventen_US
dc.subjectHealth statusen_US
dc.subjectHospital mortalityen_US
dc.subjectHumanen_US
dc.subjectIntensive Care Unit (ICU)en_US
dc.subjectOrganization and managementen_US
dc.subjectPersonnel managementen_US
dc.subjectProceduresen_US
dc.subjectPsychologyen_US
dc.subjectQualitative researchen_US
dc.subjectShift scheduleen_US
dc.subjectTime factoren_US
dc.subjectWorkloaden_US
dc.subjectCritical careen_US
dc.subjectHealth statusen_US
dc.subjectHospital mortalityen_US
dc.subjectShift Work Scheduleen_US
dc.subjectTime Factorsen_US
dc.titlePotential dangers of nursing overtime in critical careen_US
dc.typeArticleen_US

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