Potential dangers of nursing overtime in critical care

dc.contributor.author D'Sa, Vanessa M.
dc.contributor.author Ploeg, Jenny
dc.contributor.author Fisher, Anita L.
dc.contributor.author Akhtar-Danesh, Noori
dc.contributor.author Peachey, Gladys
dc.date.accessioned 2020-02-10T11:01:11Z
dc.date.available 2020-02-10T11:01:11Z
dc.date.copyright 2018 en_US
dc.date.issued 2018-09-01
dc.description This 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.abstract Around 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.citation D’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.2018.25677 en_US
dc.identifier.issn 1910622X
dc.identifier.uri http://dx.doi.org/10.12927/cjnl.2018.25677
dc.identifier.uri http://hdl.handle.net/20.500.12519/131
dc.language.iso en en_US
dc.publisher NLM (Medline) en_US
dc.relation Authors 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.ispartofseries Nursing leadership (Toronto, Ont.);Vol. 31, no. 3
dc.rights Permission to reuse the abstract has been secured from NLM (Medline).
dc.rights.holder Copyright : 2018 Longwoods Publishing.
dc.subject Adverse event en_US
dc.subject Health status en_US
dc.subject Hospital mortality en_US
dc.subject Human en_US
dc.subject Intensive Care Unit (ICU) en_US
dc.subject Organization and management en_US
dc.subject Personnel management en_US
dc.subject Procedures en_US
dc.subject Psychology en_US
dc.subject Qualitative research en_US
dc.subject Shift schedule en_US
dc.subject Time factor en_US
dc.subject Workload en_US
dc.subject Critical care en_US
dc.subject Health status en_US
dc.subject Hospital mortality en_US
dc.subject Shift Work Schedule en_US
dc.subject Time Factors en_US
dc.title Potential dangers of nursing overtime in critical care en_US
dc.type Article en_US
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