Authors

  1. Jabaley, Terri PhD, RN, OCN
  2. Bagley, Janet MS, RN, AOCNS
  3. Beardslee, Brian MSN, RN
  4. Hammer, Marilyn J. PhD, DC, RN, FAAN

Abstract

BACKGROUND: Studies conducted in hospital settings have associated negative clinical outcomes with 12-hour shifts. Despite this, 12-hour shifts are common in nursing and popular among nurses. Little is known about outcomes associated with 12-hour shifts in ambulatory care settings.

 

OBJECTIVE: A mixed-methods, quality improvement project was conducted in a large, ambulatory cancer center to evaluate oncology nursing staff perspectives on 12-hour shift work.

 

METHODS: One hundred ambulatory oncology nurses completed surveys and 11 participated in focus group interviews.

 

FINDINGS: Nurses expressed predominately positive perspectives about 12-hour shift work in ambulatory oncology care.

 

CONCLUSIONS: Ambulatory oncology nurses perceived benefits to quality, safety, and satisfaction for both nurses and patients related to 12-hour shifts. Further evaluation of patient, nurse, and organizational outcomes unique to ambulatory settings is essential for nurse executives in formulating data-driven staffing plans. The incorporation of 12-hour shifts should be considered.