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  1. Kalisch, Beatrice J. PhD, RN, FAAN
  2. Begeny, Suzanne MS, RN
  3. Anderson, Christine MA, RN


To attract nurses to the workforce, scheduling of nurses on patient care units has evolved into a mixture of 4-, 6-, 8-, and 12-hour shifts. The result is chaotic as staff members come and go at varying times, creating the need for multiple handoffs and reassignment of patients. Effective teamwork and continuity of care are difficult, if not impossible, to achieve under these circumstances. The authors describe the effect of using just 1 shift length for all nursing staff.