Hospital staff nurses' shift length associated with safety and quality of care

J Nurs Care Qual. 2013 Apr-Jun;28(2):122-9. doi: 10.1097/NCQ.0b013e3182725f09.


The objective of this study was to analyze hospital staff nurses' shift length, scheduling characteristics, and nurse reported safety and quality. A secondary analysis of a large nurse survey linked with hospital administrative data was conducted. More than 22 000 registered nurses' reports of shift length and scheduling characteristics were examined. Extended shift lengths were associated with higher odds of reporting poor quality and safety. Policies aimed at reducing the use of extended shifts may be advisable.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Cross-Sectional Studies
  • Female
  • Humans
  • Male
  • Middle Aged
  • Nursing Staff, Hospital / organization & administration
  • Nursing Staff, Hospital / standards*
  • Patient Safety / standards*
  • Personnel Staffing and Scheduling / organization & administration
  • Personnel Staffing and Scheduling / standards*
  • Quality of Health Care*