School of Nursing, University at Buffalo, State University of New York, Buffalo, NY 14214-3079, USA.
Nurs Outlook. 2012 Mar-Apr;60(2):60-71. doi: 10.1016/j.outlook.2011.06.006. Epub 2011 Aug 27.
Nurse overtime has been used to handle normal variations in patient census and to control chronic understaffing. By 2010, 16 states had regulations to limit nurse overtime. We examined mandatory overtime regulations and their association with mandatory and voluntary overtime and total hours worked by newly licensed registered nurses (NLRNs). For this secondary data analysis, we used a panel survey of NLRNs; the final dataset consisted of 1,706 NLRNs. Nurses working in states that instituted overtime regulations after 2003 or in states that restricted any type of mandatory overtime had a lower probability of experiencing mandatory overtime than those nurses working in states without regulations. Nurses who worked in states with mandatory overtime regulations reported fewer total hours worked per week. The findings of this study provided insight into how mandatory overtime regulations were related to nurse mandatory and voluntary overtime and the total number of hours worked. Future research should investigate institutions' compliance with regulations and the impact of regulations on nurse and patient outcomes.
护士加班被用来应对患者人数的正常变化，并控制长期人手不足的问题。到 2010 年，已有 16 个州制定了限制护士加班的规定。我们研究了强制性加班规定及其与强制性和自愿性加班以及新注册护士（NLRN）总工作时间的关系。在这项二次数据分析中，我们使用了 NLRN 的面板调查；最终数据集包括 1706 名 NLRN。与在没有规定的州工作的护士相比，在 2003 年后实施加班规定的州或限制任何类型的强制性加班的州工作的护士，经历强制性加班的可能性更低。在有强制性加班规定的州工作的护士每周报告的总工作时间较少。本研究的结果深入了解了强制性加班规定与护士强制性和自愿性加班以及总工作时间之间的关系。未来的研究应该调查机构对规定的遵守情况以及规定对护士和患者结果的影响。
