各州护士工作时间法规对注册护士加班做法和工作时间的影响。
Impact of states' nurse work hour regulations on overtime practices and work hours among registered nurses.
机构信息
School of Nursing, University of Texas at Austin, 1710 Red River, Austin, TX, 78701.
出版信息
Health Serv Res. 2014 Oct;49(5):1638-58. doi: 10.1111/1475-6773.12179. Epub 2014 Apr 30.
OBJECTIVES
To examine the degree to which states' work hour regulations for nurses-policies regarding mandatory overtime and consecutive work hours-decrease mandatory overtime practice and hours of work among registered nurses.
METHODS
We analyzed a nationally representative sample of registered nurses from the National Sample Survey of Registered Nurses for years 2004 and 2008. We obtained difference-in-differences estimates of the effect of the nurse work hour policies on the likelihood of working mandatory overtime, working more than 40 hours per week, and working more than 60 hours per week for all staff nurses working in hospitals and nursing homes.
PRINCIPAL FINDINGS
The mandatory overtime and consecutive work hour regulations were significantly associated with 3.9 percentage-point decreases in the likelihood of working overtime mandatorily and 11.5 percentage-point decreases in the likelihood of working more than 40 hours per week, respectively.
CONCLUSIONS
State mandatory overtime and consecutive work hour policies are effective in reducing nurse work hours. The consecutive work hour policy appears to be a better regulatory tool for reducing long work hours for nurses.
目的
考察各州关于护士轮班时间的规定（包括强制加班和连续工作时间政策）在多大程度上减少了注册护士的强制加班实践和工作时间。
方法
我们分析了 2004 年和 2008 年全国注册护士抽样调查中具有代表性的注册护士样本。我们对护士轮班时间政策对所有在医院和疗养院工作的全职护士每周加班超过 40 小时和每周加班超过 60 小时的可能性的影响进行了差分差异估计。
主要发现
强制加班和连续工作时间法规分别与每周加班的可能性降低 3.9 个百分点和每周加班超过 40 小时的可能性降低 11.5 个百分点显著相关。
结论
州强制性加班和连续工作时间政策在减少护士工作时间方面是有效的。连续工作时间政策似乎是减少护士长时间工作的更好监管工具。
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