Teclaw Robert, Osatuke Katerine
VHA National Center for Organization Development, Cincinnati, OH, USA.
J Nurs Manag. 2015 Nov;23(8):1137-46. doi: 10.1111/jonm.12270. Epub 2014 Dec 10.
To evaluate whether nurse work shift affected workplace perceptions.
Although the importance of work schedule in shaping work attitudes, generally (and specifically for nurses) is well accepted, much work remains in characterising how and why nurses' perceptions might differ across shifts.
Using an exploratory study of observational data, we examined whether shift influenced non-supervisory nurses' job perceptions in the Veterans Health Administration All Employee Survey (n = 14057; years 2008, 2010, 2012). The size of differences in item means (95% C.I.) across shifts was evaluated graphically. Using ordinal logistic regression, we accounted for the ordinal outcome variables and controlled for the demographic and survey year effects.
Nurses' perceptions of workplace climate differed across shifts. Items with the greatest differences, consistent across years and analytic methods, involved supervisors and fairness. Night and weekend shift nurse ratings were more negative than for weekday shift nurses.
Off-shift nurses are less satisfied with work/life balance, their supervisors and especially fairness. Overall satisfaction and turnover intention are not affected to the same extent.
These results indicate several specific areas that nurse managers can address through workforce support and communication.
评估护士工作班次是否会影响对工作场所的认知。
尽管工作时间表在塑造工作态度方面的重要性（一般而言，特别是对护士来说）已得到广泛认可，但在描述护士在不同班次的认知方式及原因方面仍有许多工作要做。
通过对观察数据的探索性研究，我们在退伍军人健康管理局全员工调查（n = 14057；2008年、2010年、2012年）中研究了班次是否会影响非主管护士的工作认知。以图形方式评估了各班次项目均值差异（95%置信区间）的大小。使用有序逻辑回归，我们对有序结果变量进行了分析，并控制了人口统计学和调查年份的影响。
护士对工作场所氛围的认知因班次而异。多年来和不同分析方法中差异最大的项目涉及主管和公平性。夜班和周末班护士的评分比日班护士更负面。
非日班护士对工作/生活平衡、主管，尤其是公平性的满意度较低。总体满意度和离职意向受到的影响程度不同。
这些结果表明了护士管理者可以通过员工支持和沟通来解决的几个具体领域。
