Lobo Vanessa M, Ploeg Jenny, Fisher Anita, Peachey Gladys, Akhtar-Danesh Noori
Vanessa M. Lobo develops workshops for clinicians and teaches in Health Organization Management at the Canadian University Dubai, Dubai, United Arab Emirates. Jenny Ploeg is a professor in the School of Nursing and associate member, Department of Health, Aging and Society, McMaster University, Hamilton, Ontario. She is scientific director of the Aging, Community and Health Research Unit, School of Nursing, McMaster University. Anita Fisher is an associate professor in the School of Nursing, Faculty of Health Science at McMaster University. Gladys Peachey is retired from the faculty of Nursing at McMaster University. Noori Akhtar-Danesh is an associate professor of biostatistics, School of Nursing, McMaster University.
Crit Care Nurse. 2018 Dec;38(6):47-57. doi: 10.4037/ccn2018616.
Around the world, registered nurses are working increasing amounts of overtime. This is particularly true in critical care environments, which experience unpredictable fluctuations in patient volume and acuity, combined with a need for more specialized nurses.
To explore critical care nurses' reasons for working or not working overtime.
A semistructured interview guide was used to interview 28 frontline nurses from 11 critical care units in Ontario, Canada. Analysis was guided by Thorne's interpretive description methodology.
Participants' reasons for working overtime included (1) financial gain (96% of participants); (2) helping and being with colleagues (68%); (3) continuity for nurses and patients (39%); and (4) accelerated career development (39%). Their reasons for not working overtime were (1) feeling tired and tired of being at work (50%); (2) having established plans (71%); and (3) not receiving enough notice (61%).
Findings from this study provide important variations and extension of existing literature on the topic, and appear to be the first reported in Canadian critical care units. Additional research is required to understand administrative decision-making processes that lead to the use of overtime.
在全球范围内，注册护士的加班时间越来越长。在重症监护环境中尤其如此，那里患者数量和病情严重程度波动不可预测，同时需要更多专业护士。
探讨重症监护护士加班或不加班的原因。
使用半结构化访谈指南对加拿大安大略省11个重症监护病房的28名一线护士进行访谈。分析以索恩的解释性描述方法为指导。
参与者加班的原因包括：（1）经济收益（96%的参与者）；（2）帮助同事并与同事在一起（68%）；（3）护士和患者的连续性（39%）；（4）加速职业发展（39%）。他们不加班的原因是：（1）感到疲惫和厌倦工作（50%）；（2）已有既定计划（71%）；（3）未得到足够通知（61%）。
本研究结果为该主题的现有文献提供了重要的变化和扩展，似乎是加拿大重症监护病房首次报道的。需要进一步研究以了解导致加班的行政决策过程。
