Department of Nursing, Samsung Medical Center, 81 Irwon-ro, Gangnam-gu, Seoul 06351, Korea.
Center for Human-Caring Nurse Leaders for the Future by Brain Korea 21 (BK 21) Four Project, Research Institute of Nursing Science, College of Nursing, Seoul National University, 103 Daehak-ro, Jongno-gu, Seoul 03080, Korea.
Int J Environ Res Public Health. 2021 Jul 27;18(15):7953. doi: 10.3390/ijerph18157953.
This study aimed to compare the fatigue, quality of life, turnover intention, and safety incident frequency between 2- and 3-shift nurses, and analyze their perceptions of the 2-shift system. Participants were 227 nurses working for one year or more in a tertiary hospital in Seoul, South Korea (113 were 2-shift nurses for two months or longer, and 114 were 3-shift nurses with no experience of 2-shift work). The Occupational Fatigue Exhaustion Recovery Scale (OFER) and Quality of Life Scale were used. Turnover intention, safety incident frequency, and perceptions of the 2-shift system were surveyed by questionnaires developed by the researchers. Results showed that 2-shift nurses had lower chronic fatigue (t = -2.38, = 0.018) and higher recovery between shifts (t = 3.90, < 0.001) and quality of life scores than 3-shift nurses (t = 3.69, < 0.001). There were no significant differences for turnover intention (t = -1.48, = 0.140), frequency of needlestick accidents (t = 0.30, = 0.763), medication errors (t = -1.46, = 0.146), or near-miss medication errors (t = 0.78, = 0.437). Two-shift nurses found it easier to secure rest and personal leisure time, and their shift system was shown to improve work satisfaction by increasing the continuity of care. Additional research is necessary to examine how nurses' health status and emotional satisfaction vary by shift type.
本研究旨在比较 2 班制和 3 班制护士的疲劳、生活质量、离职意愿和安全事故发生率，并分析他们对 2 班制的看法。参与者为在韩国首尔一家三级医院工作一年或以上的 227 名护士（113 名护士上 2 班制超过两个月，114 名护士上 3 班制，没有 2 班制工作经验）。使用职业疲劳衰竭恢复量表（OFFER）和生活质量量表。通过研究人员开发的问卷调查离职意愿、安全事故发生率和对 2 班制系统的看法。结果表明，2 班制护士的慢性疲劳程度较低（t = -2.38，p = 0.018），轮班之间的恢复程度较高（t = 3.90，p < 0.001），生活质量评分也较高（t = 3.69，p < 0.001）。而离职意愿（t = -1.48，p = 0.140）、针刺伤事故发生率（t = 0.30，p = 0.763）、用药错误（t = -1.46，p = 0.146）和接近用药错误（t = 0.78，p = 0.437）无显著差异。2 班制护士更容易保证休息和个人休闲时间，并且他们的轮班系统通过提高护理的连续性来提高工作满意度。需要进一步研究以检查护士的健康状况和情绪满意度如何因轮班类型而异。
