School of Nursing, Qingdao University, Qingdao, China.
School of Nursing, Qingdao University, Qingdao, China
BMJ Open. 2024 Nov 17;14(11):e087389. doi: 10.1136/bmjopen-2024-087389.
The available literature reviews of shift work among care workers are almost exclusively focused on 8-hour shifts and 12-hour shifts or 24-hour on-call shifts for physicians. We do not yet know the scope of evidence regarding extended-duration work shifts (defined as on-duty shifts of 16 or more hours per shift) in diverse healthcare settings, such as the impact on care workers and recipients of care. In this proposed scoping review, we aim to provide an overview of the current research regarding extended-duration work shifts among care workers in various healthcare settings.
We will conduct this scoping review in accordance with the Joanna Briggs Institute scoping review methodology. Comprehensive searches will be conducted in PubMed, Embase, MEDLINE, Web of Science and CINAHL (Cumulative Index to Nursing and Allied Health Literature) databases and grey literature sources. We will include empirical studies that focus on extended-duration work shifts among care workers working in different healthcare settings, including home care, community, acute care settings, long-term care homes and assisted living facilities. We will not apply language restrictions. We will conduct searches in August 2024, followed by screening of records. We will exclude research on on-call work shifts and investigations that solely focus on interns. The included literature will be screened independently by pairs of reviewers at the title and abstract review phase, followed by a full-text review for relevant literature. Any disagreement will be resolved by consensus or discussion with a third reviewer. The results will be extracted and summarised in the final report in tabular form, when possible, along with narrative synthesis.
All data for this study will come from published literature, so an ethics review is not necessary. The findings will be disseminated through conference presentations and publication in peer-reviewed journals, with the expectation that they will guide future research and inform future management of work shifts in care workers.
现有的关于护理人员轮班工作的文献综述几乎完全集中在 8 小时轮班和 12 小时轮班，或者 24 小时随叫随到的医生轮班。我们还不知道关于延长工作时间（定义为每班次工作 16 小时或更长时间）的护理人员在不同医疗保健环境中的证据范围，例如对护理人员和护理接受者的影响。在这项拟议的范围综述中，我们旨在提供一个关于不同医疗保健环境中护理人员延长工作时间的当前研究概述。
我们将根据乔安娜·布里格斯研究所的范围综述方法进行这项范围综述。将在 PubMed、Embase、MEDLINE、Web of Science 和 CINAHL（护理和联合健康文献累积索引）数据库以及灰色文献来源中进行全面搜索。我们将包括关注不同医疗保健环境中护理人员延长工作时间的实证研究，包括家庭护理、社区、急性护理环境、长期护理院和辅助生活设施。我们不会对语言进行限制。我们将在 2024 年 8 月进行搜索，然后进行记录筛选。我们将排除关于随叫随到工作班次和仅关注实习生的调查的研究。在标题和摘要审查阶段，将由 pairs 对评论者独立筛选研究文献，然后对相关文献进行全文审查。任何分歧将通过共识或与第三位评论者的讨论来解决。结果将以表格形式在最终报告中提取和总结，如果可能的话，还将进行叙述性综合。
本研究的所有数据均来自已发表的文献，因此不需要进行伦理审查。研究结果将通过会议演讲和同行评议期刊发表进行传播，预计将为未来的研究提供指导，并为护理人员的未来轮班管理提供信息。
