유럽 12개 나라 간호사들을 대상으로 한 연구

12시간 이상 근무하는 간호사의 경우 업무 만족도가 낮고, 탈진율이 높으며, 이직 의사가 높음. 이러한 경향은 간호사와 환자 모두에게 악영향을 끼칠 수 있음

간호사들 개개인이 12시간 근무를 선호하는 경향이 있는 것도 사실이지만, 장기적으로 볼 때 이는 바람직하지 못함

Association of 12 h shifts and nurses’job satisfaction, burnout and intention to leave: findings from a cross-sectional study of 12 European countries

Objectives 12 h shifts are becoming increasingly common for hospital nurses but there is concern that long shifts adversely affect nurses’ well-being, job satisfaction and intention to leave their job. The aim of this study is to examine the association between working long shifts and burnout, job dissatisfaction, dissatisfaction with work schedule flexibility and intention to leave current job among hospital nurses.

Methods Cross-sectional survey of 31 627 registered nurses in 2170 general medical/surgical units within 488 hospitals across 12 European countries.

Results Nurses working shifts of ≥12 h were more likely than nurses working shorter hours (≤8) to experience burnout, in terms of emotional exhaustion (adjusted OR (aOR)=1.26; 95% CI 1.09 to 1.46), depersonalisation (aOR=1.21; 95% CI 1.01 to 1.47) and low personal accomplishment (aOR=1.39; 95% CI 1.20 to 1.62). Nurses working shifts of ≥12 h were more likely to experience job dissatisfaction (aOR=1.40; 95% CI 1.20 to 1.62), dissatisfaction with work schedule flexibility (aOR=1.15; 95% CI 1.00 to 1.35) and report intention to leave their job due to dissatisfaction (aOR=1.29; 95% CI 1.12 to 1.48).

Conclusions Longer working hours for hospital nurses are associated with adverse outcomes for nurses. Some of these adverse outcomes, such as high burnout, may pose safety risks for patients as well as nurses.