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Palliative Medicine
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Nurses working 12-hour shifts in the hospice setting

Linda A Hodgson

The Heart of Kent Hospice, Aylesford

A system of 12-hour nursing shifts was adopted at a newly-opened independent hospice. This paper presents the results from an exploratory, descriptive study in which nursing staff reported perceived advantages, disadvantages and satisfaction with the 12-hour shift system.

A small sample (n = 11) of both qualified and unqualified nurses working the 12-hour shift completed the questionnaire. A content analysis of the qualitative data produced a number of categories relating to the perceived advantages and disadvantages of the 12-hour shift system in relation to the respondents, to the hospice and to patient and family care. The need for continuing to monitor and evaluate the shift system was demonstrated, particularly in relation to patient and family satisfaction, and the quality of care.

It was concluded that examining the advantages and disadvantages of the 12- hour shift system increased awareness of the needs of staff, presented a useful way of identifying and managing potential difficulties within the workplace, and highlighted areas for future research.

Key Words: hospices • nursing administration research • nursing staff

Palliative Medicine, Vol. 9, No. 2, 153-163 (1995)
DOI: 10.1177/026921639500900206
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