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This study examines the association between 12-hour shifts in nursing staff and patient incident rates in mental health and community hospitals.

Nursing 12-Hour Shifts and Patient Incidents in Mental Health and Community Hospitals: A Longitudinal Study Using Routinely Collected Data

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Longitudinal study measures patient incidents related to 12-hour nursing shifts in mental health hospitals, suggesting safety concerns.

This study examines the association between 12-hour shifts in nursing staff and patient incident rates in mental health and community hospitals.
Longitudinal analysis using routinely collected data from two NHS trusts in South England.
Accessed rosters and incident data from April 2018 to March 2021, analyzing 898,143 shifts and 38,373 patient incidents.
Utilized negative binomial mixed-effects models or Poisson mixed-effect models to assess the relationship between long shifts and patient incidents.
Increasing long shifts was associated with a small increase in total incident rates initially, but a sharp rise occurred when long shifts exceeded 70%.
Rates of self-injury steadily increased with higher proportions of 12-hour shifts.
Findings suggest that mandatory implementation of long shifts should be discouraged.

Dall’Ora et al. (2023) studied this question.

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