I have worked in a variety of settings that have allowed me to work 8 hour shifts, 10 hour shifts as well as 12 and even 16 hour shifts. After working a variety of schedules, I am able to provide pros and cons for both 8 hour shifts as well as 12 hour shifts based upon my experiences. Here is what I have found:
8 hour shifts – Pros:
- Provide high levels of accountability for patient outcomes simply because you have been with the same patients every day for 5 days consecutively.
- Four to Five hours less per shift exposed to disease, stress, and continual selflessness.
- Expected shift flow with each 8 hour shift allows the nursing personnel to divide patient care and nursing responsibility evenly (i.e. 7am-3pm handles administrative responsibilities, morning assessments, daily care planning, and patient discharges, 3pm-11pm handles measuring effectiveness of treatments, patient education, and patient admissions, and 11pm-7am handles continued observation, chart audits, and safety checks related to patient care equipment).
- Working 8 hours per day allows adequate time during the week to accomplish things like running errands, and having two consecutive days off in a row, usually the weekend with the rest of the world.
- Working 5 days a week, 8 hours per shift allows for healthy routines to be established and carried out more effectively, such as getting adequate sleep, exercise and eating healthy.
- Being able to have the same days off as your significant other as a way of maximizing quality time together.
8 hour shifts – Cons:
- If work is particularly stressful, you have to deal with it for 5 days in a row before you get a break.
- Only having off on the weekends may provide complications with making Doctor Appointments, and attending events during the weekday without using paid time off.
- Depending on the 8 hour shift, Day, Evening, or Night, there are extremes with each shift that may outweigh the pros (i.e. Day shift is NON STOP stress with lots of hands in the pot regarding patient care, evening shift can get OVERWHELMED with admissions and get home late after their family members have gone to sleep, and night shift has NO personal life at all and are usually sleep deprived).
- Rush Hour Traffic for the off-going day shift can be enough to hate working this schedule.
- Feeling like there is not enough time to adequately provide care for all of my patients.
12 hour shifts – Pros:
- Working only three days per week, and having four days off to accomplish things that I would normally not be able to accomplish in a 5 day work week.
- Improved quality improvement, and risk management efforts due to only two nurses being on duty per 24 hour period.
- Increased schedule flexibility based off of personal need (i.e. Tues, Thurs, Sat, or Mon, Tues, Wed, or Fri, Sat, Sun. scheduling options).
12 hour shifts – Cons:
- Extreme exhaustion at the 10th, 11th, 12th and 13th hour of a work day.
- Increased errors (i.e. missed documentation, near misses, communication breakdown, patient falls, etc.)
- Decreased physical wellness from missing meal breaks, holding urine too long, not eating healthy food items, not drinking enough water, not getting enough sleep, etc.
- Not having a set schedule – only a few places have offered me a choice in setting my work days. Most facilities schedule you according to need, and that could be every other weekend, every other day, or four shifts in a row. I have been scheduled all of the above without much say in the matter.
- You get to watch all of the nursing management and patient support staff (social work, case management, physical therapy, speech therapy, occupational therapy, dietary services, etc.) leave after they asked the world of you in the first 8 hours of your shift — leaving you bitter because you are still trying to catch up after helping them gather the patient data they needed to fulfill their role in patient care for the day.
- Less nursing staff to cover unexpected call outs, missed shifts, or emergencies.
Now that you have heard me list off pros and cons for both 8 hour and 12 hour shifts, I would like to hear your insights! Please contribute to the discussion by leaving a comment! Your comment, opinion, insight, advice, and experience may just help us gain more autonomy over scheduling and staffing to better meet the needs of our patients!
Best Wishes!
-Damion
I would love to experience 8 hour shifts in nursing. I like my 4 days off but I’m usually useless for 1.5 – 2 of those days because of exhaustion and preparing to go into work. This is probably worse when you work night shift.
Arlene, Thank you very much for your contribution to the discussion! I agree, working 12 to 13 hours per shift is exhausting, not allowing for much healthy routine. 8 hour shifts are nice if you can land 7a-3p, otherwise, you may experience similar issues with productivity on off time.
I totally agree on the pro and cons of 8 and 12hr shifts. I used to work mon-fri 830-5 at an office – it was nice to have a steady schedule and weekends off. Then I started nursing which I did enjoy having 4 days off but those 3x12hr shifts will definitely test my limits. Night shifts were def the worst, the days off I’m recuperating and I don’t feel right most of the time. Totally agree that I always ate late, drank no water and such during day shifts. Also toward the end of the day is when I got more tired and can’t think straight anymore. Thus I’m ready to go back to mon-fri 8-430 in August so I’ll have weekends off like a normal person, but not looking forward to the traffic though 🙁
Evelyn,
Thank you very much for your contribution to this discussion! Your experiences are much like the majority of the nursing profession… Torn between only have two days off like the rest of the world, or working to our maximum limits 3 days a week. It’s tough, though I do wish more facilities would allow nursing staff to determine what works best for them to adequately cover the unit, and safely care for the patients.
Thanks again for sharing! I hope to hear more from you soon!
Best Wishes!
-Damion
I think that there should be a choice in a hospital whether you want to work 8 or 12 hr shifts. There are many part time nurses who would love to work three or so 8hr shifts per week. I think that scheduling for the shifts 7-15 and 15-23 works great. There can be nurses doing the 7-19 shifts but in between the nurses doing the 8 hr shifts could help tremendously with staffing.
I work part time and do four 8 hr shifts per week. Some people work three 8 hr shifts one week and two the other. I am not against 12hr shifts but there should be a choice! If you want to work full time but to have 4 days off, then work three days 12hrs each. But there could also be a combination where RNs could work two 12hrs and two 8 hrs.
Nurses should be able to choose what works best.
Justyna,
I love your thoughtful reply to this very hot topic in nursing. I agree 100%. There should be a choice in how nursing staff schedule themselves, but the reality is that hospital administration has all the power when its concerned to nursing scheduling and staffing. What suggestions could you make to help nursing become autonomous in scheduling and staffing within their specific work settings?
I look forward to your continued contribution to this discussion.
-Best,
Damion