Waking Up To Safety: An Examination of Work Hour Guideline Implementation and Education for Registered Nurses
Date of Award
Doctor of Education (EdD)
Linda L. Davison
Jeffrey S. Williamson
Scholarship of Discovery
The link between health care worker fatigue and adverse events is inseparable. Errors made by registered nurses correlated with work duration, overtime and the number of adverse events (Page 2004). To promote patient safety, nurses must remain vigilant. This study determined if work hour guidelines and education regarding safety risks affected nurse work hours, the use of fatigue countermeasures, and patient outcomes. The researcher explored survey data (n=597), actual work hours, patient safety events, and quality outcomes. Data collected demonstrated nurses work hours exceeded recommendations for a safe environment. The introduction of voluntary work guidelines and education did not result in a statistically significant change in primary work hours, F (2, 556) = 2.005, p > .05, secondary work hours, F (2, 119) = 0.372, p > .05, typical work hours in a day, 2 (4) = 1.086, or in payroll reports of greater than 100 hours worked in two weeks, 2 (2) = .295, p > .05. There was statistical significance noted in the reduction of greater than three 12-hour shifts in a row, 2 (3) = 7.810, p < .05. The survey also demonstrated that nurses did not routinely use countermeasures to combat fatigue; however, there was a statistical difference in total countermeasure use following work hour guidelines and fatigue education, F (2, 592) = 7.758, p < .01. No statistical difference occurred in adverse safety events or quality outcomes following the implementation of work hour guidelines and education; however, the numbers were small.
Schleder, Bonnie J., "Waking Up To Safety: An Examination of Work Hour Guideline Implementation and Education for Registered Nurses" (2013). Ed.D. Dissertations. 61.
Ed.D. dissertation completed in 2013 for Olivet Nazarene University.