Effect of nurse work improvement on overtime after the night shift

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  • Furukawa Koji
    Showa University Fujigaoka Hospital
  • Higuchi Keiko
    Showa University School of Nursing and Rehabilitation Sciences Department of Nursing
  • Nishimura Misato
    Showa University School of Nursing and Rehabilitation Sciences Department of Nursing
  • Kawamura Harumi
    Showa University School of Nursing and Rehabilitation Sciences Department of Nursing
  • Mimura Nadami
    Showa University School of Nursing and Rehabilitation Sciences Department of Nursing

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Other Title
  • 看護師の夜勤明け超過勤務に対する業務改善の効果

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The total number of overtime hours recorded after night shifts in the entire target ward was 416h from June 2016 to May 2017. Monthly overtime peaked at 54.8h in October and hit bottom at 18.3h in May, with the monthly average of 35h. All three night-shift nurses customarily worked overtime for about 1h. This study aimed to clarify the effect of the schedule table and the worksheet based on it, which were used to reduce overtime hours after night shifts. We compared the total overtime hours before and after using two tools for 22 nurses taking night shifts in the hospital’s target ward, starting in June 2017. As a result, overtime hours after night shifts decreased to 90h per year from the previous record of 416h. Overtime spiked at 16h in June, when the two tools kicked off, and dropped to the bottom at 5h in May. The monthly average was 7.5h. Using the schedule table and the worksheet is likely to expedite the transfer of work between shifts. This condition probably enables nurses to share information quickly, leading to a reduction in overtime. Indications are inefficient works leading to overtime perpetuation. Thus, work efficiency should be improved by utilizing the two tools to reduce overtime work.

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