Male Nurse Drinking Coffee on Break

When Senator Maureen Walsh made a flippant remark this week about nurses playing cards during their shifts, nurses across the globe went crazy. But for those who actually reviewed the footage of the now-sorry senator from Washington state, the request for an amendment to SHB 1155 for Critical Access Hospitals was not unreasonable.

These federally-designated hospitals, by definition, have less than 25 beds and are located in very rural settings at least 35 miles from any other hospitals. The facilities are only required to have a registered nurse when there are acute patients, otherwise, a licensed practical nurse is staffed. Therefore, it is possible that rural nurses are being staffed to these small rural hospitals, without any patients to care for in their shift. Mandating breaks and lunches, as spelled out in the bill, would require having additional nurses in these hard-to-staff facilities where the nurses may already have a lot of downtime.

Amidst the backlash from nurses and the media, and citing that the nurses are too tired and need breaks, Sen. Walsh introduced an amendment for SHB 1155 that will prohibit employees from "working more than eight hours for a twenty-four-hour period for a health care facility." Essentially, doing away with the coveted 12-hour nursing shifts that have been around since the 1970s. The bill, which recently passed in the Senate despite Sen. Walsh voting against it, included the amendment, but the House is refusing to concur as the bill currently stands. It may seem more of a retaliatory proposal, but would removing the 12-hour shift improve patient outcomes and nursing health?

RELATED: 12-Hour Shifts Vs. 10-Hour Shifts

There are numerous studies in leading journals over the past 20 years proving that when nurses, especially "seasoned" nurses, work more than eight hours a day, patients are at risk. More medication errors and sentinel events occur when nurses are fatigued, and the numbers rise exponentially when nurses work past 12 hours. In a study by the Georgia Nurses Association in 2011, researchers reported the risk of errors outweighs any of the benefits of the 12-hour shift.

Many nurses and healthcare institutions prefer the 12-hour shifts. Nurses prefer it because they can "cluster" their work days together and then have more time off in a row. Hospitals prefer it because staffing is easier with only covering two shifts instead of three. However, studies have shown that most nurses do not get enough sleep between their clustered shifts, around 5.5 hours per night, and even less for night-shift workers. Lack of sleep and fatigue are known culprits of poor judgment and cause significantly high rates of errors. Luckily we have tips for night shift workers to help with awareness.

RELATED: How to Manage Your Stress as a Nurse

The world of nursing is watching the outcome of SHB 1155 and the future of the 12-hour shift in Washington state. Should nurses complain that they are exhausted and need mandatory breaks while knowingly working long shifts that are proven to be unhealthy? Regardless of the outcome, hospitals must continue to strive to address the challenge of improving nurse well-being to decrease the risk to patient safety as it is related to fatigue.

RELATED: The Importance of the Nurse-Patient Relationship for Patient Care

Amanda Bucceri Androus, RN, BSN

What Are the Pros and Cons of Dual Degree Nursing Programs?In the United States, Dual Degree Nursing Programs (or DDNPs), sometimes called Combined Degrees, are degrees that mix nursing education…

Female nurse studying at computer.

Are You a Next Gen Nurse? Prepare for the Next Generation NCLEX (NGN) Questions Now!When 65% of the medical errors involving nurses are related to poor clinical decision-making, it is high time to change…

Woman nurse studying at her computer.

Do Women’s Only RN to BSN Programs Exist?Nursing and women's-only colleges have a long, shared history. Up until the beginning of the 19th century, women generally were…

Map for travel nurse.

Is Travel Nursing the Right Adventure for You?Jetting off to a tropical location or new city for a few months while getting paid top dollar can be…

CVOR nurse in the the operator room with other doctors and nurses.

What Is CNOR and Why Should You Go For It?The Competency and Credentialing Institute (CCI) is an organization that focuses on perioperative professional certifications for nurses. CCI identifies the…