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KMID : 1004620230290030223
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Clinical Nursing Research
2023 Volume.29 No. 3 p.223 ~ p.237
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The Effects of a Shift Improvement Pilot Project on Nurses' Shift Adjustment, Work-Life Balance, and Turnover Intention: A Mixed-Methods Study
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Choi Su-Jung
Kim Mi-Soon
Jeon Mi-Kyeong
Choi Jin-Ju
Son Sook-Yeon
Kim Eun-Hye
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Abstract
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Purpose: This study aimed to investigate the impact of a nurse shift improvement pilot project on nurses' shiftadjustment, work-life balance, and turnover intention, as well as nurses' experiences of participating in the pilotproject.
Methods: An explanatory sequential mixed-methods study was performed. Survey data was collectedfrom a total of 1,051 nurses both in participant and non-participant groups. For the qualitative study, focusgroup interviews were conducted with 22 nurses who participated in the shift improvement pilot, including12 staff nurses, 7 nurse managers, and 3 substitute nurses.
Results: There were significant positive effects onthe key variables of nurses’ shift adjustment, work-life balance, and turnover intention in the group thatparticipated in the nurse shift improvement pilot project. Based on the qualitative study, participants in the shiftimprovement pilot project indicated that it enabled nurses to recover their circadian rhythm, and achieve abetter work-life balance, and they wanted to continue working as a nurse, and hoped expanded applicationof the pilot project.
Conclusion: In order for expanded implementation of the pilot project and continuedimprovement in the shift system, we recommend establishing compensation standard, systematizing the useof substitute nurses, developing guidelines for shift schedules, and expanding the shift improvement pilotproject to other departments such as the emergency room.
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KEYWORD
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Shift Work Schedule, Sleep Disorders - Circadian Rhythm, Work Life Balance, Employee Turnover, Nurses
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