Evidence map›Paper›PMID 26359284›Full record

ArticleBMJ open2015

Association of 12 h shifts and nurses' job satisfaction, burnout and intention to leave: findings from a cross-sectional study of 12 European countries.

Chiara Dall'Ora, Peter Griffiths, Jane Ball, Michael Simon, Linda H Aiken

Registry-linked trialAbstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07471581 (Patient Satisfaction With Care), which is not on this map. Cited by 146 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
146citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07471581 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Patient Satisfaction With Care: A Cross-Sectional Observational Study at AOU Maggiore Della Carità, Novara (SCORE)

TypeobservationalSponsorUniversità degli Studi del Piemonte Orientale Amedeo AvogadroRan2026 to 2026Enrolled250ConditionsPatient Satisfaction, Nursing, Nursing Care, Patient-Centered Care
3 · Its place in the literature

Who cites it

146 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Burnout in nursing: a theoretical review.Human resources for health · 2020
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86 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Chiara Dall'OraNational Institute for Health Research Collaboration for Leadership in Applied Health Research and Care (Wessex), University of Southampton, Southampton, UK.
Peter GriffithsNational Institute for Health Research Collaboration for Leadership in Applied Health Research and Care (Wessex), University of Southampton, Southampton, UK.
Jane BallNational Institute for Health Research Collaboration for Leadership in Applied Health Research and Care (Wessex), University of Southampton, Southampton, UK.
Michael SimonInselspital Bern University Hospital, Nursing Research Unit, Bern, Switzerland Institute of Nursing Science, Faculty of Medicine, University of Basel, Basel, Switzerland.
Linda H AikenCenter for Health Outcomes & Policy Research, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA.

Funding

Department of Health HS&DR/13/114/17
6 · The paper itself

Abstract

objectives12 h shifts are becoming increasingly common for hospital nurses but there is concern that long shifts adversely affect nurses' well-being, job satisfaction and intention to leave their job. The aim of this study is to examine the association between working long shifts and burnout, job dissatisfaction, dissatisfaction with work schedule flexibility and intention to leave current job among hospital nurses.

methodsCross-sectional survey of 31,627 registered nurses in 2170 general medical/surgical units within 488 hospitals across 12 European countries.

resultsNurses working shifts of ≥12 h were more likely than nurses working shorter hours (≤8) to experience burnout, in terms of emotional exhaustion (adjusted OR (aOR)=1.26; 95% CI 1.09 to 1.46), depersonalisation (aOR=1.21; 95% CI 1.01 to 1.47) and low personal accomplishment (aOR=1.39; 95% CI 1.20 to 1.62). Nurses working shifts of ≥12 h were more likely to experience job dissatisfaction (aOR=1.40; 95% CI 1.20 to 1.62), dissatisfaction with work schedule flexibility (aOR=1.15; 95% CI 1.00 to 1.35) and report intention to leave their job due to dissatisfaction (aOR=1.29; 95% CI 1.12 to 1.48).

conclusionsLonger working hours for hospital nurses are associated with adverse outcomes for nurses. Some of these adverse outcomes, such as high burnout, may pose safety risks for patients as well as nurses.

Indexed as

NursesAdultBurnout, ProfessionalCross-Sectional StudiesEuropeFemaleHumansJob SatisfactionMalePatient SafetyPersonnel TurnoverWorkloadWork Schedule ToleranceSTATISTICS & RESEARCH METHODS

Identifiers

PMID26359284
PMCPMC4577950

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.