Examination of the criteria that nursing managers in acute care hospitals use to determine whether new nurses can perform night shift duties

Abstract

This study aimed to identify the criteria nursing managers use to judge whether new nurses can perform night shift duties in acute-care hospitals. Semi-structured interviews were conducted with seven deputy nurse chiefs responsible for education and model nurses at an acute care hospital. The data were qualitatively analyzed, resulting in 13 identified criteria for assessing readiness for night-shift duties, including the ability to observe and gather information related to diseases, pathological conditions, or treatments; recognize normal, abnormal, and urgent situations based on changes in the patient's level of consciousness and symptoms; report and consult on the patient's situation clearly, specifically, and timely with appropriate parties; communicate interactively with senior nurses, including their own ideas; and perform standard and specialized medical assistance techniques with solid knowledge. The feasibility of newcomers performing night shift duties can be judged on the basic practical ability to handle day shift duties appropriately, supported by their knowledge, technical skills, and reporting, consultation, and communication abilities related to medical safety.