Nurse schedules: Pros & Cons of 12-Hour Shifts (2024)

6 min readApril, 25 2023

Working a 12-hour shift is standard for many nurses in a hospital setting, typically from 7 a.m. to 7 p.m. or 7 p.m. to 7 a.m. These longer nurse shift hours mean greater continuity of care for patients, but are they advantageous to nurses? Explore the benefits and potential pitfalls of an extended nurse's schedule and other flexible alternatives.

Benefits of a 12-Hour Nursing Shift

There are many reasons why nurses work 12-hour shifts. The many positive aspects include:

  • More days off. Instead of the workforce standard of two days off per week, you get four days off. Nurses on 12-hour shifts typically work three days a week, and many prefer to run these days consecutively. This four-day gap allows you to recharge and spend more quality time with family and friends.
  • Less commuting. Fewer scheduled days mean less time on the road. Whether you get to work by car or public transportation, you'll save on gas or fares, especially if you have a long commute.
  • Better continuity of care for patients. Fewer patient handoffs will occur if your team only requires two shift changes daily. That reduces the potential for miscommunication or misunderstanding among team members and errors that could arise as a result.
  • Added financial benefits. If you work what some consider less-desirable nurse hours, you may see an increase in your paycheck. Some hospitals offer a night differential or wage increase for working the night shift, the weekend, or both.
  • Uninterrupted flow. A 12-hour nursing shift runs more efficiently when you and your peers develop a consistent, uninterrupted rhythm.
  • Fewer overall hours. When you work three 12-hour shifts, you only put in thirty-six hours a week instead of the traditional forty hours. That gives you more uninterrupted quality time with your patients and more time for yourself. However, some hospitals require nurses to make up these hours by adding an eight-hour shift within a two-week period.

Drawbacks of a 12-Hour Nursing Shift

Nurse schedules: Pros & Cons of 12-Hour Shifts (1)

Although it has many positive aspects, a three-days-on, four-days-off nurse schedule has potential pitfalls, such as:

  • Job fatigue. Working for twelve hours straight can be exhausting, and there are times when your shift may run longer. An extended workday and irregular hours, like the night shift, can lead to burnout. Many nurses prefer to schedule "weekends" between their 12-hour shifts. In this instance, a typical nurse's schedule may mean working Monday, Tuesday, and Friday and taking off the two-day periods in between.
  • Limited downtime on workdays. You'll have less time (and energy) to spend with family or friends when you work an extended shift. These longer hours could result in scheduling conflicts and missed family dinners and activities.
  • Extra recuperation time. Depending on your circ*mstances —whether you have kids, a long commute, or find adjusting to an extended schedule challenging —a 12-hour shift can be so draining that you spend more of your time off resting and re-energizing.
  • Weaker performance and increased errors. Studies show that when you work twelve or more hours, your diminished mental capacity due to fatigue can result in less attentiveness. That may lead to errors affecting patient safety and outcomes.

Alternative Schedules for Nurses

While longer shifts are standard at many hospitals, not all nurse's schedules involve 12-hour workdays. Depending on their work environment, a nurse's shift may look like this:

  • Five eight-hour shifts each week: This more typical nurse's schedule is standard in private practices and outpatient settings, such as schools or physicians' offices. Nurses seeking a more conventional structure in their routine may prefer this setup.
  • Four ten-hour shifts each week: Like a three-day 12-hour schedule, this structure allows for more time off than a standard workweek since it gives you a three-day weekend.

If you decide 12-hour shifts work best for you, remember to keep your overall health and well-being in check. While at work, take breaks and stay nourished and hydrated to recharge your mind and body. And mentally check out once you've clocked out. These small actions can go a long way toward preventing burnout in nursing.

Images sourced from Getty Images

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Nurse schedules: Pros & Cons of 12-Hour Shifts (2)

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Nurse schedules: Pros & Cons of 12-Hour Shifts (2024)

FAQs

Are 12 hour shifts better for nurses? ›

With eight-hour shifts, nurses have three handoffs in a 24-hour day. Maintaining 12-hour shifts cuts that number to two handoffs. That often means fewer errors and better patient care and outcomes. The longer shifts improve continuity for patients, too as they have the same nurses with them for a longer time.

What are the pros and cons of a 12 hour shift? ›

There are definitely certain advantages to 12-hour shifts, including:
  • Simple 24-hour coverage. ...
  • Fewer shift handovers. ...
  • Reducing employee absenteeism. ...
  • Saving money. ...
  • Increased risk of burnout. ...
  • Higher labor costs. ...
  • Labor compliance difficulties.
Apr 25, 2022

Is working 12 hour shifts bad for your health? ›

Potential injury problems may occur with shiftworkers who have physically demanding jobs. The strain of working such jobs on a 12-hour shift instead of an 8-hour shift could potentially increase physical complaints, such as back problems and carpal tunnel syndrome.

What is the best schedule for a nurse? ›

12-hour shifts 3 days a week is a standard nursing schedule for practices that need to serve patients 24/7 because you can have one team work from 6 AM until 6 PM, then have a night shift team come into work from 6 PM until 6 AM. That shift repeats continuously, so there's always a full team at work.

How do you survive a 12 hour nursing shift? ›

How To Get Through A 12 Hour Nursing Shift
  1. Prepare Your Uniform The Night Before.
  2. Bring Plenty Of Food.
  3. Stay Hydrated.
  4. Wear Compression Socks.
  5. Leave The Unit During Breaks.
  6. Invest In Comfortable Shoes.
  7. Stay Busy.
  8. Be Organised.
Jul 18, 2022

Are 12 hour shifts too long? ›

A lack of sleep and limited opportunities for exercise are two significant factors in 12-hour shift health concerns. Additionally, long shifts make eating healthy and cooking balanced meals challenging. Due to time constraints, these employees may rely on fast food, which is usually higher in saturated fat and sugars.

What are the problems with 12 hour shifts? ›

Reduced tolerance to physically demanding jobs.

Such jobs can be more difficult on 12-hour shifts. Unless countermeasures are taken to alleviate the problem, there may be an increase in work-related injuries and a rise in general discomfort, such as aching feet and backs.

Why do nurses only work 3 days a week? ›

Instead of the workforce standard of two days off per week, you get four days off. Nurses on 12-hour shifts typically work three days a week, and many prefer to run these days consecutively. This four-day gap allows you to recharge and spend more quality time with family and friends.

Can you survive a 12 hour shift? ›

To mentally get through a 12-hour shift, try the following strategies: Sleep matters: Get proper sleep before your workday to stay alert and sharp. Eat well: Fuel yourself with a healthy meal and snacks to sustain your energy level and stay focused during the long shift.

How many hours of sleep do you need for a 12 hour shift? ›

Ideally, a worker should aim for 7 to 9 hours of uninterrupted sleep before starting a 12-hour night shift. This helps to ensure they are rested and alert throughout their work.

What happens to your body when you work 12 hours a day? ›

Working long shifts can be emotionally and physically exhausting leading to both physical and mental health issues. For example, it can cause burnout and chronic fatigue. This is especially true for night shift workers, who typically get two to four hours less sleep than usual (often leading to sleep disorders).

When did nursing switch to 12 hour shifts? ›

Twelve-hour shifts have been a mainstay of nursing schedules since they began as a staffing strategy in the 1970s, but debate continues about their effect on nurses' health and ability to safely care for patients. Studies have examined both aspects of the issue.

What is the healthiest shift to work? ›

In general, 8-hour shifts are preferable to 12-hour shifts. Circadian physiology suggests that morning shifts should begin no earlier than 8:00 am for the physiological best fit to circadian rhythmicity.

What is the best sleep schedule for nurses? ›

The Centers for Disease Control and Prevention (CDC) suggest consistency is the best sleep pattern for night shift nurses. On your days off, go to bed at 3 or 4 a.m. and wake at noon or 1 p.m. Consistent sleep cycling trains your body to regulate itself better.

What nursing job has the best schedule? ›

Clinical Nursing Jobs

In settings like outpatient clinics or ambulatory care, nurses often experience a more predictable schedule compared to the chaos of the hospital. You're still knee-deep in patient care but with a rhythm that aligns better with a balanced lifestyle.

What is better, 12 hour shifts or 8 hour shifts? ›

There may even be advantages to 12 hour shifts in terms of lower stress levels, better physical and psychological wellbeing, improved durations and quality of off duty sleep as well as improvements in family relations. On the negative side, the main concerns are fatigue and safety.

Are 3/12 hour shifts worth it? ›

Shortened Work Week: In most hospitals, working three 12-hour shifts means four days off each week. The extended break is advantageous if you have a longer commute or require child care. You get less time on the road and more time with your family than those working the traditional 9 to 5.

Why night shift nursing is the best? ›

Generally speaking, patients have fewer visitors overnight. Working with them during this time allows for more hands-on care without the need to support their loved ones. Opportunities to foster stronger bonds with peers. Whatever shift you work, there's always a bond among your colleagues.

Why are 12 hour shifts so tiring? ›

Working a lengthy shift may disrupt sleeping patterns and leave less spare time for seeing friends, spending time with family, and personal pursuits, making it hard to maintain work-life balance. All this can lead to burnout, stress, and decreased job satisfaction if you don't prioritize your well-being.

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