Measuring the Effects of Potential Work Time Schedule Changes on Nurse Manager Health and Patient Outcomes
University of California, Los Angeles
Summary
The goal of this clinical trial is to explore how working a 4-day schedule impacts nurse manager wellbeing and job performance. The main questions it aims to answer are: * Do those working 4-days have improved wellbeing with reduced levels of burnout and work/family conflict when compared to those in the control group? * Do levels of sleep, heart rate variability, and physical activity significantly differ between those working the 4-day schedule change and those in the control group? * Are nurse manager satisfaction, patient satisfaction, and patient quality outcomes different among those working the 4-day schedule change and those in the control group? Researchers will compare those working the 4-day schedule change to those working the standard 5-day schedule to determine causality between the intervention and the outcomes. Participants will: * Complete an initial visit to learn about the study. * Begin wearing an OURA ring, which will collect data on physical activity, sleep, and heart rate variability. They will need to download the Oura Ring app on their phone and log in weekly to sync data so that the researchers may access it. * Complete the first survey on the online REDCap platform (baseline). * Begin the work schedule that was assigned to them. * Clock in and out of work each shift. * Take the follow-up survey online (month 3). * Take the final survey online (month 6).
Description
Researchers are looking to measure the effects of potential worktime schedule changes on a) nurse manager wellbeing (i.e., work/family conflict, burnout) and b) job performance (i.e., nurse manager satisfaction, patient satisfaction, and patient quality outcomes). Informed by the Conservation of Resources (COR) theory, it is hypothesized that working 4 days per week instead of 5 will improve nurse manager wellbeing with reduced burnout and work/family conflict. Using a randomized control trial design, nurse managers working at UCLA Health will be purposively recruited for the study. All parti…
Eligibility
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- Yes
Inclusion Criteria: * 18 years old or older * Registered nurse * Currently employed as a full-time nurse manager * Having a span of control greater than 40 Full Time Equivalent (FTE) Direct Reports * Currently working at either Ronald Regan UCLA Medical Center or UCLA Medical Center Santa Monica * In the acute care setting Exclusion Criteria: * Those working in ambulatory care settings * Nurse leaders with less than 30 FTE's * Working part time * Working a schedule less than 5 days a week
Interventions
- BehavioralSchedule Change
This 4-day workweek is defined by any 4 ten hour shifts between Sunday and Saturday. It will be up to the discretion of participants in the intervention group to coordinate which 4 days they work. The 4 days will most likely be weekdays, but some participants may work weekends. If participants do any work from home, they will clock in remotely to account for the time.
- BehavioralNo Schedule Change
The control group will continue to work five days per week, receiving standard practice for the schedule policies at the participating study sites.
Locations (2)
- Ronald Reagan UCLA Medical CenterLos Angeles, California
- UCLA Health, Santa MonicaSanta Monica, California