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How do long shifts, overtime, and higher patient load influence activities that support good nursing practice?

How do long shifts, overtime, and higher patient load influence activities that support good nursing practice? 

Nursing workforce factors like shift length, workload, and use of overtime are known to influence care quality and staff wellbeing. But to what extent do these factors influence other aspects of nursing work - such as care coordination and continuous professional development? We used data from a large national survey of nurses to see if working long shifts, overtime, and having higher patient loads influenced nurses’ opportunities for completing activities that support good practice. 

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