The nursing staff of a medical–surgical unit would like to work four 10-hour shifts each week. For which reason would the unit nurse manager probably deny this request?

1. There is no overlap of staff.
2. There are not enough nurses working during a 24 hour period of time.
3. This would create discord and confusion with other health care departments.
4. This staffing pattern would not be cost-efficient.


4
Rationale 1: With 10 hour shifts there is an overlap of staff.
Rationale 2: In order to cover 24 hours, three nurses are needed. In order to cover 24 hours with 12-hour shifts, two nurses are needed.
Rationale 3: There is no evidence that 10-hour shifts for nurses would adversely affect other departments.
Rationale 4: Since there is substantial overlap when covering 24-hours with 10-hour shifts, this staffing pattern is generally not cost-efficient.
Global Rationale:

Nursing

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