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The Impact of the Working Hours Among Malaysian Nurses on Their Ill-Being, Intention to Leave, and the Perceived Quality of Care: A Cross-Sectional Study During the COVID-19 Pandemic

Jarrar M 1 , Binti Ali N 2 , Shahruddin R 2 , Al-Mugheed K 3 , Aldhmadi BK 4 , Al-Bsheish M 5 Show all authors , AlSyouf A 6 , AlBaker W 7 , Alumran A 8

Affiliations 

  • 1 Vice Deanship for Development and Community Partnership, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
  • 2 Cluster of Applied Sciences, Open University Malaysia, Selangor, Malaysia
  • 3 Nursing College, Riyadh Elm University, Riyadh 13244, Saudi Arabia
  • 4 Department of Health Management, College of Public Health and Health Informatics, University of Ha'il, Ha'il, Saudi Arabia
  • 5 Health Management Department, Batterjee Medical College, Jeddah, Saudi Arabia
  • 6 Department of Managing Health Services and Hospitals, Faculty of Business Rabigh, College of Business (COB), King Abdulaziz University, Jeddah, Saudi Arabia
  • 7 Department of Internal Medicine, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
  • 8 Health Information and Management Department, College of Public Health, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
J Multidiscip Healthc, 2023;16:119-131.
PMID: 36684417 DOI: 10.2147/JMDH.S394583

Abstract

PURPOSE: This study explores the effect of working duration on nurses and their ill-being (ie, anxiety, depression, fatigue, and sleepiness), intention to leave, and the quality of nursing care.

METHODS: A questionnaire survey was employed for a convenience sample of 400 nurses at Malacca General Hospital in Malaysia who voluntarily participated in this cross-sectional study. The Statistical Package for the Social Sciences (SPSS) was used to treat and analyze the data. Descriptive statistics were generated, and Post Hoc analyses and ANOVA tests were conducted.

RESULTS: Findings indicated that working hours duration was significantly associated with nurses' anxiety (F (4, 394) = 10.362, p <0.001), depression (F (4, 395) = 23.041, p< 0.001), fatigue (F (4, 395) = 24.232, p< 0.001), sleepiness (F (4, 395) = 4.324, p < 0.002), quality of nursing care (F (4, 395) = 16.21, p <0.001) and intention leave their job, (F (4, 395) = 50.29, p <0.001). The results also revealed that working more than 14 hours was negatively associated with their perceived quality of nursing care and positively associated with their perceived ill-being and intention to leave.

CONCLUSION: Shift length is an important issue, and nursing managers must consider shift length as it can adversely correlate with the nurses' perceptions of work and life.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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