| Methods |
Randomised trial |
| Participants |
792 nurses (RNs and LPNs) regularly assigned to nursing stations on 18 medical and surgical units at the participating hospital |
| Interventions |
Interventions: 3 different shift models were implemented in the experimental units:
|
| Outcomes |
Nurse satisfaction and retention |
| Country/Setting |
USA: large (788 bed) tertiary‐care hospital |
| Notes |
Supported in part by funding made available by RMH Health Services, Incorporated. No conflict of interest declared. |
| Risk of bias |
| Bias |
Authors' judgement |
Support for judgement |
| Random sequence generation (selection bias) |
High risk |
Stratified sampling, randomisation at level of station rather than individual. Not clear how randomisation was conducted. |
| Allocation concealment (selection bias) |
High risk |
Not discussed, probably not possible |
| Blinding of participants and personnel (performance bias)
All outcomes |
High risk |
Not done and probably not possible to blind, and outcome likely to be susceptible to lack of blinding |
| Blinding of outcome assessment (detection bias)
All outcomes |
Unclear risk |
Not done, probably not possible |
| Incomplete outcome data (attrition bias)
All outcomes |
Unclear risk |
98% response rate reported, but data reporting incomplete. |
| Selective reporting (reporting bias) |
Unclear risk |
Outcome reporting unclear |
| Baseline characteristics similar for intervention group and control? |
Low risk |
Quote: "before the intervention, there was a difference in only one scale ‐ experience in privacy of work ‐ judged to be inconsequential" |
| Other bias |
Low risk |
None apparent |
