title: Experiences of reduced work hours for nurses and assistant nurses at a surgical department: a qualitative study.
abstract: BACKGROUND
  There is a shortage of registered nurses in the European Union (EU), and job dissatisfaction and perceived high work-family conflict have been identified as causes of nursing staff turnover. Reducing work hours is an organisational intervention that could have a positive effect on nurses' and assistant nurses' job satisfaction, work-life balance, and willingness to stay in the job. An orthopaedic surgery department at a large hospital in Sweden introduced reduced work hours for nurses and assistant nurses in order to improve the working situation. The aim of the study was to investigate the experiences of reduced work hours and no lunch breaks among nurses and assistant nurses at an orthopaedic surgery department at a hospital in Sweden, with a particular focus on recovery and psychosocial working environment.
  
  
  METHODS
  A qualitative design was used in the study. Eleven nurses and assistant nurses working at the particular orthopaedic department took part in the study, and semi-structured interviews were used to collect data. The interviews were analysed by interpretative phenomenological analysis.
  
  
  RESULTS
  Four main themes were developed in the analysis of the data: A more sustainable working situation, Improved work-life balance, Consequences of being part of a project, and Improved quality of care. Each theme consisted of subthemes.
  
  
  CONCLUSIONS
  Overall, reduced work hours appeared to have many, mainly positive, effects for the participants in both work and home life.
authors.affiliation: Department of Occupational and Environmental Medicine, University of Gotenburg and Sahlgrenska University Hospital, Gothenburg, Sweden.
authors.forename: Kristina
authors.identifier: 0000-0002-1726-3734
authors.initials: K
authors.lastname: Gyllensten
authors.affiliation: Department of Psychology, University of Gotenburg, Gothenburg, Sweden.
authors.forename: Gunnar
authors.initials: G
authors.lastname: Andersson
authors.affiliation: Department of Psychology, University of Gotenburg, Gothenburg, Sweden.
authors.forename: Helena
authors.initials: H
authors.lastname: Muller
keywords: Assistant nurses; Nurses; Psychosocial working environment; Qualitative research; Reduced work hours; Work-life balance