UNASSIGNED: The Coronavirus disease (COVID-19) pandemic is an ongoing pandemic all over the world, leading to 126, 372, 442 people diagnosed and 2, 769, 696 deaths globally as of March 28, 2021. Nurses are providing care to patients with COVID-19 who require hospitalization. To ensure adequate response capacity and to maintain the health of nurses, it is important to analyse the actual work hours and the nurses reported preferred work hours per shift among frontline nurses.
UNASSIGNED: To analyse the actual work hours and preferred work hours per shift of nurses reports among frontline nurses fighting the COVID-19 epidemic and to explore the influencing factors on the nurses reported preferred work hours.
UNASSIGNED: Cross-sectional survey.
UNASSIGNED: This study was conducted in 10 designated hospitals providing treatments to patients with COVID-19 in China.
UNASSIGNED: Nurses providing care to patients with COVID-19 in designated hospitals in China.
UNASSIGNED: A questionnaire with open-ended questions was used to assess frontline nurses caring for COVID-19 cases in 10 designated hospitals. Quantitative and qualitative methods were used to analyse the actual work hours, the nurses reported preferred work hours and factors influencing nurses reported preferred work hours among the frontline nurses.
UNASSIGNED: A total of 109 nurses responded to the survey. The shift length exceeded the nurses\' preferred work hours [Median (interquartile range): 5.00 (2.00) h vs 4.00 (2.00) h; Minimum-Maximum: 4-12 h vs 4-8 h], and 60.55% (66/109) of the nurses regarded 4 h as the preferred number of work hours per shift. Five key themes associated with the influencing factors emerged, including circumstances; personal preventable equipment; the nurses\' physical and emotional needs of nurse; and the nurses\' safety needs and work intensity.
UNASSIGNED: These findings suggest that there is a gap between the actual work hours and the nurses preferred work hours among frontline nurses in different units and different posts. The main influencing factors were circumstances, personal protective equipment, the nurses\' physical and emotional needs, and the nurses\' safety needs and work intensity.

OBJECTIVE: To determine how the new 2011 Accreditation Council for Graduate Medical Education work hours affected case volume across postgraduate year (PGY) levels of surgical trainees.
METHODS: Retrospective review of Accreditation Council for Graduate Medical Education case logs of surgical residents at Beth Israel Deaconess Medical Center from 2006 to 2013.
METHODS: Tertiary care center.
METHODS: All categorical surgical residents from 2006 to 2013.
RESULTS: PGY-1 cases decreased from 139 (122.25-172.5) to 111.5 (102.25-117.5) (p = 0.003). PGY-2 case volume decreased as well from 162 (151.5-192) to 126 (95.5-173) (p = 0.011). Only 45% of PGY-2 residents performed more than 250 major cases after the work hours changed compared with 82% of residents before 2011. PGY-3 cases increased from 263 (215-309) to 309 (282-340) (p = 0.0038). Cases performed by PGY-4 and PGY-5 residents were not statistically different. Total cases performed by graduating chiefs, however, has increased from 987 (848.5-1050) to 1090 (1033-1145) (p = 0.0006).
CONCLUSIONS: Intern and PGY-2 case volume has declined at our institution as new work-hour regulations took effect in 2011. However, PGY-3 case volume increased significantly, and graduating chiefs are graduating with more cases. The work hours do not appear to have had the intended result of improving intern educational experience from a standpoint of case volume. Significant programmatic changes will likely be required to achieve the 250-case minimum by the end of PGY-2 year, as per 2014 American Board of Surgery requirements.