Mandatory Meals and Rest Periods for Texas Registered Nurses and Allied Health Professionals

A Brief on The Intersection of Research and Ethics

Authors

  • Anh Tuyet Le Texas Woman's University PhD Nursing Program; MD Anderson Cancer Center

Keywords:

Law, Education, Nursing, Baccalaureate, Hospital, Quality of Health Care, Bills

Abstract

Despite working in a mentally and physically challenging environment, no protection is defined in state or federal laws to mandate nutrition and rest periods. This ethical dilemma puts nurses’ health and patients’ safety in jeopardy. If the nurse takes a break, it might prevent continuous, uninterrupted patient care. However, if the nurse does not take a break, she jeopardizes her health and the patient’s safety. Similarly, allied health professionals have experienced the same conundrum. This brief will discuss research that supports mandatory nutrition and rest periods and the research that supports the safety and wellness of patients, nurses, and other allied health professionals in Texas.

References

American Hospital Association. (2022, December). Workforce shortages delay patient discharges and exacerbate providers’ severe financial challenges. https://www.aha.org/fact-sheets/2022-12-05-workforce-shortages-delay-patient-discharges-and-exacerbate-providers-severe-financial-challenges

Andel, C., Davidow, S. L., Hollander, M., & Moreno, D. A. (2012). The economics of health care quality and medical errors. Journal of Health Care Finance, 39(1), 39–50. https://pubmed.ncbi.nlm.nih.gov/23155743/

Barzegar Safari, M., Bahadori, M., & Alimohammadzadeh, K. (2020). The related factors of nurses’ participation and perceived benefits and barriers in health policy making. Journal of Nursing Research, 28(4): p e103. https://doi.org/10.1097/jnr.0000000000000385

Bernazzani, S. (2015, October 5). Tallying the high cost of preventable harm. Costs of Care. https://costsofcare.org/tallying-the-high-cost-of-preventable-harm/

Brown, S., Whichello, R., & Price, S. (2018). The impact of resiliency on nurse burnout: An integrative literature review. MedSurg Nursing, 27(6), 349. https://www.proquest.com/scholarly-journals/impact-resiliency-on-nurse-burnout-integrative/docview/2159928351/se-2

Gallup. (2023, January 10). Nurses retain top ethics rating in U.S., but below 2020 high. https://news.gallup.com/poll/467804/nurses-retain-top-ethics-rating-below-2020-high.aspx

Horton Dias, C., & Dawson, R. M. (2020). Hospital and shift work influences on nurses’ dietary behaviors: A qualitative study. Workplace Health & Safety, 68(8), 374–383. https://doi.org/10.1177/2165079919890351

Johns Hopkins Medicine. (2016, May 3). Study suggests medical errors now third leading cause of death in the U.S. https://www.hopkinsmedicine.org/news/media/releases/study_suggests_medical_errors_now_third_leading_cause_of_death_in_the_us

Kelly, L. A., Gee, P. M., & Butler, R. J. (2021). Impact of nurse burnout on organizational and position turnover. Nursing Outlook, 69(1), 96–102. https://doi.org/10.1016/j.outlook.2020.06.008

Kim, S., Cho, S., & Park, Y. (2022). Daily microbreaks in a self-regulatory resources lens: Perceived health climate as a contextual moderator via microbreak autonomy. The Journal of Applied Psychology, 107(1), 60–77. https://doi.org/10.1037/apl0000891

KRC Research. (2018). Take Back the Lunch Break survey findings. TORK. https://cdntorkprod.blob.core.windows.net/docs-c5/763/185763/original/tork-takes-back-survey.pdf

Mello, M. M., Studdert, D. M., Thomas, E. J., Yoon, C. S., & Brennan, T. A. (2007). Who pays for medical errors? An analysis of adverse event costs, the medical liability system, and incentives for patient safety improvement. Journal of Empirical Legal Studies, 4(4), 835-860. https://doi.org/10.1111/j.1740-1461.2007.00108.x

Mitchell, G. (2020, October 1). More than 4,500 speaking up cases raised by nurses. Nursing Times. https://www.nursingtimes.net/news/policies-and-guidance/more-than-4500-speaking-up-cases-raised-by-nurses-last-year-01-10-2020/

Nejati, A., Shepley, M., & Rodiek, S. (2016). A review of design and policy interventions to promote nurses’ restorative breaks in health care workplaces. Workplace Health & Safety, 64(2), 70–78. https://doi.org/10.1177/2165079915612097

Nintunze, G. (2023, February 14). 27 organizations join to announce nursing shortage reduction coalition [Press release]. Texas Nurses Association. https://www.texasnurses.org/news/631976/Press-Release-27-Organizations-Join-to-Announce-Nursing-Shortage-Reduction-Coalition.htm#:~:text=The%20Nursing%20Shortage%20Reduction%20Coalition,not%20offered%20admission%20in%202021.

NSI Nursing Solutions. (2023). 2023 NSI National health care retention & RN staffing report. https://www.nsinursingsolutions.com/Documents/Library/NSI_National_Health_Care_Retention_Report.pdf

Sixel, L. M. (2016a, January 8). Lawsuit challenges unpaid life flight lunch breaks. Houston Chronicle. https://www.houstonchronicle.com/business/article/Suit-challenges-unpaid-Life-Flight-lunch-breaks-6743902.php

Sixel, L. M. (2016b, June 29). Texas nurses sue over working lunches. Houston Chronicle. https://www.hmpgloballearningnetwork.com/site/emsworld/news/12226857/texas-nurses-sue-over-working-lunches

Texas Board of Nursing. (n.d.). Mission and values. https://www.bon.texas.gov/about_mission_and_values.asp.html

Texas Health and Human Services. (2020). Updated nurse supply and demand projections 2018-2032 (Publication No. 25-157520). Texas Department of State Health Services. https://www.dshs.texas.gov/sites/default/files/chs/cnws/WorkforceReports/2020-Updated-Nurse-Supply-and-Demand-Projections.pdf

Texas Health and Human Services. (2022). 2022 Workplace violence against nurses - Employer survey (Publication No. 25-16714). Texas Department of State Health Services. https://www.dshs.texas.gov/sites/default/files/chs/cnws/Workplace%20Violence/2022_WPVAN_Report.pdf

The Law Firm of Josh Borsellino. (2019, February 19). Nurses sue for mandatory meal breaks, alleging unpaid OT. https://dfwcounsel.com/nurses-sue-for-mandatory-meal-breaks-alleging-unpaid-ot/

The National Institute for Occupational Safety and Health (NIOSH). (2020, March 31). Module 3: Risks associated with shift work and long work hours. Centers for Disease Control and Prevention. https://www.cdc.gov/niosh/work-hour-training-for-nurses/longhours/mod3/01.html

Texas Nurses Association. (n.d.). About Texas Nurses Association. https://www.texasnurses.org/page/AboutTNA

Texas Workforce Commission. (2022, September 13). About Texas workforce. https://www.twc.texas.gov/about-texas-workforce

U.S. Department of Labor. (2023a, January 1). Minimum length of meal period required under state law for adult employees in private sector 1. Wage and Hour Division. https://www.dol.gov/agencies/whd/state/meal-breaks#Texas

U.S. Department of Labor. (2023b, January 1). Minimum paid rest period requirements under state law for adult employees. Wage and Hour Division. https://www.dol.gov/agencies/whd/state/rest-periods

U.S. Department of Labor. (2023c, April 10). Title 29 Part 785 Hours worked. Code of Federal Regulations. https://www.ecfr.gov/current/title-29/subtitle-B/chapter-V/subchapter-B/part-785

Yoder-Wise, P. S. (2020). A framework for planned policy change. Nursing Forum, 55(1), 45–53. https://doi.org/10.1111/nuf.12381

Downloads

Published

2024-05-17 — Updated on 2024-05-28

Versions

How to Cite

Mandatory Meals and Rest Periods for Texas Registered Nurses and Allied Health Professionals: A Brief on The Intersection of Research and Ethics. (2024). TWU Student Journal, 3(1). https://twusj-ojs-twu.tdl.org/twusj/article/view/63 (Original work published 2024)