German nurse in the USA: Why the shift model is better!

German nurse in the USA: Why the shift model is better!

What does a German nurse do in California? Anna has decided to take the adventure to the USA and she couldn't be happier. In a neurology and trauma intensive care unit, she works in a system that works fundamentally differently than the German one. While the shortage of staff is often discussed in this country, Anna reports that the US shift system has health benefits for her.

In the US, shifts are typically scheduled for twelve hours, with Anna working between 7:00 a.m. and 7:30 p.m. or 7:00 p.m. and 7:30 a.m. With just three shifts per week, she works a total of 36 hours, which allows her to work the remaining days freely. “The fixed system is simply better for the body and private life,” says Anna. Thanks to the two-week rhythm, she knows exactly when she has to work and can therefore plan her free time better.

Skilled labor shortage in Germany

Despite these positive experiences, there are challenges that Anna cannot ignore. The Verdi union emphasizes that inadequate staffing is a key problem for nursing staff in Germany. Verdi criticizes additional duty rosters, which are often unreliable and have a negative impact on family, private life and relaxation. “Slow adjustments often have an impact on patient care,” the union points out and calls for binding, needs-based personnel requirements in all areas of care.

The German healthcare system is struggling. While the shortage of skilled workers is clearly noticeable in geriatric care facilities, hospitals and psychiatric wards, there are always discussions about creating additional positions. But as is often the case, the argument comes that there are not enough skilled workers to fill these positions. However, good pay and sufficient staff are considered basic requirements to make the profession more attractive.

Advantages and disadvantages of the American model

However, the US system also has its downsides. Anna notes that there is little communication between the night and day teams, which can impact continuity of care. Verdi also criticizes the long shift model: The union rejects twelve-hour shifts because they increase both physical and psychological stress. Instead, they recommend the classic eight-hour shifts to promote health protection and job satisfaction.

Anna is aware of the debate surrounding the pros and cons of different systems and emphasizes that there are other nurses in the US who support her view. “The German system really has its problems and many of us have to be creative with our shift planning to live a balanced life,” she adds.

Overall, it is clear that the discussion about nursing professions in Germany is more urgent than ever. The challenges are diverse, and good conditions that can attract and retain skilled workers are all the more important. Anna's experiences from California are a way to look beyond the horizon, which should also be taken into account in the domestic debate about legal staffing and working standards. The future of nursing could be more exciting than you think.