• Dr Abdirahman Moalim Hassan Ibrahim

Abstract The increasing demands on healthcare systems have led to extended shift lengths for nurses, raising concerns about their impact on nurse performance and patient care quality. Long working hours contribute to fatigue, burnout, and decreased job satisfaction, which can ultimately affect healthcare delivery, the healthcare system in Mogadishu, Somalia, has faced numerous challenges, including ongoing conflict, limited resources, and a high patient-to-nurse ratio. These factors place significant stress on healthcare professionals, particularly nurses, who play a critical role in patient care. Shift length, or the duration of time that nurses work during their shifts, is a pivotal aspect of healthcare delivery that can significantly influence both nurse performance and patient outcomes. This article investigates the effects of shift length on nurse performance and patient satisfaction, gathering insights on the working conditions and perceptions of nursing staff. This study uses a cross-sectional design to examine the impact of shift length on nurse performance in Mogadishu's healthcare system, with a sample of 400 nurses selected through stratified random sampling. Nurses are categorized by role and experience to ensure diverse representation. Data collection involves structured questionnaires that assess shift lengths, fatigue, performance metrics, and perceptions of patient care quality. The data are analyzed using statistical methods to identify correlations between shift lengths and performance outcomes. The study highlights a diverse nursing workforce in Mogadishu, with 400 respondents primarily consisting of Registered Nurses (55%). Many nurses work extended shifts, with 62.5% reporting fatigue, which correlates with decreased performance and increased medical errors. Half of the nurses believe longer shifts negatively affect patient satisfaction, with 25% feeling they lack time for individualized care. Suggestions for improvement include shorter shifts, flexible scheduling, and better mental health support. Addressing these issues is crucial for enhancing nurse well-being and patient care quality, necessitating policy changes in healthcare organizations.

Diverse nursing workforce, Registered Nurses, extended shifts, fatigue, decreased performance, medical errors, patient satisfaction, individualized care, shorter shifts, flexible scheduling, mental health support, nurse well-being, patient care quality, policy changes.

"The Effect of Shift Length on Nurse Performance and Patient Care in Mogadishu's Healthcare System - Somalia.", International Journal of Emerging Technologies and Innovative Research (www.jetir.org), ISSN:2349-5162, Vol.12, Issue 5, page no.f153-f162, May-2025, Available :http://www.jetir.org/papers/JETIR2505613.pdf

"The Effect of Shift Length on Nurse Performance and Patient Care in Mogadishu's Healthcare System - Somalia.", International Journal of Emerging Technologies and Innovative Research (www.jetir.org | UGC and issn Approved), ISSN:2349-5162, Vol.12, Issue 5, page no. ppf153-f162, May-2025, Available at : http://www.jetir.org/papers/JETIR2505613.pdf