Transition From 24-Hour Shifts to Safer Work Schedules for Nurses in Latvian Healthcare: Policy Analysis and Recommendations

The practice of 24-hour shifts is still common in Latvian healthcare, especially in inpatient medical treatment institutions, despite evidence of its adverse effects on staff well-being, patient safety, and quality of care. This article provides an in-depth policy analysis based on international experience, the Latvian legal and institutional context, as well as the cur-rent situation in medical treatment institutions. Alternative shift patterns (8h, 12h, flexible schedule) are examined, their advantages and challenges are compared, and preconditions and policy recommendations for a safe transition are developed. The article identifies seven key factors for the successful implementation of the reform, including adapting the regulatory environment, strengthening human resources, financial support, management training, technological support, implementing pilot projects, and setting up a monitoring system. The analysis concluded that reform is needed not only to improve the organisation of work, but also as an instrument for changing values, promoting a humancentred and excellence-oriented healthcare system in Latvia.