Variability, shift‐specific workloads and rationed care predictors of work satisfaction among Registered nurses providing acute care: A longitudinal study

Abstract Aims The aim of this study was to explore nurses’ shift‐work satisfaction variability across time and its shift‐specific predictors: perceived workload, patient‐to‐nurse ratio and rationing of nursing care. Design Longitudinal study of 90 Registered nurses (N = 1,303 responses) in a Lebanes...

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Main Authors: Mary Abed Al Ahad, Martine Elbejjani, Michael Simon, Dietmar Ausserhofer, Huda Abu‐Saad Huijer, Suzanne R. Dhaini
Format: Article
Language:English
Published: Wiley 2022-03-01
Series:Nursing Open
Subjects:
Online Access:https://doi.org/10.1002/nop2.1160
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author Mary Abed Al Ahad
Martine Elbejjani
Michael Simon
Dietmar Ausserhofer
Huda Abu‐Saad Huijer
Suzanne R. Dhaini
author_facet Mary Abed Al Ahad
Martine Elbejjani
Michael Simon
Dietmar Ausserhofer
Huda Abu‐Saad Huijer
Suzanne R. Dhaini
author_sort Mary Abed Al Ahad
collection DOAJ
description Abstract Aims The aim of this study was to explore nurses’ shift‐work satisfaction variability across time and its shift‐specific predictors: perceived workload, patient‐to‐nurse ratio and rationing of nursing care. Design Longitudinal study of 90 Registered nurses (N = 1,303 responses) in a Lebanese hospital over 91 days of data collection. Methods Intraclass correlation coefficients (ICCs) were computed to determine shift‐work satisfaction variability between individual nurses and working‐unit clusters. Generalized linear mixed models were used to explore the workloads and rationed care predictors of nurses’ shift‐work satisfaction separately for day and night shifts. Results Variability in shift‐work satisfaction was noted between individual nurses in day (ICC = 0.43) and night shifts (ICC = 0.37), but not between medical/surgical units. Nurses satisfied with their shift‐specific work were less probably to ration necessary nursing care (OR = 0.68; 95% CI = 0.60–0.77) in day shifts and to perceive high workload demands in both, day (OR = 0.29; 95% CI = 0.23–0.37) and night (OR = 0.29; 95% CI = 0.18–0.47) shifts. Monitoring and lowering workload demands while observing rationing of care is necessary to improve nurses’ shift‐work satisfaction.
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spelling doaj.art-871709479307467d875b9a86e735ebd12022-12-22T03:44:14ZengWileyNursing Open2054-10582022-03-01921190119910.1002/nop2.1160Variability, shift‐specific workloads and rationed care predictors of work satisfaction among Registered nurses providing acute care: A longitudinal studyMary Abed Al Ahad0Martine Elbejjani1Michael Simon2Dietmar Ausserhofer3Huda Abu‐Saad Huijer4Suzanne R. Dhaini5School of Geography and Sustainable Development University of St Andrews St Andrews UKClinical Research Institute Faculty of Medicine American University of Beirut Beirut LebanonInstitute of Nursing Science University of Basel Basel SwitzerlandInstitute of Nursing Science University of Basel Basel SwitzerlandFaculty of Health Sciences University of Balamand Balamand LebanonInstitute of Nursing Science University of Basel Basel SwitzerlandAbstract Aims The aim of this study was to explore nurses’ shift‐work satisfaction variability across time and its shift‐specific predictors: perceived workload, patient‐to‐nurse ratio and rationing of nursing care. Design Longitudinal study of 90 Registered nurses (N = 1,303 responses) in a Lebanese hospital over 91 days of data collection. Methods Intraclass correlation coefficients (ICCs) were computed to determine shift‐work satisfaction variability between individual nurses and working‐unit clusters. Generalized linear mixed models were used to explore the workloads and rationed care predictors of nurses’ shift‐work satisfaction separately for day and night shifts. Results Variability in shift‐work satisfaction was noted between individual nurses in day (ICC = 0.43) and night shifts (ICC = 0.37), but not between medical/surgical units. Nurses satisfied with their shift‐specific work were less probably to ration necessary nursing care (OR = 0.68; 95% CI = 0.60–0.77) in day shifts and to perceive high workload demands in both, day (OR = 0.29; 95% CI = 0.23–0.37) and night (OR = 0.29; 95% CI = 0.18–0.47) shifts. Monitoring and lowering workload demands while observing rationing of care is necessary to improve nurses’ shift‐work satisfaction.https://doi.org/10.1002/nop2.1160hospitallongitudinalnursingpatient‐to‐nurse ratiorationing of careshift‐work satisfaction
spellingShingle Mary Abed Al Ahad
Martine Elbejjani
Michael Simon
Dietmar Ausserhofer
Huda Abu‐Saad Huijer
Suzanne R. Dhaini
Variability, shift‐specific workloads and rationed care predictors of work satisfaction among Registered nurses providing acute care: A longitudinal study
Nursing Open
hospital
longitudinal
nursing
patient‐to‐nurse ratio
rationing of care
shift‐work satisfaction
title Variability, shift‐specific workloads and rationed care predictors of work satisfaction among Registered nurses providing acute care: A longitudinal study
title_full Variability, shift‐specific workloads and rationed care predictors of work satisfaction among Registered nurses providing acute care: A longitudinal study
title_fullStr Variability, shift‐specific workloads and rationed care predictors of work satisfaction among Registered nurses providing acute care: A longitudinal study
title_full_unstemmed Variability, shift‐specific workloads and rationed care predictors of work satisfaction among Registered nurses providing acute care: A longitudinal study
title_short Variability, shift‐specific workloads and rationed care predictors of work satisfaction among Registered nurses providing acute care: A longitudinal study
title_sort variability shift specific workloads and rationed care predictors of work satisfaction among registered nurses providing acute care a longitudinal study
topic hospital
longitudinal
nursing
patient‐to‐nurse ratio
rationing of care
shift‐work satisfaction
url https://doi.org/10.1002/nop2.1160
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