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Title: Variability, shift-specific workloads and rationed care predictors of work satisfaction among Registered nurses providing acute care: A longitudinal study
Authors: Abed Al Ahad, Mary
Elbejjani, Martine
Simon, Michael
Ausserhofer, Dietmar
Abu-Saad Huijer, Huda 
Dhaini, Suzanne R
Affiliations: Nursing Program 
Keywords: Hospitals
Patient-to-nurse ratio
Rationing of care
Shift-work satisfaction
Issue Date: 2022
Part of: Nursing open
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.

Longitudinal study of 90 Registered nurses (N = 1,303 responses) in a Lebanese hospital over 91 days of data collection.

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.

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.
DOI: 10.1002/nop2.1160
Ezproxy URL: Link to full text
Type: Journal Article
Appears in Collections:Nursing Program

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