Variability, shift-specific workloads, and rationed care predictors of work satisfaction among registered nurses providing acute care:: a longitudinal study

Mary Abed Al Ahad; Martine Elbejjani; Michael Simon; Dietmar Ausserhofer; Huda Abu-Saad Huijer; Suzanne R. Dhaini

doi:10.1002/nop2.1160

Variability, shift-specific workloads, and rationed care predictors of work satisfaction among registered nurses providing acute care: a longitudinal study

Mary Abed Al Ahad^*, Martine Elbejjani, Michael Simon, Dietmar Ausserhofer, Huda Abu-Saad Huijer, Suzanne R. Dhaini

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

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.

Original language	English
Article number	1160
Pages (from-to)	1190-1199
Number of pages	10
Journal	Nursing Open
Volume	9
Issue number	2
Early online date	15 Dec 2021
DOIs	https://doi.org/10.1002/nop2.1160
Publication status	Published - Mar 2022

Keywords

Hospital
Longitudinal
Nursing
Patient-to-nurse ratio
Rationing of care
Shift-work satisfaction
Workload

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10.1002/nop2.1160Licence: CC BY

Al-Ahad-Variability-specific-workloads-Nursing-Open-1160-CCBY
Copyright © 2021 The Authors. Nursing Open published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
Final published version, 401 KBLicence: CC BY

Cite this

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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",

abstract = "Aims: The aim of this study was to explore nurses{\textquoteright} 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{\textquoteright} 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{\textquoteright} shift-work satisfaction.",

keywords = "Hospital, Longitudinal, Nursing, Patient-to-nurse ratio, Rationing of care, Shift-work satisfaction, Workload",

author = "{Abed Al Ahad}, Mary and Martine Elbejjani and Michael Simon and Dietmar Ausserhofer and {Abu-Saad Huijer}, Huda and Dhaini, {Suzanne R.}",

note = "The proposed study was funded for 2 years (2018-2020) by the Medical Practice Plan, Faculty of Medicine, American University of Beirut, Lebanon.",

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doi = "10.1002/nop2.1160",

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AU - Simon, Michael

AU - Ausserhofer, Dietmar

AU - Abu-Saad Huijer, Huda

AU - Dhaini, Suzanne R.

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N2 - 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.

AB - 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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KW - Rationing of care

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Variability, shift-specific workloads, and rationed care predictors of work satisfaction among registered nurses providing acute care: a longitudinal study

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Keywords

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