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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.
    Author: Abed Al Ahad M, Elbejjani M, Simon M, Ausserhofer D, Abu-Saad Huijer H, Dhaini SR.
    Journal: Nurs Open; 2022 Mar; 9(2):1190-1199. PubMed ID: 34908247.
    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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