Understaffing as a Two-Dimensional Phenomenon: A Cross-Sectional Study of Hospital Nurses' Manpower and Expertise Understaffing

IF 3.4 3区医学 Q1 NURSING Journal of Advanced Nursing Pub Date : 2025-02-07 DOI:10.1111/jan.16803

Shani Pindek, Melisa R. Hayman, David J. Howard, Maryana L. Arvan, Paul E. Spector

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Abstract

Aim(s)

To examine whether manpower and expertise understaffing are distinct, and whether they relate similarly to nursing stressors, burnout, job satisfaction and intentions to turnover.

Design

A cross-sectional survey of hospital nurses nested within units was used.

Methods

The sample included 402 nurses. Nurses provided ratings of the study's variables using validated self-report measures. The data were analysed both as multilevel and single-level data.

Results

Manpower and expertise understaffing contributed unique explained variance to all of the examined outcomes. Nurses within the same units experience different understaffing levels. Expertise understaffing emerged as a significantly stronger predictor than manpower understaffing for three of the six of the outcome variables (illegitimate tasks, job satisfaction and turnover intentions).

Conclusion

Manpower and expertise understaffing are distinct, and both are associated with nurse outcomes.

Reporting Method

We have adhered to the STROBE guideline for cross-sectional studies.

Implications for the Profession and/or Patient Care

Considering both manpower and expertise understaffing to maintain proper staffing levels in nursing units is crucial.

Patient or Public Contribution

A Director of Patient Care Services from the hospital where the study was conducted is a member of the research team. This member contributed to designing and conducting the study as well as interpreting the results.

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来源期刊

Journal of Advanced Nursing 医学-护理

CiteScore

6.40

自引率

7.90%

发文量

369

审稿时长

3 months

期刊介绍： The Journal of Advanced Nursing (JAN) contributes to the advancement of evidence-based nursing, midwifery and healthcare by disseminating high quality research and scholarship of contemporary relevance and with potential to advance knowledge for practice, education, management or policy. All JAN papers are required to have a sound scientific, evidential, theoretical or philosophical base and to be critical, questioning and scholarly in approach. As an international journal, JAN promotes diversity of research and scholarship in terms of culture, paradigm and healthcare context. For JAN’s worldwide readership, authors are expected to make clear the wider international relevance of their work and to demonstrate sensitivity to cultural considerations and differences.