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Relationship between nurse staffing levels and nurse outcomes in community hospitals, Thailand

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  • Apiradee Nantsupawat
  • Raymoul Nantsupawat
  • Wipada Kulnaviktikul
  • Matthew D. McHugh

Abstract

A growing body of research has shown an association between nurse staffing levels and a range of nurse outcomes. There is little empirical research evaluating this relationship in Thailand. This study evaluated the influence of nurse staffing levels on outcomes among nurses. A cross‐sectional survey design was conducted at 92 community hospitals using a stratified random sampling design across Thailand during May and July 2012. Questionnaires included items focusing on nurse staffing levels; job dissatisfaction and emotional exhaustion, both related to nurse retention; and needlestick and sharps injuries. The study sample comprised 1412 registered nurses who provided direct patient care. The findings showed that each additional patient per nurse was associated with an additional 5% of nurses reporting dissatisfaction in their job; 8% of nurses reporting high emotional exhaustion, and 4% of nurses reporting needlestick and sharps injuries. This study provides evidence of how nurse staffing levels result in nurse outcomes. Nurses are significant healthcare providers that directly affect quality of care and patient safety in hospitals. Improvement of nurse staffing levels holds promise for improving nurse outcomes in Thailand.

Suggested Citation

  • Apiradee Nantsupawat & Raymoul Nantsupawat & Wipada Kulnaviktikul & Matthew D. McHugh, 2015. "Relationship between nurse staffing levels and nurse outcomes in community hospitals, Thailand," Nursing & Health Sciences, John Wiley & Sons, vol. 17(1), pages 112-118, March.
    • Handle: RePEc:wly:nuhsci:v:17:y:2015:i:1:p:112-118
    DOI: 10.1111/nhs.12140
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    References listed on IDEAS

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    1. Shuhui Wang & Lin Yao & Shixue Li & Yan Liu & Haiyan Wang & Yu Sun, 2012. "Sharps injuries and job burnout: A cross‐sectional study among nurses in China," Nursing & Health Sciences, John Wiley & Sons, vol. 14(3), pages 332-338, September.
    2. Toren, Orly & Zelker, Revital & Lipschuetz, Michal & Riba, Shoshana & Reicher, Sima & Nirel, Nurit, 2012. "Turnover of registered nurses in Israel: Characteristics and predictors," Health Policy, Elsevier, vol. 105(2), pages 203-213.
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    Cited by:

    1. Paul Peter Schneider & Max Geraedts, 2016. "Staffing and the incidence of pressure ulcers in German hospitals: A multicenter cross‐sectional study," Nursing & Health Sciences, John Wiley & Sons, vol. 18(4), pages 457-464, December.
    2. Zainab Ambani & Ann Kutney‐Lee & Eileen T. Lake, 2020. "The nursing practice environment and nurse job outcomes: A path analysis of survey data," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(13-14), pages 2602-2614, July.
    3. Shahrzad Yektatalab & Marzieh Momennasab & Soroor Parvizy & Noushin Mousazadeh, 2022. "Improving Nurses’ Job Satisfaction: an Action Research Study," Systemic Practice and Action Research, Springer, vol. 35(1), pages 15-32, February.
    4. Yu Jingxian, 2022. "Analysis of Incentive Optimization Measures for Nurses in Public Hospitals in China," International Journal of Science and Business, IJSAB International, vol. 16(1), pages 192-210.
    5. Sabrina Berlanda & Federica de Cordova & Marta Fraizzoli & Monica Pedrazza, 2020. "Risk and Protective Factors of Well-Being among Healthcare Staff. A Thematic Analysis," IJERPH, MDPI, vol. 17(18), pages 1-18, September.
    6. Danjun Feng & Shan Su & Yang Yang & Jinghua Xia & Yonggang Su, 2017. "Job satisfaction mediates subjective social status and turnover intention among Chinese nurses," Nursing & Health Sciences, John Wiley & Sons, vol. 19(3), pages 388-392, September.
    7. Sujin Shin & Seung Jin Oh & Jeonghyun Kim & Inyoung Lee & Sung‐Heui Bae, 2020. "Impact of nurse staffing on intent to leave, job satisfaction, and occupational injuries in Korean hospitals: A cross‐sectional study," Nursing & Health Sciences, John Wiley & Sons, vol. 22(3), pages 658-666, September.
    8. Yunmi Kim & Seon‐Ha Kim & Young Ko, 2016. "Effect of nurse staffing variation and hospital resource utilization," Nursing & Health Sciences, John Wiley & Sons, vol. 18(4), pages 473-480, December.

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