Nurse staffing, skill mix and job outcomes in Chilean public hospitals

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dc.coverageDOI: 10.4067/S0034-98872020001001444
dc.creatorSimonetti de Grote, Marta
dc.creatorSoto, Paz
dc.creatorGaliano, A
dc.creatorCerón, María Consuelo
dc.creatorLake, Eileen T.
dc.creatorAiken, Linda H.
dc.date2020
dc.date.accessioned05-01-2026 18:19
dc.date.available05-01-2026 18:19
dc.descriptionBackground: International evidence shows that there are organizational factors and nurse job outcomes that may negatively affect healthcare quality. Aim: To measure and analyze associations between nurse organizational factors, such as staffing ratios and skill mix, and job outcomes in public hospitals in Chile. Material and Methods: An observational, cross-sectional study of 1,855 registered nurses working in medical-surgical units in 37 public hospitals was conducted. Data collection followed the RN4CAST research protocol. Inferential analyses used logistic regression models. Results: The survey was answered by 1,395 registered nurses in 34 hospitals. The average staffing ratio was 14 patients-per-nurse, and the average skill mix was 31% registered nurses. Of all nurses, 35% reported burnout, 22% were dissatisfied, and 33% intended to leave. Being burned out increased by 9 and 6% the odds of being dissatisfied and the intent to leave, respectively (Odds ratio (OR) 1.09, p < 0.01 and 1.06, p < 0.01). Being dissatisfied increased by five times the odds of intent to leave (OR 5.19, p < 0.01). Conclusions: Staffing levels, burnout, and intent to leave warrant healthcare and governmental authorities’ attention. All these factors may be threatening healthcare quality and safety.eng
dc.descriptionBackground: International evidence shows that there are organizational factors and nurse job outcomes that may negatively affect healthcare quality. Aim: To measure and analyze associations between nurse organizational factors, such as staffing ratios and skill mix, and job outcomes in public hospitals in Chile. Material and Methods: An observational, cross-sectional study of 1,855 registered nurses working in medical-surgical units in 37 public hospitals was conducted. Data collection followed the RN4CAST research protocol. Inferential analyses used logistic regression models. Results: The survey was answered by 1,395 registered nurses in 34 hospitals. The average staffing ratio was 14 patients-per-nurse, and the average skill mix was 31% registered nurses. Of all nurses, 35% reported burnout, 22% were dissatisfied, and 33% intended to leave. Being burned out increased by 9 and 6% the odds of being dissatisfied and the intent to leave, respectively (Odds ratio (OR) 1.09, p < 0.01 and 1.06, p < 0.01). Being dissatisfied increased by five times the odds of intent to leave (OR 5.19, p < 0.01). Conclusions: Staffing levels, burnout, and intent to leave warrant healthcare and governmental authorities’ attention. All these factors may be threatening healthcare quality and safety.spa
dc.identifierhttps://investigadores.uandes.cl/en/publications/b987427c-37b9-454d-9687-4e4d603d229f
dc.languagespa
dc.rightsinfo:eu-repo/semantics/openAccess
dc.sourcevol.148 (2020) p.1444
dc.subjectBurnout, Psychological; Chile; Job Satisfaction; Personnel Turnover.
dc.subjectBurnout
dc.subjectPsychological
dc.subjectChile
dc.subjectJob Satisfaction
dc.subjectPersonnel Turnover
dc.titleNurse staffing, skill mix and job outcomes in Chilean public hospitalseng
dc.titleDotaciones, skillmix e indicadores laborales de enfermería en Hospitales Públicos chilenosspa
dc.typeArticleeng
dc.typeArtículospa
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