ArticleBMJ open2021
Measuring perceived adequacy of staffing to incorporate nurses' judgement into hospital capacity management: a scoping review.
Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- The Associations Between Nurses' Perceived Adequacy of Staffing and Quality of Nursing Care and Job Enjoyment: A Multilevel Modelling Approach.Journal of advanced nursing · 2026Observational
- Observational
- Multifactorial Correlation Analysis of Nursing Unit Staffing Based on Gray Relation Analysis: A Cross-Sectional Study.Journal of nursing management · 2026Article
- Influence of Nursing Time and Staffing on Medication Errors: A Cross-Sectional Analysis of Administrative Data.Nursing reports (Pavia, Italy) · 2025Article
- Association Between Nurse Staffing Coverage and Patient Outcomes in a Context of Prepandemic Structural Understaffing: A Patient-Unit-Level Analysis.Journal of nursing management · 2025Article
- The Nurse Perceived Adequacy of Staffing Scale for general hospital wards: A development and psychometric validation study.International journal of nursing studies advances · 2023Article
- Relationships between Alternative Nurse Staffing Level Measurements and Nurses' Perceptions of Nurse Staffing Level Adequacy, Fatigue, and Care Quality.Journal of nursing management · 2023Article
- Review
- Sufficient informed consent to medical treatment of adults: legal and ethical perspectives from Malawi.Malawi medical journal : the journal of Medical Association of Malawi · 2022Article
- Defining nursing workload predictors: A pilot study.Journal of nursing management · 2022Article
- Decoding Nursing Job Demands: A Multicenter Cross-Sectional Descriptive Study Assessing Nursing Workload in Hospital Medical-Surgical Wards.SAGE open nursingArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMatching demand and supply in nursing work continues to generate debate. Current approaches focus on objective measures, such as nurses per occupied bed or patient classification. However, staff numbers do not tell the whole staffing story. The subjective measure of nurses' perceived adequacy of staffing (PAS) has the potential to enhance nurse staffing methods in a way that goes beyond traditional workload measurement or workforce planning methods.
objectivesTo detect outcomes associated with nurses' PAS and the factors that influence PAS and to review the psychometric properties of instruments used to measure PAS in a hospital setting. DESIGN AND
methodsA scoping review was performed to identify outcomes associated with PAS, factors influencing PAS and instruments measuring PAS. A search of PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Business Source Complete and Embase databases identified 2609 potentially relevant articles. Data were independently extracted, analysed and synthesised. The quality of studies describing influencing factors or outcomes of PAS and psychometric properties of instruments measuring PAS were assessed following the National Institute for Health and Care Excellence quality appraisal checklist and the COnsensus-based Standards for the selection of health Measurement INstruments guidelines.
resultsSixty-three studies were included, describing 60 outcomes of PAS, 79 factors influencing PAS and 21 instruments measuring PAS. In general, positive PAS was related to positive outcomes for the patient, nurse and organisation, supporting the relevance of PAS as a staffing measure. We identified a variety of factors that influence PAS, including demand for care, nurse supply and organisation of care delivery. Associations between these factors and PAS were inconsistent. The quality of studies investigating the development and evaluation of instruments measuring PAS was moderate.
conclusionsMeasuring the PAS may enhance nurse staffing methods in a hospital setting. Further work is needed to refine and psychometrically evaluate instruments for measuring PAS.
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