The extent to which adequacy of staffing predicts nursing teamwork in hospitals

Aims and objectivesThe purpose of this study was to examine the extent to which staffing adequacy predicts nursing teamwork, controlling for demographic and background variables.BackgroundFindings from former studies indicate that hospital, unit and staff characteristics may be related to nursing te...

Full description

Bibliographic Details
Published in:Journal of Clinical Nursing
Main Authors: Bragadóttir, Helga, Kalisch, Beatrice J., Bergthóra Tryggvadóttir, Gudný
Format: Article in Journal/Newspaper
Language:unknown
Published: American Nurses Association 2019
Subjects:
Online Access:https://hdl.handle.net/2027.42/152637
https://doi.org/10.1111/jocn.14975
_version_ 1835016570627162112
author Bragadóttir, Helga
Kalisch, Beatrice J.
Bergthóra Tryggvadóttir, Gudný
author_facet Bragadóttir, Helga
Kalisch, Beatrice J.
Bergthóra Tryggvadóttir, Gudný
author_sort Bragadóttir, Helga
collection Unknown
container_issue 23-24
container_start_page 4298
container_title Journal of Clinical Nursing
container_volume 28
description Aims and objectivesThe purpose of this study was to examine the extent to which staffing adequacy predicts nursing teamwork, controlling for demographic and background variables.BackgroundFindings from former studies indicate that hospital, unit and staff characteristics may be related to nursing teamwork, such as type of hospital and unit, role, gender, age, work experience, type of shift worked, shift length, number of working hours per week, overtime and staffing adequacy. Teamwork as well as staffing is identified as significant contributors to patient and staff safety in hospitals. However, the contribution of staffing to the quality of nursing teamwork is scarcely studied.DesignThis was a quantitative descriptive cross‐sectional study using the paper‐and‐pencil questionnaire Nursing Teamwork Survey‐Icelandic.MethodsThe study was conducted in 27 inpatient units in eight hospitals in Iceland with a sample of 925 nursing staff members. Participants were 567 registered nurses, practical nurses, unit secretaries and nurse unit managers. The Strengthening the Reporting of Observational Studies in Epidemiology checklist was used for this paper.ResultsWhen controlling for unit type, role, experience on current unit and intent to leave, perceived adequacy of staffing alone explains up to 10% of overall teamwork. Unit type, role, years of experience on current unit and perceived staffing adequacy correlated significantly with overall teamwork.ConclusionsThe findings of this study indicate that unit and staff characteristics, including perceived adequacy of staffing, are associated with and explain the variability in nursing teamwork on inpatient hospital units. The findings of this study provide important information for clinical nurses, nurse managers, policymakers and instructors in health care.Relevance to clinical practiceThe findings underline the importance of adequate staffing for nursing teamwork in inpatient hospital units. Peer Reviewed ...
format Article in Journal/Newspaper
genre Iceland
genre_facet Iceland
id ftumdeepblue:oai:deepblue.lib.umich.edu:2027.42/152637
institution Open Polar
language unknown
op_collection_id ftumdeepblue
op_container_end_page 4309
op_relation https://hdl.handle.net/2027.42/152637
doi:10.1111/jocn.14975
Journal of Clinical Nursing
Lavoie‐Tremblay, M., Leclerc, E., Marchionni, C., & Drevniok, U. ( 2010 ). The needs and expectations of generation Y nurses in the workplace. Journal for Nurses in Staff Development (JNSD), 26 ( 1 ), 2 – 8; quiz 9–10. https://doi.org/10.1097/NND.0b013e3181a68951
Kalisch, B. J., & Lee, K. H. ( 2010 ). The impact of teamwork on missed nursing care. Nursing Outlook, 58 ( 5 ), 233 – 241. https://doi.org/10.1016/j.outlook.2010.06.004
Kalisch, B. J., & Lee, K. H. ( 2012 ). Congruence of perceptions among nursing leaders and staff regarding missed nursing care and teamwork. The Journal of Nursing Administration, 42 ( 10 ), 473 – 477. https://doi.org/10.1097/NNA.0b013e31826a1fa4
Kalisch, B. J., & Lee, K. H. ( 2013 ). Variations of nursing teamwork by hospital, patient unit, and staff characteristics. Applied Nursing Research, 26 ( 1 ), 2 – 9. https://doi.org/10.1016/j.apnr.2012.01.002
Kalisch, B. J., Tschannen, D., & Lee, K. H. ( 2011 ). Do staffing levels predict missed nursing care? International Journal for Quality in Health Care, 23 ( 3 ), 302 – 308. https://doi.org/10.1093/intqhc/mzr009
Kalisch, B. J., Tschannen, D., & Lee, K. H. ( 2012 ). Missed nursing care, staffing, and patient falls. Journal of Nursing Care Quality, 27 ( 1 ), 6 – 12. https://doi.org/10.1097/NCQ.0b013e318225aa23
Kalisch, B. J., Weaver, S. J., & Salas, E. ( 2009 ). What does nursing teamwork look like? A qualitative study. Journal of Nursing Care Quality, 24 ( 4 ), 298 – 307. https://doi.org/10.1097/NCQ.0b013e3181a001c0
Kalisch, B. J., & Xie, B. ( 2014 ). Errors of omission: Missed nursing care. Western Journal of Nursing Research, 36 ( 7 ), 875 – 890. https://doi.org/10.1177/0193945914531859
Kalisch, B. J., Xie, B., & Ronis, D. L. ( 2013 ). Train‐the‐trainer intervention to increase nursing teamwork and decrease missed nursing care in acute care patient units. Nursing Research, 62 ( 6 ), 405 – 413. https://doi.org/10.1097/NNR.0b013e3182a7a15d
Kane, R. L., Shamliyan, T. A., Mueller, C., Duval, S., & Wilt, T. J. ( 2007 ). The association of registered nurse staffing levels and patient outcomes: Systematic review and meta‐analysis. Medical Care, 45 ( 12 ), 1195 – 1204. https://doi.org/10.1097/MLR.0b013e3181468ca3
Kohn, L. T., Corrigan, J. M., & Doran, D. M. ( 2000 ). To err is human: Building a safer health system. Washington, DC: National Academy Press.
Mitchell, P., Wynia, M., Golden, R., McNellis, B., Okun, S., Webb, C. E., … Von Kohorn, I. ( 2012 ). Core principles & values of effective team‐based health care. Discussion paper, Institute of Medicine, Washington, DC.
Morgan, B. B., Glickman, A. S., Woodard, E. A., Blaiwes, A. S., & Salas, E. ( 1986 ). Measurement of team behaviors in a navy environment. Orlando, FL: Naval Training Systems Center.
Robson, A., & Robson, F. ( 2015 ). Do nurses wish to continue working for the UK National Health Service? A comparative study of three generations of nurses. Journal of Advanced Nursing, 71 ( 1 ), 65 – 77. https://doi.org/10.1111/jan.12468
Salas, E., Sims, D. E., & Burke, C. S. ( 2005 ). Is there a “big five” in teamwork? Small Group Research, 36 ( 5 ), 555 – 599. https://doi.org/10.1177/1046496405277134
Sochalski, J. ( 2004 ). Is more better? The relationship between nurse staffing and the quality of nursing care in hospitals. Medical Care, 42 ( 2 Suppl ), Ii67 – Ii73. https://doi.org/10.1097/01.mlr.0000109127.76128.aa
Van Bogaert, P., Timmermans, O., Weeks, S. M., van Heusden, D., Wouters, K., & Franck, E. ( 2014 ). Nursing unit teams matter: Impact of unit‐level nurse practice environment, nurse work characteristics, and burnout on nurse reported job outcomes, and quality of care, and patient adverse events–a cross‐sectional survey. International Journal of Nursing Studies, 51 ( 8 ), 1123 – 1134. https://doi.org/10.1016/j.ijnurstu.2013.12.009
WHO ( 2009 ). Human factors in patient safety: Review of topics and tools. Geneva, Switzerland: World Health Organization.
WHO ( 2011 ). WHO patient safety curriculum guide: Multi‐professional edition. Geneva, Switzerland: World Health Organization.
Aiken, L. H., Cimiotti, J. P., Sloane, D. M., Smith, H. L., Flynn, L., & Neff, D. F. ( 2011 ). Effects of nurse staffing and nurse education on patient deaths in hospitals with different nurse work environments. Medical Care, 49 ( 12 ), 1047 – 1053. https://doi.org/10.1097/MLR.0b013e3182330b6e
Aiken, L. H., Sloane, D. M., Clarke, S., Poghosyan, L., Cho, E., You, L., … Aungsuroch, Y. ( 2011 ). Importance of work environments on hospital outcomes in nine countries. International Journal for Quality in Health Care, 23 ( 4 ), 357 – 364. https://doi.org/10.1093/intqhc/mzr022
Bragadottir, H., Kalisch, B. J., Smaradottir, S. B., & Jonsdottir, H. H. ( 2016 ). The psychometric testing of the Nursing Teamwork Survey in Iceland. International Journal of Nursing Practice, 22 ( 3 ), 267 – 274. https://doi.org/10.1111/ijn.12422
Bragadóttir, H., Kalisch, B. J., & Tryggvadóttir, G. B. ( 2017 ). Correlates and predictors of missed nursing care in hospitals. Journal of Clinical Nursing, 26 ( 11–12 ), 1524 – 1534. https://doi.org/10.1111/jocn.13449
Brunetto, Y., Shriberg, A., Farr‐Wharton, R., Shacklock, K., Newman, S., & Dienger, J. ( 2013 ). The importance of supervisor‐nurse relationships, teamwork, wellbeing, affective commitment and retention of North American nurses. Journal of Nursing Management, 21 ( 6 ), 827 – 837. https://doi.org/10.1111/jonm.12111
Chapman, R., Rahman, A., Courtney, M., & Chalmers, C. ( 2016 ). Impact of teamwork on missed care in four Australian hospitals. Journal of Clinical Nursing, 26, 170 – 181. https://doi.org/10.1111/jocn.13433
Cho, E., Sloane, D. M., Kim, E.‐Y., Kim, S., Choi, M., Yoo, I. Y., … Aiken, L. H. ( 2015 ). Effects of nurse staffing, work environments, and education on patient mortality: An observational study. International Journal of Nursing Studies, 52 ( 2 ), 535 – 542. https://doi.org/10.1016/j.ijnurstu.2014.08.006
Dabney, B. W., & Kalisch, B. J. ( 2015 ). Nurse staffing levels and patient‐reported missed nursing care. Journal of Nursing Care Quality, 30 ( 4 ), 306 – 312. https://doi.org/10.1097/ncq.0000000000000123
Donabedian, A. ( 1988 ). The quality of care. How can it be assessed? JAMA, 260 ( 12 ), 1743 – 1748. https://doi.org/10.1001/jama.1988.03410120089033
Estryn‐Béhar, M., Van der Heijden, B. I. J. M., Ogińska, H., Camerino, D., Le Nézet, O., Conway, P. M., … Hasselhorn, H.‐M. ( 2007 ). The impact of social work environment, teamwork characteristics, burnout, and personal factors upon intent to leave among European nurses. Medical Care, 45 ( 10 ), 939 – 950. https://doi.org/10.1097/MLR.0b013e31806728d8
Griffiths, P., Recio‐Saucedo, A., Dall’Ora, C., Briggs, J., Maruotti, A., Meredith, P., … Ball, J. ( 2018 ). The association between nurse staffing and omissions in nursing care: A systematic review. Journal of Advanced Nursing, 74 ( 7 ), 1474 – 1487. https://doi.org/10.1111/jan.13564
Jones, T. L., Hamilton, P., & Murry, N. ( 2015 ). Unfinished nursing care, missed care, and implicitly rationed care: State of the science review. International Journal of Nursing Studies, 52 ( 6 ), 1121 – 1137. https://doi.org/10.1016/j.ijnurstu.2015.02.012
Kaiser, J. A., & Westers, J. B. ( 2018 ). Nursing teamwork in a health system: A multisite study. Journal of Nursing Management, 26 ( 5 ), 555 – 562. https://doi.org/10.1111/jonm.12582
Kalisch, B. J. ( 2015 ). Errors of omission: How missed nursing care imperils patients. Silver Spring, MD: American Nurses Association.
Kalisch, B. J., & Lee, H. ( 2009 ). Nursing teamwork, staff characteristics, work schedules, and staffing. Health Care Management Review, 34 ( 4 ), 323 – 333. https://doi.org/10.1097/HMR.0b013e3181aaa920
Kalisch, B. J., Lee, H., & Salas, E. ( 2010 ). The development and testing of the nursing teamwork survey. Nursing Research, 59 ( 1 ), 42 – 50. https://doi.org/10.1097/NNR.0b013e3181c3bd42
op_rights IndexNoFollow
publishDate 2019
publisher American Nurses Association
record_format openpolar
spelling ftumdeepblue:oai:deepblue.lib.umich.edu:2027.42/152637 2025-06-15T14:30:50+00:00 The extent to which adequacy of staffing predicts nursing teamwork in hospitals Bragadóttir, Helga Kalisch, Beatrice J. Bergthóra Tryggvadóttir, Gudný 2019-12 application/pdf https://hdl.handle.net/2027.42/152637 https://doi.org/10.1111/jocn.14975 unknown American Nurses Association Wiley Periodicals, Inc. https://hdl.handle.net/2027.42/152637 doi:10.1111/jocn.14975 Journal of Clinical Nursing Lavoie‐Tremblay, M., Leclerc, E., Marchionni, C., & Drevniok, U. ( 2010 ). The needs and expectations of generation Y nurses in the workplace. Journal for Nurses in Staff Development (JNSD), 26 ( 1 ), 2 – 8; quiz 9–10. https://doi.org/10.1097/NND.0b013e3181a68951 Kalisch, B. J., & Lee, K. H. ( 2010 ). The impact of teamwork on missed nursing care. Nursing Outlook, 58 ( 5 ), 233 – 241. https://doi.org/10.1016/j.outlook.2010.06.004 Kalisch, B. J., & Lee, K. H. ( 2012 ). Congruence of perceptions among nursing leaders and staff regarding missed nursing care and teamwork. The Journal of Nursing Administration, 42 ( 10 ), 473 – 477. https://doi.org/10.1097/NNA.0b013e31826a1fa4 Kalisch, B. J., & Lee, K. H. ( 2013 ). Variations of nursing teamwork by hospital, patient unit, and staff characteristics. Applied Nursing Research, 26 ( 1 ), 2 – 9. https://doi.org/10.1016/j.apnr.2012.01.002 Kalisch, B. J., Tschannen, D., & Lee, K. H. ( 2011 ). Do staffing levels predict missed nursing care? International Journal for Quality in Health Care, 23 ( 3 ), 302 – 308. https://doi.org/10.1093/intqhc/mzr009 Kalisch, B. J., Tschannen, D., & Lee, K. H. ( 2012 ). Missed nursing care, staffing, and patient falls. Journal of Nursing Care Quality, 27 ( 1 ), 6 – 12. https://doi.org/10.1097/NCQ.0b013e318225aa23 Kalisch, B. J., Weaver, S. J., & Salas, E. ( 2009 ). What does nursing teamwork look like? A qualitative study. Journal of Nursing Care Quality, 24 ( 4 ), 298 – 307. https://doi.org/10.1097/NCQ.0b013e3181a001c0 Kalisch, B. J., & Xie, B. ( 2014 ). Errors of omission: Missed nursing care. Western Journal of Nursing Research, 36 ( 7 ), 875 – 890. https://doi.org/10.1177/0193945914531859 Kalisch, B. J., Xie, B., & Ronis, D. L. ( 2013 ). Train‐the‐trainer intervention to increase nursing teamwork and decrease missed nursing care in acute care patient units. Nursing Research, 62 ( 6 ), 405 – 413. https://doi.org/10.1097/NNR.0b013e3182a7a15d Kane, R. L., Shamliyan, T. A., Mueller, C., Duval, S., & Wilt, T. J. ( 2007 ). The association of registered nurse staffing levels and patient outcomes: Systematic review and meta‐analysis. Medical Care, 45 ( 12 ), 1195 – 1204. https://doi.org/10.1097/MLR.0b013e3181468ca3 Kohn, L. T., Corrigan, J. M., & Doran, D. M. ( 2000 ). To err is human: Building a safer health system. Washington, DC: National Academy Press. Mitchell, P., Wynia, M., Golden, R., McNellis, B., Okun, S., Webb, C. E., … Von Kohorn, I. ( 2012 ). Core principles & values of effective team‐based health care. Discussion paper, Institute of Medicine, Washington, DC. Morgan, B. B., Glickman, A. S., Woodard, E. A., Blaiwes, A. S., & Salas, E. ( 1986 ). Measurement of team behaviors in a navy environment. Orlando, FL: Naval Training Systems Center. Robson, A., & Robson, F. ( 2015 ). Do nurses wish to continue working for the UK National Health Service? A comparative study of three generations of nurses. Journal of Advanced Nursing, 71 ( 1 ), 65 – 77. https://doi.org/10.1111/jan.12468 Salas, E., Sims, D. E., & Burke, C. S. ( 2005 ). Is there a “big five” in teamwork? Small Group Research, 36 ( 5 ), 555 – 599. https://doi.org/10.1177/1046496405277134 Sochalski, J. ( 2004 ). Is more better? The relationship between nurse staffing and the quality of nursing care in hospitals. Medical Care, 42 ( 2 Suppl ), Ii67 – Ii73. https://doi.org/10.1097/01.mlr.0000109127.76128.aa Van Bogaert, P., Timmermans, O., Weeks, S. M., van Heusden, D., Wouters, K., & Franck, E. ( 2014 ). Nursing unit teams matter: Impact of unit‐level nurse practice environment, nurse work characteristics, and burnout on nurse reported job outcomes, and quality of care, and patient adverse events–a cross‐sectional survey. International Journal of Nursing Studies, 51 ( 8 ), 1123 – 1134. https://doi.org/10.1016/j.ijnurstu.2013.12.009 WHO ( 2009 ). Human factors in patient safety: Review of topics and tools. Geneva, Switzerland: World Health Organization. WHO ( 2011 ). WHO patient safety curriculum guide: Multi‐professional edition. Geneva, Switzerland: World Health Organization. Aiken, L. H., Cimiotti, J. P., Sloane, D. M., Smith, H. L., Flynn, L., & Neff, D. F. ( 2011 ). Effects of nurse staffing and nurse education on patient deaths in hospitals with different nurse work environments. Medical Care, 49 ( 12 ), 1047 – 1053. https://doi.org/10.1097/MLR.0b013e3182330b6e Aiken, L. H., Sloane, D. M., Clarke, S., Poghosyan, L., Cho, E., You, L., … Aungsuroch, Y. ( 2011 ). Importance of work environments on hospital outcomes in nine countries. International Journal for Quality in Health Care, 23 ( 4 ), 357 – 364. https://doi.org/10.1093/intqhc/mzr022 Bragadottir, H., Kalisch, B. J., Smaradottir, S. B., & Jonsdottir, H. H. ( 2016 ). The psychometric testing of the Nursing Teamwork Survey in Iceland. International Journal of Nursing Practice, 22 ( 3 ), 267 – 274. https://doi.org/10.1111/ijn.12422 Bragadóttir, H., Kalisch, B. J., & Tryggvadóttir, G. B. ( 2017 ). Correlates and predictors of missed nursing care in hospitals. Journal of Clinical Nursing, 26 ( 11–12 ), 1524 – 1534. https://doi.org/10.1111/jocn.13449 Brunetto, Y., Shriberg, A., Farr‐Wharton, R., Shacklock, K., Newman, S., & Dienger, J. ( 2013 ). The importance of supervisor‐nurse relationships, teamwork, wellbeing, affective commitment and retention of North American nurses. Journal of Nursing Management, 21 ( 6 ), 827 – 837. https://doi.org/10.1111/jonm.12111 Chapman, R., Rahman, A., Courtney, M., & Chalmers, C. ( 2016 ). Impact of teamwork on missed care in four Australian hospitals. Journal of Clinical Nursing, 26, 170 – 181. https://doi.org/10.1111/jocn.13433 Cho, E., Sloane, D. M., Kim, E.‐Y., Kim, S., Choi, M., Yoo, I. Y., … Aiken, L. H. ( 2015 ). Effects of nurse staffing, work environments, and education on patient mortality: An observational study. International Journal of Nursing Studies, 52 ( 2 ), 535 – 542. https://doi.org/10.1016/j.ijnurstu.2014.08.006 Dabney, B. W., & Kalisch, B. J. ( 2015 ). Nurse staffing levels and patient‐reported missed nursing care. Journal of Nursing Care Quality, 30 ( 4 ), 306 – 312. https://doi.org/10.1097/ncq.0000000000000123 Donabedian, A. ( 1988 ). The quality of care. How can it be assessed? JAMA, 260 ( 12 ), 1743 – 1748. https://doi.org/10.1001/jama.1988.03410120089033 Estryn‐Béhar, M., Van der Heijden, B. I. J. M., Ogińska, H., Camerino, D., Le Nézet, O., Conway, P. M., … Hasselhorn, H.‐M. ( 2007 ). The impact of social work environment, teamwork characteristics, burnout, and personal factors upon intent to leave among European nurses. Medical Care, 45 ( 10 ), 939 – 950. https://doi.org/10.1097/MLR.0b013e31806728d8 Griffiths, P., Recio‐Saucedo, A., Dall’Ora, C., Briggs, J., Maruotti, A., Meredith, P., … Ball, J. ( 2018 ). The association between nurse staffing and omissions in nursing care: A systematic review. Journal of Advanced Nursing, 74 ( 7 ), 1474 – 1487. https://doi.org/10.1111/jan.13564 Jones, T. L., Hamilton, P., & Murry, N. ( 2015 ). Unfinished nursing care, missed care, and implicitly rationed care: State of the science review. International Journal of Nursing Studies, 52 ( 6 ), 1121 – 1137. https://doi.org/10.1016/j.ijnurstu.2015.02.012 Kaiser, J. A., & Westers, J. B. ( 2018 ). Nursing teamwork in a health system: A multisite study. Journal of Nursing Management, 26 ( 5 ), 555 – 562. https://doi.org/10.1111/jonm.12582 Kalisch, B. J. ( 2015 ). Errors of omission: How missed nursing care imperils patients. Silver Spring, MD: American Nurses Association. Kalisch, B. J., & Lee, H. ( 2009 ). Nursing teamwork, staff characteristics, work schedules, and staffing. Health Care Management Review, 34 ( 4 ), 323 – 333. https://doi.org/10.1097/HMR.0b013e3181aaa920 Kalisch, B. J., Lee, H., & Salas, E. ( 2010 ). The development and testing of the nursing teamwork survey. Nursing Research, 59 ( 1 ), 42 – 50. https://doi.org/10.1097/NNR.0b013e3181c3bd42 IndexNoFollow nurses teamwork hospitals staffing staff nursing Health Sciences Article 2019 ftumdeepblue 2025-06-04T05:59:15Z Aims and objectivesThe purpose of this study was to examine the extent to which staffing adequacy predicts nursing teamwork, controlling for demographic and background variables.BackgroundFindings from former studies indicate that hospital, unit and staff characteristics may be related to nursing teamwork, such as type of hospital and unit, role, gender, age, work experience, type of shift worked, shift length, number of working hours per week, overtime and staffing adequacy. Teamwork as well as staffing is identified as significant contributors to patient and staff safety in hospitals. However, the contribution of staffing to the quality of nursing teamwork is scarcely studied.DesignThis was a quantitative descriptive cross‐sectional study using the paper‐and‐pencil questionnaire Nursing Teamwork Survey‐Icelandic.MethodsThe study was conducted in 27 inpatient units in eight hospitals in Iceland with a sample of 925 nursing staff members. Participants were 567 registered nurses, practical nurses, unit secretaries and nurse unit managers. The Strengthening the Reporting of Observational Studies in Epidemiology checklist was used for this paper.ResultsWhen controlling for unit type, role, experience on current unit and intent to leave, perceived adequacy of staffing alone explains up to 10% of overall teamwork. Unit type, role, years of experience on current unit and perceived staffing adequacy correlated significantly with overall teamwork.ConclusionsThe findings of this study indicate that unit and staff characteristics, including perceived adequacy of staffing, are associated with and explain the variability in nursing teamwork on inpatient hospital units. The findings of this study provide important information for clinical nurses, nurse managers, policymakers and instructors in health care.Relevance to clinical practiceThe findings underline the importance of adequate staffing for nursing teamwork in inpatient hospital units. Peer Reviewed ... Article in Journal/Newspaper Iceland Unknown Journal of Clinical Nursing 28 23-24 4298 4309
spellingShingle nurses
teamwork
hospitals
staffing
staff
nursing
Health Sciences
Bragadóttir, Helga
Kalisch, Beatrice J.
Bergthóra Tryggvadóttir, Gudný
The extent to which adequacy of staffing predicts nursing teamwork in hospitals
title The extent to which adequacy of staffing predicts nursing teamwork in hospitals
title_full The extent to which adequacy of staffing predicts nursing teamwork in hospitals
title_fullStr The extent to which adequacy of staffing predicts nursing teamwork in hospitals
title_full_unstemmed The extent to which adequacy of staffing predicts nursing teamwork in hospitals
title_short The extent to which adequacy of staffing predicts nursing teamwork in hospitals
title_sort extent to which adequacy of staffing predicts nursing teamwork in hospitals
topic nurses
teamwork
hospitals
staffing
staff
nursing
Health Sciences
topic_facet nurses
teamwork
hospitals
staffing
staff
nursing
Health Sciences
url https://hdl.handle.net/2027.42/152637
https://doi.org/10.1111/jocn.14975