Resumen de Staffing levels, work schedules, required overtime, and turnover in acute care hospitals impact health care workers' burnout, intention to leave, and job satisfaction: A crosssectional study

Atef Eid Madkour Elsayed, Ahmed Abdullah Mohammed Alshehri, Elaf Alshehri, Raghad Ayman Sairafi, Sami khalif alenazi, Hadeel Abdulrahman Hashem, Hajer Aiydh Alsalmi, Ghada Saleh Magnas, Fahad Saad ALMATHKER, Mohammed Almaghlouth, Monther Abdullah Aldossary, Farah Tarek Ahmed Mehana

• Background: Healthcare workers in acute care hospitals face significant challenges related to staffing levels, work schedules, required overtime, and turnover, which contribute to burnout, reduced job satisfaction, and higher turnover intentions. These issues negatively impact both staff well-being and the quality of patient care.

  Methods: A cross-sectional study was conducted among 400 healthcare workers in acute care hospitals, including nurses, physicians, and allied health professionals. Data were collected using a structured questionnaire covering staffing levels, work schedules, overtime, burnout (Maslach Burnout Inventory), job satisfaction, and intention to leave. Statistical analyses, including Pearson’s correlation and multiple regression, were employed to assess relationships and predictive effects of key variables.

  Results: The study revealed moderate burnout levels (mean MBI score = 38.7, SD = 9.3), with 68% of participants dissatisfied with their jobs and 42% intending to leave within a year. Regression analysis demonstrated that higher patient loads, longer work hours, and required overtime significantly predicted increased burnout (β = 0.45, p < 0.01), decreased job satisfaction (β = -0.42, p < 0.01), and greater turnover intentions (β = 0.32, p < 0.01). Notably, 70% of participants managed more than five patients per shift, and 62% worked over 40 hours per week.

  Conclusion: The findings emphasize the urgent need for systemic reforms in acute care hospitals to address inadequate staffing, excessive work hours, and required overtime. Implementing evidence-based strategies to improve staffing practices and promote workforce well-being can enhance job satisfaction, reduce burnout, and improve patient care quality.