Staffing Levels, Work Environment and Well-Being

Patient-safety-Level-2-2

Staffing levels, the work environment, and overall well-being significantly influence the nursing workforce.

Nurse well-being relies on balanced workloads, efficient work processes, mental health resources, and a healthy work-life balance

Core Member: Dr Weiling CHUA,  Prof Vivien LIM

Publications

  • Neo YL, Cheong RQ, Glass GF Jr, Chan EY. (2025) Electronic Medical Records Transition: Examining Hospital Nurses' Intention to Use Across Two Time Points Comput Inform Nurs. (2025) Dec 18. doi: 10.1097/CIN.0000000000001398. Online ahead of print.

  • Mikkonen K, Tuunainen S, Oikarinen A, Jansson M, Woo B, Zhou W, Tam W, Tuomikoski AM, Kaakinen P, Juntunen J, Jarva E. (2025) Artificial Intelligence Technologies Supporting Nurses' Clinical Decision-Making: A Systematic Review J Clin Nurs. (2025) Nov 25. doi: 10.1111/jocn.70156. Online ahead of print.

  • Chua WL, Azimirad M, Chia M, Jones D, Woon PY. (2025) Effects of Real-Time Automated Clinical Deterioration Alert and Trigger Systems on Clinical Outcomes in Adult General Ward Patients: A Systematic Review and Meta-Analysis Crit Care Med. (2025) Nov 12. doi: 10.1097/CCM.0000000000006960. Online ahead of print.

  • Tan L, Yu CC, Choo R, Le MK, Ng R, Tierney T, Lim E, Lim D, Liaw SY, Hansra G, Ho YY, Ngeow C, Chia SC, Low JA. (2025) Development and validation of the Multidimensional Clinical Empathy Scale for healthcare professionals and students SAGE Open Med. (2025) Aug 28;13:20503121251365011. doi: 10.1177/20503121251365011. eCollection (2025).

  • Woo BFY, Song J, Middleton E, Fija?ko N, Cato K. (2025) Teaching Critical Thinking in the Age of AI: Safeguarding Clinical Reasoning in Healthcare Documentation Int Nurs Rev. (2025) Sep;72(3):e70102. doi: 10.1111/inr.70102.

  • Woo BFY, Cashin A, Higgins A, Casey M, Buckley T, Zhou W. (2025) Prescribing Practices and Behaviours of Advanced Practice Nurses and Pharmacists: A Nationwide Cross-Sectional Survey J Adv Nurs. (2025) Jul 30. doi: 10.1111/jan.70111. Online ahead of print.

  • Cho Kwan RY, Yan Tang AC, Ha Wong JY, Zhou W, Theresa Belcina M, Adajar GR, Ito M, Ong I, Kang Y, Jing Su J, Wing Wong JS. (2025) Navigating the integration of artificial intelligence in Nursing: Opportunities, challenges, and strategic actions Int J Nurs Sci. (2025) Apr 16;12(3):241-245. doi: 10.1016/j.ijnss.(2025).04.009. eCollection (2025) May.

  • Qi X, Zhao Q, Wang W. (2025) Severity of insomnia and stress perception as a chained mediator between perceived social support and somatic symptoms in Chinese's nurses Appl Nurs Res. (2025) Jun;83:151940. doi: 10.1016/j.apnr.(2025).151940. Epub (2025) Mar 13.

  • Cao Y, Dong Y, Shi L, Chappell K, Jia Z, Yan T, Gao Y. (2025) Occupational Burnout in Nurses Is due to Long-Term Work Stress Rather Than COVID-19 Pandemic Event J Adv Nurs. (2025) May 28. doi: 10.1111/jan.17085. Online ahead of print.

  • Rusli KDB, Lau Y, Lau ST, Tham LS, Kee MMN, Ng QW, Ong SF, Karen S, Liaw SY. (2025) Development and validation of competencies for home-based nursing care: an e-Delphi study Int J Nurs Stud Adv. (2025) Apr 14;8:100330. doi: 10.1016/j.ijnsa.(2025).100330. eCollection (2025) Jun.

  • Byrne AL, Massey D, Flenady T, Connor J, Chua WL, Lagadec DL. (2025) When Nurses Worry: A Concept Analysis of Intuition in Clinical Deterioration J Adv Nurs. (2025) Aug;81(8):4566-4583. doi: 10.1111/jan.16956. Epub (2025) Apr 10.

  • Cao Y, Gao Y, Shao J, Shi L, Sun W, Yan T, Dong Y. (2025) Perceived Care Quality of Frontline Clinical Nurses in China and Its Predictors: A Mixed-Methods Study J Adv Nurs. (2025) Mar 30. doi: 10.1111/jan.16943. Online ahead of print.

  • Woo BFY, Ang WHD, Rogers M, Zhou W. (2025) Factors associated with resilience, spiritual and mental well-being of advanced practice nurses: Implications for role integration Int Nurs Rev. (2025) Mar;72(1):e70015. doi: 10.1111/inr.70015.

  • Cao Y, Gao Y, Chappell K, Zhou W. (2025) Factors affecting nurses' genetic nursing competency: A systematic review Nurse Educ Pract. (2025) Mar;84:104304. doi: 10.1016/j.nepr.(2025).104304. Epub (2025) Feb 27.

  • Wong MLL, Koh SLS, Teo WZ, Eng KW, Shorey S. (2025) Discrimination Faced by Male Nurses and Male Midwives: A Systematic Review and Meta-Synthesis J Clin Nurs. (2025) Jun;34(6):2431-2446. doi: 10.1111/jocn.17679. Epub (2025) Feb 6.

  • Bay BRZ, Chua JYX, Shorey S. (2025) Experiences of Nurses Regarding Self-Care: A Qualitative Systematic Review and Meta-Synthesis Nurs Health Sci. (2025) Mar;27(1):e70044. doi: 10.1111/nhs.70044.

  • Tang CJ, Lin YP, Chan EY. (2025) From Expert to Novice', Perceptions of General Ward Nurses on Deployment to Outbreak Intensive Care Units during the COVID-19 Pandemic: A Qualitative Descriptive Study J Clin Nurs. (2025) Dec;34(12):5144-5156. doi: 10.1111/jocn.16029. Epub 2021 Aug 31.

  • Joensuu R, Suleiman K, Koskenranta M, Kuivila H, Oikarainen A, Juntunen J, Goh YS, Liaw SY, Mikkonen K. 2024 Factors Associated with the Integration of Culturally and Linguistically Diverse Nurses into Healthcare Organisations: A Systematic Review of Quantitative Studies J Nurs Manag. 2024 Jun 24;2024:5887450. doi: 10.1155/2024/5887450. eCollection 2024.

  • Juanamasta IG, Aungsuroch Y, Gunawan J, Dino MJ, Polsook R. 2024 Prevalence of burnout and its determinants among Indonesian nurses: a multicentre study Sci Rep. 2024 Dec 30;14(1):31559. doi: 10.1038/s41598-024-63550-6.

  • Ilola T, Malmisalo M, Laukka E, Lehtiniemi H, P lkki T, K ri inen M, He HG, Kanste O. 2024 The effectiveness of digital solutions in improving nurses' and healthcare professionals' mental well-being: a systematic review and meta-analysis J Res Nurs. 2024 Mar;29(2):97-109. doi: 10.1177/17449871241226914. Epub 2024 May 20.

  • Kilpatrick K, Savard I, Audet LA, Costanzo G, Khan M, Atallah R, Jabbour M, Zhou W, Wheeler K, Ladd E, Gray DC, Henderson C, Spies LA, McGrath H, Rogers M. 2024 A global perspective of advanced practice nursing research: A review of systematic reviews PLoS One. 2024 Jul 2;19(7):e0305008. doi: 10.1371/journal.pone.0305008. eCollection 2024.

  • Tang LK, Yobas P, Wong DNX, Pikkarainen M, Zhang R, Ho D, He HG. 2024 Personal and work-related factors associated with post-traumatic growth in nurses: A mixed studies systematic review J Nurs Scholarsh. 2024 Jul;56(4):563-584. doi: 10.1111/jnu.12973. Epub 2024 May 4.

  • Kim NR, Lee JY, Park J, Lau ST. 2024 Ecological predictors of cultural competence among nurses in the neonatal intensive care unit: A cross-sectional descriptive study Nurs Health Sci. 2024 Jun;26(2):e13115. doi: 10.1111/nhs.13115.

  • Woo B, Huynh T, Tang A, Bui N, Nguyen G, Tam W. 2024 Transforming nursing with large language models: from concept to practice Eur J Cardiovasc Nurs. 2024 Jul 19;23(5):549-552. doi: 10.1093/eurjcn/zvad120.

  • Ng M, See C, Ignacio J. 2024 Qualitative systematic review: The lived experiences of males in the nursing profession on gender discrimination encounters Int Nurs Rev. 2024 Sep;71(3):468-483. doi: 10.1111/inr.12921. Epub 2023 Dec 22.

  • Rusli KDB, Chua WL, Ang WHD, Ang SGM, Lau Y, Liaw SY. 2024 A hybrid systematic narrative review of instruments measuring home-based care nurses' competency J Adv Nurs. 2024 Jul;80(7):2647-2671. doi: 10.1111/jan.15904. Epub 2023 Oct 17.

  • Ong P, Cong X, Yeo Y, Shorey S. 2024 Experiences of nurses managing parenthood and career: A systematic review and meta-synthesis Int Nurs Rev. 2024 Sep;71(3):610-625. doi: 10.1111/inr.12885. Epub 2023 Sep 19.

  • Chua M, Ang W, Siew A, Chen HC. (2024) Personal And Workplace Characteristics As Predictors Of Intent-To-Stay Among Registered Nurses: An Exploratory Quantitative Multicentre Study. Journal of Advanced Nursing. 81, -. doi: 10.1111/JAN.16459

  • Wong KW, Wu X, Dong Y. (2024) Interventions To Reduce Burnout And Improve The Mental Health Of Nurses During The Covid-19 Pandemic: A Systematic Review Of Randomised Controlled Trials With Meta-Analysis. International Journal of Mental Health Nursing. 33, 324-343. doi: 10.1111/INM.13251

  • Mohamed FBM, Cheng LJ, Chia XEC, Turunen H, He HG. (2024) Global Prevalence And Factors Associated With Workplace Violence Against Nursing Students: A Systematic Review, Meta-Analysis, And Meta-Regression. Aggression and Violent Behavior. 75, -. doi: 10.1016/J.AVB.2023.101907

  • Tang LK, Yobas P, Wong DNX, Pikkarainen M, Zhang R, Ho D, He HG. (2024) Personal And Work-Related Factors Associated With Post-Traumatic Growth In Nurses: A Mixed Studies Systematic Review. Journal of Nursing Scholarship. 56, 563-584. doi: 10.1111/JNU.12973

  • Müller AM, Ngiam NSP, Dunn M, Samarasekera DD, Goh BYS, Goh CEH, Toh A, Lee J, Yau WP, Lau LST, Gallagher PJ. (2024) Developing Empathy In Healthcare Professions Students: Protocol Of A Mixed-Methods Non-Controlled Longitudinal Intervention Study. Frontiers in Medicine. 11, -. doi: 10.3389/FMED.2024.1452516

  • Kim NR, Lee JY, Park J, Lau ST. (2024) Ecological Predictors Of Cultural Competence Among Nurses In The Neonatal Intensive Care Unit: A Cross-Sectional Descriptive Study. Nursing and Health Sciences. 26, -. doi: 10.1111/NHS.13115

  • Ang WHD, Lim ZQG, Lau ST, Dong J, Lau Y. (2024) Unpacking The Experiences Of Health Care Professionals About The Web-Based Building Resilience At Work Program During The Covid-19 Pandemic: Framework Analysis. JMIR Medical Education. 10, -. doi: 10.2196/49551

  • Zhang Z, Hu Y, Liu S, Feng X, Yang J, Cheng LJ, Ramazanu S, Wu XV. (2024) The Effectiveness Of E-Mental Health Interventions On Stress, Anxiety, And Depression Among Healthcare Professionals: A Systematic Review And Meta-Analysis. Systematic Reviews. 13, -. doi: 10.1186/S13643-024-02565-6

  • Ang WHD, Lim ZQG, Lau ST, Dong J, Lau Y.. Unpacking the Experiences of Health Care Professionals About the Web-Based Building Resilience At Work Program During the COVID-19 Pandemic: Framework Analysis. JMIR Med Educ. 2024 Jan 31;10:e49551. doi: 10.2196/49551.. 10.2196/49551

  • Ang WHD, Shorey S, Zheng ZJ, Ng WHD, Chen EC, Shah L, Chew HSJ, Lau Y.. Evaluating the online Resilience Skills Enhancement programme among undergraduate students: A double-blind parallel randomized controlled trial. Stress Health. 2024 Jan 5. doi: 10.1002/smi.3367. Online ahead of print.. 10.1002/smi.3367

  • Fei Y, Yang S, Zhu Z, Lv M, Yin Y, Zuo M, Chen Y, Sheng H, Zhang S, Zhang M.. Workplace violence and burnout among Chinese nurses during the COVID-19 pandemic: does the sense of coherence mediate the relationship?. BMC Psychiatry. 2023 Aug 8;23(1):573. doi: 10.1186/s12888-023-05060-9.. 10.1186/s12888-023-05060-9

  • García-Iglesias JJ, Yildirim M, Gómez-Salgado J, Goh YS.. Editorial: Mental health in healthcare workers and its associations with psychosocial work conditions. Front Public Health. 2024 Apr 3;12:1399134. doi: 10.3389/fpubh.2024.1399134. eCollection 2024.. 10.3389/fpubh.2024.1399134

  • Heng TJT, Shorey S.. Experiences of moral distress in nursing students - A qualitative systematic review. Nurse Educ Today. 2023 Oct;129:105912. doi: 10.1016/j.nedt.2023.105912. Epub 2023 Jul 17.. 10.1016/j.nedt.2023.105912

  • Ng M, See C, Ignacio J.. Qualitative systematic review: The lived experiences of males in the nursing profession on gender discrimination encounters. Int Nurs Rev. 2023 Dec 22. doi: 10.1111/inr.12921. Online ahead of print.. 10.1111/inr.12921

  • Rusli, Kc., Ong, S. F., Speed, S., Seah, B., McKenna, L., Lau, Y., & Liaw, S. Y. (2022). Home-based care nurses' lived experiences and perceived competency needs: A phenomenological study. Journal of Nursing Management, Advance online publication. https://doi.org/10.1111/jonm.13694

  • Tang LK, Yobas P, Wong DNX, Pikkarainen M, Zhang R, Ho D, He HG.. Personal and work-related factors associated with post-traumatic growth in nurses: A mixed studies systematic review. J Nurs Scholarsh. 2024 May 4. doi: 10.1111/jnu.12973. Online ahead of print.. 10.1111/jnu.12973

  • Wong KW, Wu X, Dong Y.. Interventions to reduce burnout and improve the mental health of nurses during the COVID-19 pandemic: A systematic review of randomised controlled trials with meta-analysis. Int J Ment Health Nurs. 2024 Apr;33(2):324-343. doi: 10.1111/inm.13251. Epub 2023 Nov 20.. 10.1111/inm.13251

Relevant Categories
Leadership, Teamwork and Professional Development
Recruitment and Retention
Staffing Levels, Work Environment and Well-Being
Learn more

Related Publications

Grant - Liaw, S.Y. (PI) 2016-2019. Singapore Millennium Foundation Grant. Creating a collaborative healthcare workforce: Designing and evaluating a virtual hospital for collaborative practice across higher education institutions in Singapore, $551,759. Singapore Millennium Foundation

Chua, W. L., Legido-Quigley, H., Jones, D., Hassan, N. B., Tee, A., & Liaw, S. Y. (2020). A call for better doctor-nurse collaboration: A qualitative study of the experiences of junior doctors and nurses in escalating care for deteriorating ward patients. Australian critical care : official journal of the Confederation of Australian Critical Care Nurses, 33(1), 54–61. https://doi.org/10.1016/j.aucc.2019.01.006

Liaw, S. Yc., Ooi, S. W., Rusli, K., Lau, T. C., Tam, W., & Chua, W. L. (2020). Nurse-Physician Communication Team Training in Virtual Reality Versus Live Simulations: Randomized Controlled Trial on Team Communication and Teamwork Attitudes. Journal of Medical Internet Research, 22(4), e17279. https://doi.org/10.2196/17279