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Updated: May 13, 2026

Using Learning Outcome Measures to assess Doctoral Nursing Education

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Published on: June 21, 2010

A concept analysis of nursing overtime.

Vanessa M Lobo¹, Anita Fisher, Jenny Ploeg

¹Health Sciences, School of Nursing, McMaster University, Ontario, Canada.

Journal of Advanced Nursing

|March 7, 2013

Summary

Nursing overtime is complex, influenced by choice, rewards, rest, and preparation. Understanding its antecedents and consequences is crucial for improving nurse staffing strategies and patient care.

Keywords:

concept analysis middle-range theory nurse overtime staffing

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Last Updated: May 13, 2026

Using Learning Outcome Measures to assess Doctoral Nursing Education

Using Learning Outcome Measures to assess Doctoral Nursing Education

Published on: June 21, 2010

Area of Science:

Nursing
Healthcare Management
Organizational Behavior

Background:

Hospital restructuring due to economic constraints has led to increased reliance on nurse overtime.
Nurse staffing, the largest organizational expense, is often targeted through alternative strategies like overtime.
Nursing overtime is a poorly defined and broadly applied concept requiring analysis.

Purpose of the Study:

To conduct a concept analysis of nursing overtime.
To clarify the multifaceted nature of nursing overtime.
To inform the development of appropriate staffing strategies and rigorous research.

Main Methods:

Concept analysis utilizing Walker and Avant's methodology.
Comprehensive literature search including electronic databases, grey literature, and policy documents (1993-2012).
Analysis of approximately 65 documents meeting inclusion criteria.

Main Results:

Nursing overtime is characterized by four attributes: perceived choice/control, rewards/lack thereof, equitable value of time off duty, and disruption from lack of preparation.
Antecedents of overtime span societal, organizational, and individual levels.
Consequences of overtime are both positive and negative, impacting organizations, nurses, and patients.

Conclusions:

This concept analysis provides a clearer definition of nursing overtime.
Recommendations are made to advance nursing research, practice, and policies related to overtime.
A nursing-specific middle-range theory for understanding and studying overtime was proposed.