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  3. Unpredictability In Inpatient Nursing Work: An Evolutionary Concept Analysis.
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  3. Unpredictability In Inpatient Nursing Work: An Evolutionary Concept Analysis.

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Unpredictability in Inpatient Nursing Work: An Evolutionary Concept Analysis.

Ellen Benjamin1,2, Joohyun Chung3, Esther Latif Banda4

  • 1Donna M. and Robert J. Manning College of Nursing & Health Sciences, University of Massachusetts Boston, Boston, MA, USA ellen.benjamin@umb.edu.

Research and Theory for Nursing Practice
|April 15, 2026

View abstract on PubMed

Summary
This summary is machine-generated.

Unpredictability in nursing work stems from patient needs, system complexity, and resource issues. Addressing these factors is crucial for improving nurse well-being and patient care outcomes.

Keywords:
acuteconcept analysisnursing systems/administrationsafetystress/copingwork environment

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Area of Science:

  • Nursing
  • Healthcare Systems
  • Workplace Stressors

Background:

  • Healthcare systems are inherently unpredictable.
  • Unpredictability is a significant stressor for inpatient nurses, creating resource-demand mismatches.
  • The concept of unpredictability in nursing work lacks formal conceptual analysis.

Purpose of the Study:

  • To examine and clarify the concept of unpredictability within nursing work.
  • To identify the defining attributes, antecedents, and consequences of unpredictability in nursing.
  • To provide a conceptual analysis of unpredictability for practicing nurses.

Main Methods:

  • Rodgers' evolutionary approach was utilized for conceptual analysis.
  • Inductive thematic analysis was applied to 69 systematically searched articles.
  • Literature search included CINAHL, Academic Source Complete, and MEDLINE databases, focusing on inpatient nursing work.

    • Main Results:

    • Unpredictability in nursing work originates from patient heterogeneity, disease uncertainty, shared resource dependence, and system complexity.
    • Nurses experience unpredictability related to patient acuity, safety, resource availability, team dynamics, and workflow.
    • Consequences include process inefficiencies, compromised nurse well-being, and adverse patient care impacts.

    Conclusions:

    • Concept analysis offers crucial insights into poorly defined nursing phenomena.
    • This study clarifies the causes, attributes, and consequences of unpredictability for nurses.
    • Nurses should advocate for strategies to mitigate unpredictability and enhance support for nursing work.