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. 2025 Sep 8:2025:2311721.
doi: 10.1155/jonm/2311721. eCollection 2025.

Impact of Nurses' Peak Workload and Time Pressure on Work Exhaustion and Turnover Intention

Hao-Yuan Chang  1   2   3 , Yi-An Lin  4 , Wen-Pin Yu  5   6 , Hsin-Hsu Wu  7 , Gen-Yih Liao  8   9 , Ann Rudman  10   11 , Ching-I Teng  12   13   14
Affiliations

Impact of Nurses' Peak Workload and Time Pressure on Work Exhaustion and Turnover Intention

Hao-Yuan Chang et al. J Nurs Manag. .

Abstract

Background: Nurse shortage has been a worldwide problem. Work exhaustion fuels nurses' turnover intentions. However, there is limited understanding of how peak workload and time pressure contribute to work exhaustion and turnover intentions. Aims: To test the influence of peak workload and time pressure on work exhaustion and nurses' turnover intentions. Design: A research design of using follow-up surveys was employed. Methods: Complete survey responses were obtained from 423 nurses in Taiwan during 2023 and 2024. Structural equation modeling was used for analysis. Results: Peak workload was related with time pressure. Both factors were positively associated with work exhaustion, which in turn was positively associated with turnover intentions. Interestingly, both factors were not directly related to turnover intentions. Conclusion: Work exhaustion is pivotal in the impact of peak workload and time pressure on turnover intention. The unique value of this study is to identify the key role of work exhaustion in fueling turnover intention. Implications for Nursing Management: The results inform the nurse managers that they could consider incorporating more flexibility into nursing routines to reduce peak workload. Additionally, increased support from auxiliary staff, recovery environment, and work flexibility may help alleviate nurses' perceived time pressure or workplace exhaustion.

Keywords: nurse; peak workload; survey; time pressure; turnover intention; work exhaustion.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

Figure 1
Figure 1
Research model.
Figure 2
Figure 2
Testing results. Note: ∗p < 0.05. The dotted lines indicate paths carrying insignificant coefficients.
See this image and copyright information in PMC

References

    1. WHO. Nursing and Midwifery. 2024. https://reurl.cc/26evzO .
    1. Bottega M., De Faveri A. P., Simeoni M., Danielis M. Why Nurses Discontinue Practice in Hospitals? Insights From a Qualitative Study. International Nursing Review . 2025;72(1):p. e13083. doi: 10.1111/inr.13083. - DOI - PubMed
    1. Bingöl Ü., Bilgin N., Çetinkaya A., Kutlu A. Variables that Predict Nurses’ Job Stress and Intention to Leave During the COVID-19 Pandemic in Turkey. Journal of Advanced Nursing . 2025;81(2):878–886. doi: 10.1111/jan.16287. - DOI - PMC - PubMed
    1. Pindek S., Hayman M. R., Howard D. J., Arvan M. L., Spector P. E. Understaffing as a Two-Dimensional Phenomenon: A Cross-Sectional Study of Hospital Nurses’ Manpower and Expertise Understaffing. Journal of Advanced Nursing . 2025 - PMC - PubMed
    1. Edwin H. S., Trinkoff A. M., Mills M. E., Zhu S. Psychological Distress Symptoms in Nurses and Their Intention to Leave: A -Sectional Secondary Data Analysis. Journal of Advanced Nursing . 2025;81(3):1286–1299. doi: 10.1111/jan.16290. - DOI - PubMed

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