{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T04:44:56Z","timestamp":1791953096456,"version":"4.3.4"},"reference-count":34,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T00:00:00Z","timestamp":1791849600000},"content-version":"vor","delay-in-days":285,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100012632","name":"Nazarbayev University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100012632","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Nursing Management"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To map RN workload, staffing indicators, resident outcomes, workforce sustainability and nursing\u2010management context in nursing homes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Staffing ratios and hours per resident day (HPRD) quantify staffing but not role complexity, interruptions, supervisory demands, resident acuity, continuity or work environment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Evaluation<\/jats:title>\n                    <jats:p>Following JBI guidance and PRISMA\u2010ScR, five databases were searched using an RN\u2010specific strategy and updated on 4 September 2026. Following source\u2010level eligibility reassessment and reconciliation of the updated search, 20 studies meeting the RN\u2010specific resident\u2010outcome criteria formed the primary synthesis. Seven studies that did not meet these criteria but provided relevant workforce or nursing\u2010management evidence were retained as a separately labelled contextual evidence layer and excluded from the primary synthesis and PRISMA included\u2010study count. Primary studies underwent full data charting, whereas contextual studies underwent restricted extraction for interpretive purposes only.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Key Issues<\/jats:title>\n                    <jats:p>Evidence was predominantly observational. Greater RN availability and more favourable work environments were generally associated with better resident outcomes, although findings varied by outcome, timing, staffing configuration and organisational context.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>RN workload is multidimensional and cannot be reduced to staffing ratios alone. Current evidence does not establish a universal RN staffing threshold or support causal conclusions across nursing\u2010home settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for Nursing Management<\/jats:title>\n                    <jats:p>Managers should interpret staffing metrics alongside resident acuity, staffing continuity, workload intensity, skill mix, agency use and work\u2010environment indicators.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/jonm\/6082303","type":"journal-article","created":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T03:48:47Z","timestamp":1791949727000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Registered Nurse Workload and Resident Outcomes in Nursing Homes: A Scoping Review of Workforce Sustainability and Nursing 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