Date of Award

January 2023

Document Type

Open Access Thesis

Degree Name

Doctor of Nursing Practice (DNP)


Yale University School of Nursing

First Advisor

Joan Kearney


Float nurses report frustration and dissatisfaction with their patient assignment distribution on a continual basis; citing that they often receive the highest workload and most acute patients. This experience is closely related to nurses’ job satisfaction with an established association between perception of unfair patient assignment and intent to leave the workplace. This project aims to utilize a workload score to create a balanced and transparent nursing assignment. With the imminent nursing shortage, float nurses have the ability increase overall satisfaction for in-patient hospital nurses and reduce nurse burnout throughout the in-patient areas. This project will address equitable patient care assignments with direct implications for nurse retention and cost savings. Findings provide strong support for the use of the workload tool as a means to systematically bolster job satisfaction in this sector of our already stressed nursing workforce and address the urgent problem of nursing retention.


This is an Open Access Thesis.

Open Access

This Article is Open Access