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This review evaluates how nurse-to-patient ratios influence nurse burnout, job dissatisfaction, and intention-to-leave.

The Impact of Nurse-to-Patient Ratios on Nurses’ Burnout, Job Dissatisfaction, and Intention-to-Leave: A Systematic Review and Meta-Analysis

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This review evaluates how nurse-to-patient ratios influence nurse burnout, job dissatisfaction, and intention-to-leave.
Conducted a systematic search of databases including PubMed, Scopus, and Web of Science.
Included cross-sectional studies focused on nurse staffing and related outcomes.
Analyzed data from eighteen studies involving 183,876 nurses across 4,085 hospitals.
Higher nurse-to-patient ratios were linked to increased odds of burnout (OR: 1.08).
Job dissatisfaction also rose with higher ratios (OR: 1.10).
Intention-to-leave increased as ratios became less favorable (OR: 1.09).
Each additional patient per nurse raised mortality and readmission risks by 7-8%, diminishing care quality.

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Systematic review finds lower nurse-to-patient ratios reduce burnout in nurses, implying better patient care.

Alhazmi et al. (2026) studied this question.

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